State-by-State Breakdown – Average Cost of Hospital Stays in the U.S.

Elderly patient in a hospital bed with an oxygen tube

Healthcare is a crucial part of our lives, but the financial impact of seeking care can be overwhelming, especially when a hospital stay becomes necessary.

According to a recent studies, the average American earning a standard wage would need to work a staggering 384 hours just to cover the cost of a typical hospital stay.

Of course, these costs arenโ€™t uniform across the countryโ€”they vary significantly from state to state.

Curious about where residents face the highest and lowest workloads to afford hospital care?

Keep reading to discover the state-by-state breakdown, along with tips on how to make the most of your health insurance to help manage these costs.

State-by-State Analysis

An elderly man wearing glasses and a hospital gown lies in a hospital bed
A hospital patient resting in bed/YouTube Screenshot/Dr. Paulien Moyaert
State Average Cost per Inpatient Day
United States $3,025
Alabama $1,899
Alaska $2,230
Arizona $3,243
Arkansas $2,266
California $4,337
Colorado $3,567
Connecticut $3,266
Delaware $3,359
District of Columbia $4,068
Florida $2,826
Georgia $2,282
Hawaii $3,117
Idaho $3,666
Illinois $3,181
Indiana $3,175
Iowa $1,880
Kansas $2,340
Kentucky $2,612
Louisiana $2,632
Maine $2,887
Maryland $3,609
Massachusetts $3,529
Michigan $2,475
Minnesota $2,745
Mississippi $1,425
Missouri $2,743
Montana $2,198
Nebraska $2,729
Nevada $2,410
New Hampshire $3,000
New Jersey $3,296
New Mexico $3,054
New York $3,714
North Carolina $2,677
North Dakota $2,329
Ohio $3,392
Oklahoma $2,379
Oregon $4,003
Pennsylvania $2,989
Rhode Island $3,102
South Carolina $2,390
South Dakota $1,719
Tennessee $2,590
Texas $3,060
Utah $3,500
Vermont $3,079
Virginia $2,871
Washington $3,843
West Virginia $2,240
Wisconsin $2,804
Wyoming $1,761

KFF notes thatHospital costs per inpatient day vary significantly across the United States, with the national average sitting at $3,025.

States like California and Oregon report the highest expenses, exceeding $4,000 per day, driven by high living costs and advanced medical facilities.

Conversely, states like Mississippi and South Dakota, with costs below $1,800, reflect lower operational and wage expenses.

Regional differences are influenced by factors such as healthcare infrastructure, economic conditions, and state policies.

Hospital Stay Costs in the U.S. (1999 – 2022)

Bar chart comparing average daily hospital costs in the U.S. from 1999 to 2022
Comparison of average daily hospital costs in the U.S. between 1999 and 2022

The cost of a hospital stay per day in the United States has experienced a sharp upward trend over the past two decades.

According to data from ConsumerShields from 1999 to 2022, the average daily hospital cost has risen from $1,101 in 1999 to $3,025 in 2022, marking a staggering increase of approximately 175% over 23 years.

This growth is driven by a combination of factors such as inflation, advancements in medical technology, and changes in healthcare regulations.

Changes in Hospital Costs Over Time

Close-up of a patient lying in a hospital bed with a ventilator mask and an ECG monitor in the background
Increasing costs of intensive care and medical services over time/YouTube Screenshot/Dr. Paulien Moyaert

The table below highlights the year-by-year increase in average hospital stay costs:

Year Cost per Day (USD) Yearly Percentage Increase (%)
1999 $1,101.80
2000 $1,148.47 4.24%
2005 $1,522.42 6.80%
2010 $1,909.64 3.08%
2015 $2,270.51 4.05%
2020 $2,873.01 6.11%
2022 $3,025.23 5.30%

Key Trends:

  • From 1999 to 2005, costs rose steadily, reaching $1,522, with annual increases averaging about 5.8%.
  • Between 2010 and 2020, hospital costs saw a more rapid climb, averaging 5% annually.
  • The most significant jump occurred between 2020 and 2022, when costs increased by over $150 per day.

Factors That Affect Hospital Stay Costs

Hospital costs are influenced by a variety of factors, including:

  1. Type of Hospital: Costs vary depending on ownershipโ€”state, non-profit, or for-profit.
  2. Location: Hospitals in urban areas often have higher operational costs than rural ones.
  3. Medical Condition: Complex conditions requiring specialized care drive up costs.
  4. Length of Stay: Longer stays naturally accumulate higher charges.

Hospital Costs by Ownership Type

Ownership plays a critical role in determining hospital stay costs:

Bar chart illustrating hospital costs by ownership type in 1999 and 2022
Hospital costs comparison by ownership type between 1999 and 2022
  • For-Profit Hospitals: Typically offer lower costs due to streamlined operations.
  • State/Local Government Hospitals: Competitive pricing, though these hospitals often balance care quality with cost control.
  • Non-Profit Hospitals: Tend to have the highest costs due to their broader service offerings and investments in community health programs.

Rising Costs and What Do They Mean?

Doctor sitting next to a hospitalized patient
Growing costs of personalized healthcare and hospital stays/YouTube Screenshot/Dr. Paulien Moyaert

The consistent rise in hospital costs underscores the growing financial burden on patients according to NCBI study. For example:

  • In 1999, a patient might pay around $1,100 per day for hospital care.
  • In 2022, the same patient would face a cost of over $3,000โ€”an almost threefold increase.

To manage these costs, individuals should:

  • Understand Their Insurance: Ensure adequate coverage for inpatient stays.
  • Negotiate Bills: Many hospitals offer payment plans or discounts for uninsured patients.
  • Plan Ahead: Discuss estimated costs with providers before elective hospitalizations

How Infections Drive Up Expenses

Healthcare-Associated Infections (HAIs) significantly impact hospital stay costs in the United States.

According to the Agency for Healthcare Research and Quality (AHRQ), in 2019 and 2021, inpatient stays involving HAIs had longer median lengths of stay, higher in-hospital mortality rates, and increased median hospital costs compared to stays without HAIs.

These infections not only affect patient health outcomes but also contribute to the escalating expenses associated with hospital care. Implementing stringent infection control measures is essential to mitigate these costs and improve patient safety.

Conclusion

Hospital stay costs in the U.S. have surged dramatically over the past 23 years, fueled by inflation, technological advancements, and other economic factors.

Getting to know these trends and the role of hospital ownership in pricing can help patients navigate healthcare costs more effectively.

By planning ahead and leveraging resources like insurance and financial assistance programs, individuals can better manage the financial impact of hospital stays.