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Craniotomy with major Device Implant or Acute Complex Cns Principal Diagnosis with major complications O
Medicare DRG 023. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$284,798
Avg total payment
$55,160
Avg Medicare pays
$47,068
Hospitals reporting
432
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 |
|---|---|---|---|
| Nevada | 4 | $505,775 | $43,723 |
| Alaska | 2 | $470,851 | $47,669 |
| California | 54 | $441,843 | $62,373 |
| Texas | 34 | $372,884 | $41,368 |
| District of Columbia | 3 | $360,331 | $55,566 |
| New Jersey | 14 | $358,991 | $48,643 |
| Colorado | 6 | $345,809 | $41,988 |
| Kansas | 3 | $343,120 | $39,976 |
| New Hampshire | 2 | $342,573 | $50,471 |
| Florida | 37 | $324,961 | $40,478 |
| Oklahoma | 6 | $304,718 | $40,770 |
| New York | 25 | $304,304 | $59,933 |
| Pennsylvania | 21 | $303,360 | $45,098 |
| Georgia | 9 | $285,720 | $43,506 |
| South Carolina | 5 | $283,229 | $39,958 |
| Arizona | 9 | $277,127 | $44,186 |
| Hawaii | 1 | $274,388 | $55,272 |
| Kentucky | 6 | $264,926 | $39,059 |
| Illinois | 20 | $237,611 | $45,343 |
| Washington | 8 | $235,998 | $48,017 |
| South Dakota | 3 | $234,823 | $46,041 |
| Wisconsin | 5 | $232,045 | $43,992 |
| Mississippi | 4 | $228,511 | $40,749 |
| Alabama | 7 | $225,321 | $37,473 |
| Virginia | 11 | $222,491 | $41,951 |
| Idaho | 3 | $217,053 | $39,106 |
| Missouri | 10 | $216,228 | $41,313 |
| Connecticut | 4 | $214,152 | $55,492 |
| Indiana | 7 | $211,854 | $40,282 |
| Maine | 1 | $211,169 | $51,403 |
| Louisiana | 6 | $210,171 | $38,994 |
| Ohio | 13 | $204,782 | $40,638 |
| Tennessee | 11 | $200,801 | $37,649 |
| West Virginia | 2 | $194,420 | $37,814 |
| Iowa | 2 | $189,730 | $42,418 |
| North Carolina | 12 | $186,918 | $41,887 |
| Vermont | 1 | $185,129 | $30,413 |
| Oregon | 5 | $183,911 | $51,069 |
| Nebraska | 3 | $178,262 | $41,722 |
| Delaware | 1 | $176,325 | $45,138 |
| Massachusetts | 8 | $169,873 | $62,940 |
| Michigan | 14 | $166,654 | $44,702 |
| Minnesota | 8 | $159,434 | $45,209 |
| New Mexico | 1 | $153,591 | $61,581 |
| Arkansas | 4 | $152,629 | $35,392 |
| Utah | 5 | $152,496 | $39,923 |
| North Dakota | 1 | $138,654 | $32,723 |
| Montana | 3 | $116,769 | $41,759 |
| Rhode Island | 1 | $107,839 | $48,556 |
| Maryland | 7 | $85,803 | $69,138 |
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.