Inpatient stays / DRG 206
MS-DRG 206 · 97 hospitals · 6,731 stays
DRG 206: Other Respiratory System Diagnoses without MCC
Medicare patients had 6,731 stays in DRG 206 in 2024. Hospitals charged an average of $49,308 per stay and were paid $9,642 — a ratio of 5.1 to 1 — of which Medicare's own share averaged $7,328. Average charges ran from $15,399 at the least expensive hospital to $215,129 at the most; half of hospitals charged between $29,179 and $81,822.
- 1Average charge $49,308
- 2Average paid $9,642
- 3Reporting hospitals 97
- 4Medicare stays 6,731
By state
Average charges for DRG 206 were highest in Nevada ($83,730) and lowest in Maryland ($14,037). Payments vary far less than charges, because Medicare sets them: they range across states from $6,722 to $12,598.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 83 | $83,730 | $8,535 | 9.8× |
| Colorado | 66 | $76,609 | $8,353 | 9.2× |
| California | 800 | $69,957 | $11,475 | 6.1× |
| Texas | 440 | $66,413 | $10,376 | 6.4× |
| New York | 495 | $65,656 | $12,529 | 5.2× |
| New Jersey | 231 | $65,390 | $9,869 | 6.6× |
| District of Columbia | 12 | $64,686 | $10,847 | 6× |
| Florida | 655 | $59,451 | $8,423 | 7.1× |
| Pennsylvania | 407 | $59,001 | $8,557 | 6.9× |
| Arizona | 122 | $58,369 | $9,438 | 6.2× |
| Kansas | 65 | $55,963 | $7,782 | 7.2× |
| New Hampshire | 25 | $47,858 | $8,354 | 5.7× |
| Indiana | 127 | $45,453 | $8,853 | 5.1× |
| North Carolina | 223 | $43,965 | $11,132 | 3.9× |
| Missouri | 154 | $43,465 | $9,843 | 4.4× |
| Tennessee | 126 | $42,558 | $8,580 | 5× |
| Washington | 80 | $41,964 | $9,471 | 4.4× |
| Virginia | 150 | $40,179 | $8,624 | 4.7× |
| South Carolina | 106 | $37,963 | $8,899 | 4.3× |
| Georgia | 157 | $37,750 | $9,863 | 3.8× |
| Oklahoma | 68 | $37,238 | $7,602 | 4.9× |
| Wisconsin | 108 | $36,850 | $8,489 | 4.3× |
| Hawaii | 12 | $35,991 | $9,774 | 3.7× |
| Nebraska | 49 | $35,896 | $9,146 | 3.9× |
| Connecticut | 61 | $35,108 | $10,784 | 3.3× |
| Illinois | 272 | $35,035 | $9,522 | 3.7× |
| Minnesota | 97 | $33,925 | $11,121 | 3.1× |
| Utah | 25 | $33,563 | $8,664 | 3.9× |
| Kentucky | 66 | $32,861 | $7,121 | 4.6× |
| Mississippi | 53 | $32,825 | $7,153 | 4.6× |
| Idaho | 29 | $32,808 | $7,366 | 4.5× |
| Louisiana | 73 | $31,537 | $7,298 | 4.3× |
| Iowa | 47 | $30,441 | $7,201 | 4.2× |
| Ohio | 232 | $29,960 | $7,648 | 3.9× |
| Alabama | 105 | $28,535 | $7,581 | 3.8× |
| North Dakota | 15 | $28,373 | $7,816 | 3.6× |
| Oregon | 33 | $28,091 | $8,999 | 3.1× |
| New Mexico | 26 | $27,505 | $9,521 | 2.9× |
| Arkansas | 43 | $26,658 | $6,722 | 4× |
| Michigan | 175 | $25,677 | $8,598 | 3× |
| West Virginia | 45 | $25,512 | $7,793 | 3.3× |
| South Dakota | 20 | $25,479 | $8,157 | 3.1× |
| Massachusetts | 272 | $24,568 | $9,388 | 2.6× |
| Delaware | 37 | $23,696 | $8,762 | 2.7× |
| Rhode Island | 28 | $23,420 | $9,276 | 2.5× |
| Maine | 12 | $21,662 | $9,472 | 2.3× |
| Montana | 14 | $18,847 | $7,049 | 2.7× |
| Maryland | 165 | $14,037 | $12,598 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 29 stays | $215,129 | $17,841 |
| Houston Methodist Hospital Houston, TX · 18 stays | $212,778 | $22,677 |
| Temple University Hospital Philadelphia, PA · 28 stays | $201,481 | $13,230 |
| Cedars-Sinai Medical Center Los Angeles, CA · 25 stays | $186,871 | $12,525 |
| Riverside Community Hospital Riverside, CA · 12 stays | $156,539 | $11,243 |
| New York-Presbyterian Hospital New York, NY · 45 stays | $147,877 | $18,730 |
| St. Joseph's Hospital and Medical Center Phoenix, AZ · 13 stays | $143,034 | $15,782 |
| Westchester Medical Center Valhalla, NY · 13 stays | $133,892 | $11,788 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 14 stays | $130,761 | $13,646 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 19 stays | $126,856 | $10,010 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Bayview Medical Center Baltimore, MD · 12 stays | $15,399 | $13,816 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 12 stays | $15,987 | $9,902 |
| Southcoast Hospital Group, Inc Fall River, MA · 12 stays | $16,372 | $7,618 |
| South Shore Hospital South Weymouth, MA · 15 stays | $16,563 | $7,191 |
| Beverly Hospital Corporation Beverly, MA · 11 stays | $18,241 | $7,640 |
| Weirton Medical Center, Inc Weirton, WV · 11 stays | $19,026 | $6,052 |
| Baystate Medical Center Springfield, MA · 15 stays | $19,631 | $10,051 |
| Johns Hopkins Hospital, the Baltimore, MD · 28 stays | $19,755 | $17,617 |
| Christianacare Newark, DE · 23 stays | $22,186 | $8,427 |
| Ecu Health Medical Center Greenville, NC · 11 stays | $22,273 | $8,568 |
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.