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Chimeric Antigen Receptor (car) T-cell and Other Immunotherapies
Medicare DRG 018. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$2,276,260
Avg total payment
$469,787
Avg Medicare pays
$437,173
Hospitals reporting
49
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 | 3 | $5,461,563 | $507,126 |
| Texas | 3 | $3,097,501 | $370,137 |
| Illinois | 3 | $2,976,880 | $479,402 |
| Indiana | 1 | $2,948,093 | $495,728 |
| District of Columbia | 1 | $2,861,036 | $624,699 |
| Colorado | 2 | $2,679,888 | $296,535 |
| Alabama | 1 | $2,435,969 | $458,298 |
| Nebraska | 1 | $2,239,463 | $520,023 |
| Kansas | 1 | $2,215,836 | $351,774 |
| Iowa | 1 | $2,089,368 | $442,988 |
| Connecticut | 1 | $2,063,949 | $489,460 |
| Florida | 1 | $2,055,428 | $459,233 |
| California | 6 | $2,016,693 | $452,109 |
| North Carolina | 2 | $2,008,854 | $463,817 |
| Arkansas | 1 | $2,005,116 | $522,439 |
| Minnesota | 2 | $1,993,486 | $493,980 |
| New York | 4 | $1,976,002 | $404,262 |
| Virginia | 2 | $1,963,335 | $423,070 |
| New Jersey | 1 | $1,890,365 | $380,611 |
| Georgia | 1 | $1,868,068 | $508,736 |
| Arizona | 1 | $1,814,948 | $538,656 |
| Ohio | 1 | $1,788,757 | $400,642 |
| Michigan | 1 | $1,754,881 | $460,814 |
| Massachusetts | 2 | $1,713,097 | $425,251 |
| Missouri | 1 | $1,704,939 | $399,444 |
| Oregon | 1 | $1,329,374 | $484,477 |
| Utah | 1 | $1,096,941 | $457,220 |
| Wisconsin | 2 | $842,448 | $255,542 |
| Maryland | 1 | $359,987 | $310,138 |
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.