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Medicare DRG 035. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$108,813
Avg total payment
$19,847
Avg Medicare pays
$17,351
Hospitals reporting
165
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 |
|---|---|---|---|
| Georgia | 1 | $188,224 | $18,346 |
| Alabama | 1 | $184,303 | $14,269 |
| Arizona | 2 | $169,617 | $16,590 |
| Alaska | 1 | $155,886 | $19,498 |
| California | 9 | $144,819 | $23,275 |
| Florida | 23 | $144,211 | $15,661 |
| Texas | 16 | $135,227 | $15,751 |
| New Jersey | 4 | $134,253 | $19,299 |
| Kentucky | 4 | $128,175 | $15,434 |
| New York | 8 | $127,942 | $24,044 |
| District of Columbia | 1 | $121,032 | $20,154 |
| Pennsylvania | 7 | $118,114 | $16,677 |
| Illinois | 4 | $117,423 | $19,629 |
| Washington | 5 | $113,665 | $18,135 |
| West Virginia | 2 | $113,309 | $16,228 |
| Virginia | 10 | $106,937 | $16,855 |
| Colorado | 2 | $101,144 | $15,989 |
| Louisiana | 1 | $95,131 | $13,853 |
| South Dakota | 4 | $95,100 | $17,031 |
| South Carolina | 3 | $93,044 | $17,169 |
| North Carolina | 3 | $92,477 | $17,736 |
| Wisconsin | 3 | $89,700 | $18,540 |
| Nevada | 1 | $88,402 | $15,492 |
| Ohio | 4 | $87,480 | $15,878 |
| Maine | 1 | $81,245 | $16,814 |
| Oregon | 2 | $80,782 | $20,267 |
| Minnesota | 3 | $79,892 | $17,841 |
| Oklahoma | 3 | $75,802 | $15,245 |
| Delaware | 2 | $73,335 | $18,022 |
| Iowa | 3 | $71,003 | $16,252 |
| Tennessee | 7 | $69,472 | $14,726 |
| Rhode Island | 1 | $68,297 | $23,092 |
| North Dakota | 1 | $68,228 | $14,911 |
| Mississippi | 2 | $67,857 | $14,840 |
| Indiana | 4 | $64,055 | $14,994 |
| Arkansas | 3 | $61,552 | $12,405 |
| Michigan | 5 | $58,641 | $16,162 |
| Nebraska | 1 | $54,734 | $15,329 |
| Missouri | 3 | $54,341 | $14,320 |
| Massachusetts | 2 | $53,670 | $20,703 |
| Montana | 1 | $52,046 | $16,782 |
| Maryland | 2 | $33,181 | $28,842 |
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.