DRG 916 Medical
Allergic Reactions without MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$4,331
National average
Avg Total Costs
$6,452
CMS Inpatient data
Avg Length of Stay
1.8 days
CMS MS-DRG
Est. Commercial Insurance
$6,496 — $10,827
1.5x — 2.5x Medicare
Annual Discharges
34
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
34
Total Discharges
$6,452
Avg Total Costs
$4,725
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for allergic reactions without mcc cost?
The average Medicare payment for DRG 916 is $4,331. Average hospital costs are $6,452. Commercial insurance typically pays 150-250% of Medicare rates ($6,496 — $10,827).
How long is the hospital stay for DRG 916?
The average length of stay is 1.8 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.