DRG 866 Medical
Viral Illness without MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$5,652
National average
Avg Total Costs
$12,242
CMS Inpatient data
Avg Length of Stay
2.7 days
CMS MS-DRG
Est. Commercial Insurance
$8,479 — $14,131
1.5x — 2.5x Medicare
Annual Discharges
417
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
417
Total Discharges
$12,242
Avg Total Costs
$8,055
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for viral illness without mcc cost?
The average Medicare payment for DRG 866 is $5,652. Average hospital costs are $12,242. Commercial insurance typically pays 150-250% of Medicare rates ($8,479 — $14,131).
How long is the hospital stay for DRG 866?
The average length of stay is 2.7 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.