DRG 004 Surgical
Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$90,034
National average
Avg Total Costs
$136,927
CMS Inpatient data
Avg Length of Stay
22.4 days
CMS MS-DRG
Est. Commercial Insurance
$135,051 — $225,085
1.5x — 2.5x Medicare
Annual Discharges
3,963
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
3,963
Total Discharges
$136,927
Avg Total Costs
$117,946
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec... cost?
The average Medicare payment for DRG 004 is $90,034. Average hospital costs are $136,927. Commercial insurance typically pays 150-250% of Medicare rates ($135,051 — $225,085).
How long is the hospital stay for DRG 004?
The average length of stay is 22.4 days. This varies by severity — patients with complications or comorbidities may stay longer.
How much does this hospital stay cost without insurance?
Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.