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Extracranial Procedures with major complications
Medicare DRG 037. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$161,365
Avg total payment
$35,850
Avg Medicare pays
$30,265
Hospitals reporting
9
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 |
|---|---|---|---|
| New York | 2 | $296,003 | $44,911 |
| New Jersey | 1 | $149,950 | $28,089 |
| Minnesota | 1 | $137,509 | $37,944 |
| Texas | 3 | $129,338 | $23,929 |
| Delaware | 1 | $114,009 | $28,549 |
| Kentucky | 1 | $70,801 | $16,199 |
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.