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Medicare DRG 029. What hospitals charge and what Medicare pays, 2024.
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 | $479,806 | $26,956 |
| California | 5 | $300,387 | $44,851 |
| Arizona | 1 | $264,047 | $33,240 |
| Pennsylvania | 2 | $263,881 | $23,801 |
| Texas | 1 | $238,821 | $26,548 |
| Tennessee | 1 | $204,666 | $23,574 |
| Washington | 2 | $185,254 | $36,363 |
| Iowa | 1 | $176,913 | $31,283 |
| Florida | 2 | $173,629 | $22,843 |
| Kansas | 1 | $154,771 | $24,001 |
| Virginia | 1 | $140,861 | $22,818 |
| New York | 2 | $132,815 | $35,143 |
| Massachusetts | 2 | $131,323 | $33,092 |
| South Carolina | 1 | $119,994 | $26,036 |
| Ohio | 2 | $119,410 | $23,651 |
| Minnesota | 1 | $113,804 | $33,614 |
| Delaware | 1 | $87,109 | $27,333 |
| Nebraska | 1 | $73,998 | $19,438 |
| Indiana | 1 | $63,213 | $22,343 |
| Maryland | 2 | $62,252 | $53,166 |
| Rhode Island | 1 | $54,035 | $30,473 |
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.