According to a study conducted using 2020-2022 claims data, private health plans in the United States paid on average 28,944 U.S. dollars per inpatient stay. This is the allowed amount*, which includes amounts paid by the health plan and the patient (depending on deductible and other cost sharing). This was 233 percent of what Medicare would have paid for the same service.
Hospital prices for inpatient stays paid by private employer-sponsored insurance (ESI) in the U.S. from 2020 to 2022, by type of inpatient service
(in U.S. dollars)
Characteristic
Standardized price* for inpatient services in U.S. dollars
Over 4,000 Medicare-certified community hospitals in 49 states and DC except Maryland
Supplementary notes
The source adds the following:
*"Prices are calculated based on allowed amounts, including amounts paid by the health plan and the patient. Relative prices represent the allowed amount paid by the private plan as a percentage of what Medicare would have paid to the same hospital for the same services. Standardized prices represent the allowed amount paid by the private health plan per service, standardized using Medicare's case mix grouping and relative weights."
Claims data included "provider identifiers and allowed amounts, for enrollees in employer-sponsored health plans from three types of data sources: self-insured employers, state-based all-payer claims databases from Arkansas, Colorado, Connecticut, Delaware, Maine, Minnesota, New Hampshire, Oregon, Rhode Island, Utah, Vermont and Washington, and health plans that chose to participate. Together, those data sources include claims data for hospital services provided by more than 4,000 hospitals in 49 states and DC." See study for exact methodology.
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RAND Corporation. (May 12, 2024). Hospital prices for inpatient stays paid by private employer-sponsored insurance (ESI) in the U.S. from 2020 to 2022, by type of inpatient service (in U.S. dollars) [Graph]. In Statista. Retrieved December 27, 2024, from https://www.statista.com/statistics/1546123/us-hospital-inpatient-prices-for-private-health-plans/
RAND Corporation. "Hospital prices for inpatient stays paid by private employer-sponsored insurance (ESI) in the U.S. from 2020 to 2022, by type of inpatient service (in U.S. dollars)." Chart. May 12, 2024. Statista. Accessed December 27, 2024. https://www.statista.com/statistics/1546123/us-hospital-inpatient-prices-for-private-health-plans/
RAND Corporation. (2024). Hospital prices for inpatient stays paid by private employer-sponsored insurance (ESI) in the U.S. from 2020 to 2022, by type of inpatient service (in U.S. dollars). Statista. Statista Inc.. Accessed: December 27, 2024. https://www.statista.com/statistics/1546123/us-hospital-inpatient-prices-for-private-health-plans/
RAND Corporation. "Hospital Prices for Inpatient Stays Paid by Private Employer-sponsored Insurance (Esi) in The U.S. from 2020 to 2022, by Type of Inpatient Service (in U.S. Dollars)." Statista, Statista Inc., 12 May 2024, https://www.statista.com/statistics/1546123/us-hospital-inpatient-prices-for-private-health-plans/
RAND Corporation, Hospital prices for inpatient stays paid by private employer-sponsored insurance (ESI) in the U.S. from 2020 to 2022, by type of inpatient service (in U.S. dollars) Statista, https://www.statista.com/statistics/1546123/us-hospital-inpatient-prices-for-private-health-plans/ (last visited December 27, 2024)
Hospital prices for inpatient stays paid by private employer-sponsored insurance (ESI) in the U.S. from 2020 to 2022, by type of inpatient service (in U.S. dollars) [Graph], RAND Corporation, May 12, 2024. [Online]. Available: https://www.statista.com/statistics/1546123/us-hospital-inpatient-prices-for-private-health-plans/