DRG 186 Medical
Pleural Effusion with MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$10,130
National average
Avg Total Costs
$14,706
CMS Inpatient data
Avg Length of Stay
4.2 days
CMS MS-DRG
Est. Commercial Insurance
$15,195 — $25,326
1.5x — 2.5x Medicare
Annual Discharges
1,684
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
1,684
Total Discharges
$14,706
Avg Total Costs
$11,783
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for pleural effusion with mcc cost?
The average Medicare payment for DRG 186 is $10,130. Average hospital costs are $14,706. Commercial insurance typically pays 150-250% of Medicare rates ($15,195 — $25,326).
How long is the hospital stay for DRG 186?
The average length of stay is 4.2 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.