Inpatient stays / DRG 866
MS-DRG 866 · 34 hospitals · 3,607 stays
DRG 866: Viral Illness without MCC
Medicare patients had 3,607 stays in DRG 866 in 2024. Hospitals charged an average of $42,399 per stay and were paid $9,637 — a ratio of 4.4 to 1 — of which Medicare's own share averaged $6,873. Average charges ran from $14,174 at the least expensive hospital to $153,577 at the most; half of hospitals charged between $27,882 and $69,108.
- 1Average charge $42,399
- 2Average paid $9,637
- 3Reporting hospitals 34
- 4Medicare stays 3,607
By state
Average charges for DRG 866 were highest in Nevada ($99,031) and lowest in Maryland ($13,081). Payments vary far less than charges, because Medicare sets them: they range across states from $7,274 to $12,649.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 15 | $99,031 | $9,221 | 10.7× |
| California | 272 | $69,783 | $12,649 | 5.5× |
| New Jersey | 160 | $67,527 | $10,214 | 6.6× |
| Colorado | 38 | $65,916 | $8,754 | 7.5× |
| New York | 322 | $64,947 | $11,842 | 5.5× |
| Kansas | 44 | $58,787 | $8,610 | 6.8× |
| District of Columbia | 14 | $56,990 | $10,132 | 5.6× |
| Texas | 176 | $48,644 | $10,772 | 4.5× |
| Pennsylvania | 224 | $48,211 | $8,556 | 5.6× |
| Florida | 282 | $47,570 | $8,377 | 5.7× |
| New Mexico | 12 | $43,373 | $10,045 | 4.3× |
| Georgia | 74 | $41,026 | $10,344 | 4× |
| Washington | 41 | $37,870 | $9,059 | 4.2× |
| South Dakota | 19 | $37,732 | $7,807 | 4.8× |
| Virginia | 115 | $37,517 | $9,268 | 4× |
| South Carolina | 59 | $37,111 | $8,550 | 4.3× |
| Maine | 12 | $35,640 | $8,614 | 4.1× |
| Missouri | 88 | $34,921 | $8,783 | 4× |
| Iowa | 37 | $34,798 | $7,274 | 4.8× |
| Connecticut | 52 | $34,508 | $11,887 | 2.9× |
| Tennessee | 53 | $34,439 | $8,765 | 3.9× |
| Illinois | 174 | $33,461 | $9,010 | 3.7× |
| Ohio | 120 | $32,690 | $8,786 | 3.7× |
| Arizona | 58 | $32,627 | $10,151 | 3.2× |
| Louisiana | 46 | $31,721 | $7,430 | 4.3× |
| Minnesota | 69 | $31,519 | $10,199 | 3.1× |
| Wisconsin | 67 | $30,780 | $8,468 | 3.6× |
| Indiana | 81 | $30,503 | $8,436 | 3.6× |
| Delaware | 20 | $30,263 | $8,627 | 3.5× |
| Alabama | 41 | $29,968 | $8,231 | 3.6× |
| Kentucky | 41 | $29,630 | $7,438 | 4× |
| Mississippi | 29 | $28,800 | $7,445 | 3.9× |
| Nebraska | 28 | $28,030 | $8,688 | 3.2× |
| West Virginia | 18 | $27,620 | $7,331 | 3.8× |
| Utah | 16 | $27,518 | $9,149 | 3× |
| Oregon | 30 | $26,903 | $9,849 | 2.7× |
| North Carolina | 114 | $25,720 | $9,305 | 2.8× |
| Oklahoma | 34 | $25,501 | $8,718 | 2.9× |
| Arkansas | 39 | $25,056 | $7,455 | 3.4× |
| New Hampshire | 19 | $24,803 | $7,886 | 3.1× |
| Rhode Island | 16 | $23,870 | $8,557 | 2.8× |
| Massachusetts | 191 | $23,688 | $9,593 | 2.5× |
| Michigan | 107 | $23,119 | $8,485 | 2.7× |
| North Dakota | 11 | $22,138 | $8,103 | 2.7× |
| Maryland | 90 | $13,081 | $11,480 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| NYU Langone Hospitals New York, NY · 30 stays | $153,577 | $16,410 |
| Montefiore Medical Center Bronx, NY · 12 stays | $114,824 | $15,715 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 12 stays | $99,371 | $13,208 |
| North Shore University Hospital Manhasset, NY · 21 stays | $97,672 | $13,568 |
| UCSF Medical Center San Francisco, CA · 12 stays | $91,332 | $19,393 |
| Hackensack University Medical Center Hackensack, NJ · 16 stays | $90,552 | $14,559 |
| University of Kansas Hospital Kansas City, KS · 15 stays | $89,771 | $12,074 |
| New York-Presbyterian Hospital New York, NY · 29 stays | $75,079 | $12,422 |
| Adventhealth Orlando Orlando, FL · 23 stays | $67,117 | $8,057 |
| Cleveland Clinic Cleveland, OH · 13 stays | $66,112 | $13,627 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Hospital, the Baltimore, MD · 14 stays | $14,174 | $12,321 |
| South Shore Hospital South Weymouth, MA · 12 stays | $14,576 | $7,547 |
| Beth Israel Deaconess Medical Center Boston, MA · 12 stays | $20,226 | $11,986 |
| Northwest Community Hospital 1 Arlington Heights, IL · 17 stays | $20,846 | $6,809 |
| Duke University Hospital Durham, NC · 22 stays | $23,347 | $11,835 |
| Mayo Clinic Hospital Phoenix, AZ · 13 stays | $24,359 | $15,204 |
| Corewell Health Beaumont Troy Hospital Troy, MI · 11 stays | $24,896 | $6,502 |
| Froedtert Memorial Lutheran Hospital Milwaukee, WI · 11 stays | $26,366 | $10,565 |
| University of Michigan Health Ann Arbor, MI · 12 stays | $28,388 | $11,397 |
| Chester County Hospital West Chester, PA · 12 stays | $31,673 | $6,777 |
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.