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Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou
Medicare DRG 004. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$649,945
Avg total payment
$134,421
Avg Medicare pays
$117,073
Hospitals reporting
212
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 22 | $1,215,749 | $182,061 |
| Colorado | 2 | $1,212,804 | $113,375 |
| Nevada | 4 | $1,204,430 | $105,424 |
| Pennsylvania | 10 | $882,172 | $118,817 |
| New York | 28 | $799,383 | $160,193 |
| Connecticut | 2 | $772,485 | $162,645 |
| Hawaii | 1 | $722,593 | $126,896 |
| New Jersey | 10 | $697,158 | $111,478 |
| Texas | 15 | $664,626 | $97,313 |
| Virginia | 5 | $649,641 | $112,659 |
| Florida | 18 | $605,953 | $84,812 |
| Georgia | 9 | $565,648 | $97,151 |
| District of Columbia | 2 | $547,225 | $129,297 |
| Massachusetts | 4 | $545,400 | $144,921 |
| Illinois | 5 | $517,649 | $118,966 |
| Alabama | 2 | $511,283 | $84,389 |
| Louisiana | 3 | $496,695 | $84,547 |
| South Carolina | 6 | $482,435 | $96,062 |
| Ohio | 8 | $477,501 | $88,514 |
| Arizona | 3 | $476,709 | $100,171 |
| Wisconsin | 1 | $428,141 | $118,327 |
| Oklahoma | 3 | $416,760 | $76,985 |
| Tennessee | 6 | $413,217 | $71,240 |
| Indiana | 2 | $400,149 | $89,907 |
| Minnesota | 1 | $393,097 | $143,655 |
| Michigan | 6 | $392,553 | $100,395 |
| Missouri | 5 | $376,254 | $101,529 |
| Delaware | 1 | $343,823 | $108,580 |
| North Carolina | 6 | $342,353 | $99,088 |
| West Virginia | 2 | $337,737 | $84,411 |
| North Dakota | 1 | $332,659 | $101,190 |
| Kentucky | 4 | $309,706 | $84,361 |
| Mississippi | 4 | $302,267 | $86,963 |
| New Mexico | 1 | $253,724 | $115,481 |
| Arkansas | 4 | $240,625 | $65,012 |
| Maryland | 6 | $159,958 | $136,072 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.