DRG 791 Medical
Prematurity with Major Problems
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$26,384
National average
Avg Length of Stay
13.3 days
CMS MS-DRG
Est. Commercial Insurance
$39,575 — $65,959
1.5x — 2.5x Medicare
Cost by Severity Level
NY SPARCS hospital discharge data (2022) — costs reflect New York State hospitals
| Severity | Discharges | Avg LOS | Avg Charges | Avg Costs | Median Costs |
|---|---|---|---|---|---|
| Extreme | 314 | 17.7 days | $192,841 | $67,810 | $48,019 |
| Major | 761 | 8.4 days | $88,335 | $30,018 | $22,559 |
| Minor | 830 | 3.1 days | $42,019 | $14,525 | $9,527 |
| Moderate | 1,329 | 4.9 days | $53,181 | $17,860 | $13,443 |
Frequently Asked Questions
How much does a hospital stay for prematurity with major problems cost?
The average Medicare payment for DRG 791 is $26,384. Commercial insurance typically pays 150-250% of Medicare rates ($39,575 — $65,959).
How long is the hospital stay for DRG 791?
The average length of stay is 13.3 days. This varies by severity — NY data shows stays from 3.1 to 17.7 days depending on severity.
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.