Inpatient stays / DRG 870
MS-DRG 870 · 878 hospitals · 26,834 stays
DRG 870: Septicemia or Severe Sepsis with MV >96 Hours
Medicare patients had 26,834 stays in DRG 870 in 2024. Hospitals charged an average of $323,293 per stay and were paid $64,425 — a ratio of 5 to 1 — of which Medicare's own share averaged $57,483. Average charges ran from $57,583 at the least expensive hospital to $1,781,977 at the most; half of hospitals charged between $197,324 and $390,404.
- 1Average charge $323,293
- 2Average paid $64,425
- 3Reporting hospitals 878
- 4Medicare stays 26,834
By state
Average charges for DRG 870 were highest in Nevada ($639,982) and lowest in Maryland ($78,365). Payments vary far less than charges, because Medicare sets them: they range across states from $45,919 to $85,696.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 347 | $639,982 | $59,074 | 10.8× |
| California | 4,042 | $487,018 | $81,331 | 6× |
| Colorado | 191 | $454,756 | $62,806 | 7.2× |
| Alaska | 31 | $434,955 | $80,934 | 5.4× |
| New Jersey | 1,079 | $410,934 | $66,635 | 6.2× |
| Texas | 1,896 | $380,428 | $53,038 | 7.2× |
| New York | 2,912 | $359,081 | $85,696 | 4.2× |
| Pennsylvania | 955 | $348,655 | $62,403 | 5.6× |
| Florida | 2,002 | $343,422 | $50,827 | 6.8× |
| District of Columbia | 152 | $340,612 | $82,613 | 4.1× |
| Kansas | 187 | $337,298 | $53,073 | 6.4× |
| Georgia | 838 | $309,779 | $57,736 | 5.4× |
| Washington | 307 | $308,040 | $71,645 | 4.3× |
| New Mexico | 80 | $296,901 | $57,751 | 5.1× |
| Arizona | 414 | $295,070 | $61,283 | 4.8× |
| Hawaii | 66 | $290,652 | $80,267 | 3.6× |
| Alabama | 482 | $287,387 | $48,752 | 5.9× |
| Oklahoma | 437 | $287,177 | $48,994 | 5.9× |
| South Dakota | 46 | $281,679 | $61,795 | 4.6× |
| New Hampshire | 84 | $277,572 | $71,655 | 3.9× |
| South Carolina | 324 | $266,669 | $53,588 | 5× |
| Connecticut | 307 | $266,291 | $73,862 | 3.6× |
| Missouri | 462 | $258,214 | $55,957 | 4.6× |
| Virginia | 643 | $254,242 | $58,110 | 4.4× |
| Maine | 46 | $252,557 | $74,567 | 3.4× |
| Utah | 87 | $243,101 | $55,934 | 4.3× |
| Minnesota | 236 | $242,168 | $68,443 | 3.5× |
| Wyoming | 16 | $240,627 | $81,408 | 3× |
| Louisiana | 365 | $240,014 | $49,068 | 4.9× |
| Illinois | 964 | $238,967 | $60,285 | 4× |
| Tennessee | 526 | $238,315 | $50,830 | 4.7× |
| Idaho | 45 | $233,195 | $55,020 | 4.2× |
| Mississippi | 332 | $231,134 | $46,142 | 5× |
| Ohio | 952 | $227,651 | $52,745 | 4.3× |
| Oregon | 114 | $223,702 | $68,937 | 3.2× |
| Indiana | 534 | $223,186 | $52,876 | 4.2× |
| Kentucky | 404 | $221,439 | $52,824 | 4.2× |
| Wisconsin | 228 | $217,559 | $59,957 | 3.6× |
| Arkansas | 321 | $212,285 | $48,465 | 4.4× |
| Nebraska | 123 | $205,420 | $55,432 | 3.7× |
| Rhode Island | 34 | $200,932 | $65,336 | 3.1× |
| Iowa | 128 | $199,569 | $51,761 | 3.9× |
| West Virginia | 178 | $199,553 | $59,286 | 3.4× |
| North Dakota | 60 | $196,235 | $58,509 | 3.4× |
| Delaware | 125 | $195,039 | $64,122 | 3× |
| Massachusetts | 669 | $191,515 | $75,328 | 2.5× |
| North Carolina | 591 | $190,270 | $54,145 | 3.5× |
| Montana | 59 | $187,963 | $57,395 | 3.3× |
| Michigan | 762 | $186,816 | $58,000 | 3.2× |
| Vermont | 12 | $149,691 | $45,919 | 3.3× |
| Maryland | 639 | $78,365 | $70,487 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 15 stays | $1,781,977 | $70,980 |
| Stanford Health Care Stanford, CA · 14 stays | $1,683,259 | $187,383 |
| Doctors Medical Center Modesto, CA · 19 stays | $1,343,542 | $76,599 |
| Cedars-Sinai Medical Center Los Angeles, CA · 60 stays | $1,332,141 | $117,332 |
| Good Samaritan Hospital San Jose, CA · 16 stays | $1,270,647 | $93,748 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 19 stays | $1,171,903 | $94,015 |
| Regional Medical Center of San Jose San Jose, CA · 17 stays | $1,167,753 | $68,511 |
| Riverside Community Hospital Riverside, CA · 52 stays | $1,129,427 | $88,449 |
| Northbay Medical Center Fairfield, CA · 19 stays | $1,098,893 | $147,031 |
| El Camino Hospital Mountain View, CA · 18 stays | $974,032 | $112,273 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Frederick Health Hospital Frederick, MD · 14 stays | $57,583 | $52,702 |
| Medstar Montgomery Medical Center Olney, MD · 23 stays | $61,795 | $54,894 |
| Meritus Medical Center Hagerstown, MD · 20 stays | $62,480 | $57,487 |
| Adventist Healthcare White Oak Medical Center Silver Spring, MD · 22 stays | $62,955 | $56,339 |
| Sinai Hospital of Baltimore Baltimore, MD · 26 stays | $64,343 | $56,656 |
| Medstar Franklin Square Medical Center Rosedale, MD · 20 stays | $64,669 | $58,308 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 24 stays | $66,092 | $61,532 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 21 stays | $66,622 | $60,013 |
| Medstar Southern Maryland Hospital Center Clinton, MD · 30 stays | $69,344 | $65,094 |
| Suburban Hospital Bethesda, MD · 15 stays | $74,990 | $52,901 |
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.