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Medicare DRG 036. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$85,899
Avg total payment
$15,831
Avg Medicare pays
$13,283
Hospitals reporting
242
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 |
|---|---|---|---|
| Florida | 27 | $122,424 | $12,218 |
| California | 13 | $121,076 | $17,927 |
| Texas | 18 | $117,780 | $12,009 |
| Alaska | 1 | $115,514 | $14,800 |
| New Jersey | 7 | $111,354 | $14,775 |
| Kentucky | 8 | $109,613 | $12,312 |
| Arizona | 7 | $108,024 | $12,250 |
| Washington | 3 | $104,336 | $13,597 |
| Georgia | 3 | $100,645 | $12,591 |
| Louisiana | 4 | $97,299 | $10,402 |
| Illinois | 4 | $92,492 | $13,049 |
| Colorado | 3 | $91,968 | $13,600 |
| Virginia | 12 | $91,740 | $11,398 |
| New York | 8 | $91,316 | $16,386 |
| South Carolina | 7 | $83,812 | $12,861 |
| Indiana | 6 | $79,488 | $13,098 |
| New Hampshire | 3 | $74,058 | $14,182 |
| Oklahoma | 6 | $73,017 | $11,280 |
| South Dakota | 4 | $71,043 | $12,541 |
| Maine | 1 | $70,957 | $10,631 |
| Alabama | 4 | $70,770 | $10,503 |
| Ohio | 5 | $70,719 | $12,520 |
| Nevada | 1 | $70,480 | $14,422 |
| Pennsylvania | 9 | $70,083 | $13,446 |
| North Carolina | 8 | $69,996 | $13,815 |
| West Virginia | 3 | $69,686 | $12,465 |
| Tennessee | 11 | $66,992 | $11,679 |
| Oregon | 3 | $65,936 | $16,309 |
| District of Columbia | 1 | $65,718 | $15,601 |
| Delaware | 3 | $62,676 | $13,482 |
| Missouri | 5 | $62,347 | $11,518 |
| North Dakota | 1 | $57,038 | $10,668 |
| Minnesota | 2 | $56,330 | $13,927 |
| Nebraska | 2 | $55,524 | $11,374 |
| Iowa | 5 | $54,118 | $11,934 |
| Massachusetts | 5 | $53,791 | $17,313 |
| Idaho | 1 | $52,875 | $12,584 |
| Mississippi | 3 | $50,561 | $10,984 |
| Michigan | 6 | $49,868 | $12,747 |
| Utah | 1 | $49,674 | $10,948 |
| Arkansas | 7 | $48,735 | $10,981 |
| Rhode Island | 2 | $47,833 | $16,913 |
| Montana | 1 | $43,369 | $12,971 |
| Wisconsin | 1 | $37,829 | $11,879 |
| Maryland | 6 | $30,325 | $24,524 |
| Kansas | 1 | $18,631 | $10,128 |
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.