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Medicare DRG 016. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$272,557
Avg total payment
$75,254
Avg Medicare pays
$56,497
Hospitals reporting
54
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 |
|---|---|---|---|
| Tennessee | 1 | $760,969 | $50,443 |
| Colorado | 1 | $607,101 | $44,859 |
| California | 4 | $448,473 | $85,382 |
| District of Columbia | 1 | $387,860 | $79,466 |
| Oklahoma | 1 | $356,888 | $48,515 |
| Pennsylvania | 4 | $350,814 | $64,589 |
| Texas | 6 | $344,300 | $42,683 |
| Virginia | 2 | $331,648 | $56,567 |
| Oregon | 1 | $307,510 | $82,169 |
| Kansas | 1 | $287,099 | $55,890 |
| New York | 2 | $262,231 | $69,022 |
| Missouri | 1 | $256,794 | $56,347 |
| Michigan | 2 | $254,009 | $52,395 |
| Ohio | 2 | $238,005 | $52,597 |
| Illinois | 3 | $228,967 | $57,657 |
| Iowa | 1 | $224,908 | $52,227 |
| Nebraska | 1 | $215,130 | $53,361 |
| Massachusetts | 1 | $207,784 | $54,354 |
| New Jersey | 2 | $205,459 | $55,267 |
| Wisconsin | 2 | $201,901 | $55,339 |
| Arkansas | 1 | $200,294 | $59,269 |
| Indiana | 2 | $194,617 | $46,855 |
| Alabama | 1 | $184,482 | $39,587 |
| Georgia | 1 | $181,657 | $52,573 |
| North Carolina | 2 | $156,667 | $52,596 |
| Arizona | 1 | $147,926 | $54,339 |
| Connecticut | 1 | $140,110 | $51,484 |
| Utah | 1 | $137,861 | $53,838 |
| South Dakota | 1 | $134,270 | $43,473 |
| Florida | 1 | $106,314 | $46,427 |
| Minnesota | 1 | $89,596 | $60,673 |
| North Dakota | 1 | $77,664 | $41,764 |
| Maryland | 1 | $66,933 | $59,549 |
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.