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Medicare DRG 007. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$1,042,551
Avg total payment
$187,857
Avg Medicare pays
$139,217
Hospitals reporting
23
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 |
|---|---|---|---|
| Pennsylvania | 2 | $1,603,464 | $148,067 |
| California | 3 | $1,564,417 | $172,262 |
| Tennessee | 1 | $1,380,345 | $87,928 |
| New York | 2 | $1,127,432 | $151,984 |
| Texas | 3 | $1,088,532 | $138,691 |
| Wisconsin | 1 | $980,408 | $158,282 |
| Arizona | 1 | $941,004 | $120,761 |
| Massachusetts | 2 | $920,131 | $145,429 |
| Illinois | 1 | $906,359 | $121,134 |
| Ohio | 1 | $829,205 | $137,983 |
| Florida | 1 | $805,404 | $90,997 |
| Virginia | 1 | $757,575 | $89,486 |
| Minnesota | 1 | $636,043 | $121,335 |
| Missouri | 1 | $618,478 | $119,944 |
| North Carolina | 1 | $611,496 | $111,271 |
| Maryland | 1 | $251,443 | $219,045 |
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.