Inpatient stays / DRG 205
MS-DRG 205 · 199 hospitals · 10,485 stays
DRG 205: Other Respiratory System Diagnoses with MCC
Medicare patients had 10,485 stays in DRG 205 in 2024. Hospitals charged an average of $88,362 per stay and were paid $19,109 — a ratio of 4.6 to 1 — of which Medicare's own share averaged $15,406. Average charges ran from $17,832 at the least expensive hospital to $416,569 at the most; half of hospitals charged between $54,673 and $111,082.
- 1Average charge $88,362
- 2Average paid $19,109
- 3Reporting hospitals 199
- 4Medicare stays 10,485
By state
Average charges for DRG 205 were highest in California ($159,836) and lowest in Maryland ($30,983). Payments vary far less than charges, because Medicare sets them: they range across states from $8,568 to $27,884.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 1,064 | $159,836 | $26,902 | 5.9× |
| Nevada | 81 | $152,529 | $16,559 | 9.2× |
| New York | 704 | $130,012 | $25,692 | 5.1× |
| Pennsylvania | 573 | $127,516 | $18,615 | 6.9× |
| Alaska | 23 | $117,028 | $22,150 | 5.3× |
| New Jersey | 369 | $110,794 | $18,199 | 6.1× |
| Texas | 796 | $106,130 | $18,901 | 5.6× |
| Arizona | 202 | $102,070 | $19,852 | 5.1× |
| Colorado | 143 | $101,335 | $16,819 | 6× |
| Florida | 782 | $93,174 | $15,703 | 5.9× |
| Kansas | 108 | $90,998 | $15,477 | 5.9× |
| Maine | 24 | $86,701 | $22,247 | 3.9× |
| District of Columbia | 35 | $85,929 | $22,314 | 3.9× |
| Georgia | 241 | $75,240 | $17,846 | 4.2× |
| Washington | 180 | $69,234 | $17,303 | 4× |
| Oklahoma | 110 | $67,410 | $14,533 | 4.6× |
| Illinois | 510 | $67,228 | $17,597 | 3.8× |
| Alabama | 140 | $66,297 | $14,489 | 4.6× |
| Idaho | 40 | $66,052 | $15,361 | 4.3× |
| Minnesota | 229 | $65,819 | $19,048 | 3.5× |
| Mississippi | 85 | $64,230 | $13,089 | 4.9× |
| Missouri | 228 | $63,524 | $16,489 | 3.9× |
| New Mexico | 51 | $63,170 | $16,726 | 3.8× |
| Nebraska | 73 | $62,767 | $16,867 | 3.7× |
| Hawaii | 32 | $61,829 | $20,170 | 3.1× |
| Massachusetts | 429 | $61,139 | $21,424 | 2.9× |
| Kentucky | 144 | $60,830 | $15,046 | 4× |
| South Carolina | 134 | $60,252 | $16,011 | 3.8× |
| Tennessee | 194 | $59,745 | $15,801 | 3.8× |
| Virginia | 289 | $59,573 | $17,872 | 3.3× |
| Louisiana | 94 | $59,468 | $13,362 | 4.5× |
| Ohio | 389 | $58,762 | $15,754 | 3.7× |
| Wisconsin | 204 | $58,690 | $17,241 | 3.4× |
| North Carolina | 265 | $57,914 | $18,871 | 3.1× |
| Indiana | 217 | $57,788 | $15,104 | 3.8× |
| Connecticut | 133 | $57,235 | $20,233 | 2.8× |
| Oregon | 83 | $55,820 | $18,515 | 3× |
| Iowa | 70 | $54,402 | $15,884 | 3.4× |
| South Dakota | 41 | $53,295 | $15,233 | 3.5× |
| Delaware | 54 | $48,954 | $15,451 | 3.2× |
| West Virginia | 49 | $48,290 | $12,907 | 3.7× |
| Rhode Island | 19 | $47,831 | $17,841 | 2.7× |
| North Dakota | 40 | $47,463 | $15,414 | 3.1× |
| Michigan | 301 | $47,104 | $17,045 | 2.8× |
| New Hampshire | 69 | $46,182 | $15,954 | 2.9× |
| Arkansas | 71 | $45,775 | $13,127 | 3.5× |
| Wyoming | 21 | $43,807 | $19,891 | 2.2× |
| Utah | 62 | $40,855 | $16,050 | 2.5× |
| Vermont | 19 | $40,638 | $8,568 | 4.7× |
| Montana | 36 | $31,907 | $13,923 | 2.3× |
| Maryland | 235 | $30,983 | $27,884 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 110 stays | $416,569 | $59,635 |
| El Camino Hospital Mountain View, CA · 11 stays | $411,893 | $34,780 |
| Cedars-Sinai Medical Center Los Angeles, CA · 41 stays | $299,596 | $25,485 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 48 stays | $281,584 | $24,721 |
| Temple University Hospital Philadelphia, PA · 68 stays | $271,502 | $26,133 |
| New York-Presbyterian Hospital New York, NY · 121 stays | $257,958 | $37,597 |
| UCSF Medical Center San Francisco, CA · 31 stays | $237,706 | $48,692 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 53 stays | $235,090 | $29,258 |
| NYU Langone Hospitals New York, NY · 56 stays | $220,165 | $34,992 |
| Montefiore Medical Center Bronx, NY · 21 stays | $201,611 | $34,623 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| U P M C Western Maryland Cumberland, MD · 12 stays | $17,832 | $15,783 |
| St Cloud Hospital Saint Cloud, MN · 15 stays | $22,036 | $17,679 |
| South Shore Hospital South Weymouth, MA · 19 stays | $25,429 | $12,598 |
| Medstar Franklin Square Medical Center Rosedale, MD · 16 stays | $27,454 | $24,496 |
| North Shore Medical Center - Salem, MA · 13 stays | $28,433 | $17,436 |
| Baystate Medical Center Springfield, MA · 15 stays | $28,709 | $18,364 |
| Ascension Providence Hospital Southfield, MI · 11 stays | $30,816 | $15,268 |
| Beverly Hospital Corporation Beverly, MA · 13 stays | $31,990 | $14,386 |
| Wentworth-Douglass Hospital Dover, NH · 13 stays | $32,833 | $11,140 |
| Cape Cod Hospital Hyannis, MA · 12 stays | $33,332 | $19,034 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.