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Medicare DRG 026. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$161,514
Avg total payment
$32,303
Avg Medicare pays
$25,447
Hospitals reporting
181
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 |
|---|---|---|---|
| Colorado | 2 | $446,328 | $28,049 |
| California | 13 | $297,445 | $35,719 |
| Nevada | 2 | $274,763 | $24,857 |
| Alaska | 1 | $241,985 | $26,943 |
| Oklahoma | 3 | $241,538 | $23,117 |
| Kentucky | 3 | $238,966 | $26,962 |
| Idaho | 1 | $211,063 | $32,160 |
| Kansas | 3 | $210,591 | $21,655 |
| Pennsylvania | 9 | $205,641 | $23,896 |
| Arizona | 5 | $186,490 | $23,662 |
| Florida | 9 | $175,577 | $21,166 |
| New Jersey | 4 | $172,007 | $23,941 |
| New York | 10 | $170,535 | $30,380 |
| Illinois | 9 | $167,569 | $24,736 |
| Texas | 12 | $166,503 | $22,086 |
| Indiana | 2 | $164,389 | $25,765 |
| Alabama | 2 | $159,699 | $18,174 |
| Georgia | 5 | $152,791 | $22,313 |
| Louisiana | 3 | $146,539 | $21,293 |
| District of Columbia | 1 | $140,731 | $30,329 |
| Ohio | 7 | $140,156 | $23,053 |
| Washington | 6 | $139,339 | $25,170 |
| Virginia | 6 | $139,229 | $23,450 |
| South Dakota | 2 | $136,221 | $20,150 |
| Tennessee | 2 | $135,022 | $20,154 |
| New Hampshire | 1 | $131,583 | $32,673 |
| Iowa | 1 | $131,567 | $24,759 |
| Missouri | 4 | $128,054 | $24,288 |
| Wisconsin | 3 | $124,249 | $23,801 |
| Vermont | 1 | $118,562 | $18,258 |
| North Carolina | 9 | $116,129 | $22,538 |
| Hawaii | 1 | $115,965 | $25,420 |
| Michigan | 5 | $113,894 | $22,368 |
| Oregon | 2 | $111,537 | $25,060 |
| Nebraska | 1 | $110,331 | $22,929 |
| West Virginia | 1 | $108,745 | $20,566 |
| Minnesota | 4 | $107,716 | $23,882 |
| South Carolina | 1 | $105,635 | $23,435 |
| Arkansas | 2 | $99,386 | $20,432 |
| Massachusetts | 6 | $98,385 | $30,665 |
| Mississippi | 2 | $91,225 | $22,345 |
| North Dakota | 1 | $90,702 | $20,873 |
| Utah | 2 | $89,311 | $20,877 |
| Connecticut | 2 | $86,136 | $27,231 |
| Delaware | 1 | $73,697 | $23,978 |
| Montana | 2 | $72,377 | $20,824 |
| Maryland | 7 | $48,680 | $39,127 |
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.