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Medicare DRG 038. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$80,690
Avg total payment
$14,785
Avg Medicare pays
$11,930
Hospitals reporting
210
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 |
|---|---|---|---|
| California | 12 | $135,655 | $16,248 |
| Alabama | 4 | $124,945 | $9,308 |
| Pennsylvania | 5 | $116,588 | $12,608 |
| South Carolina | 4 | $106,822 | $11,542 |
| Colorado | 2 | $103,630 | $11,474 |
| Louisiana | 4 | $99,487 | $9,362 |
| New Jersey | 5 | $99,297 | $13,285 |
| New Hampshire | 2 | $98,339 | $14,088 |
| Georgia | 8 | $97,671 | $10,942 |
| Texas | 12 | $96,873 | $11,050 |
| Florida | 13 | $94,447 | $10,669 |
| Washington | 4 | $90,709 | $11,766 |
| New York | 10 | $85,392 | $15,250 |
| Ohio | 9 | $84,592 | $10,340 |
| West Virginia | 2 | $82,208 | $9,434 |
| Illinois | 10 | $82,177 | $10,610 |
| Missouri | 9 | $82,087 | $10,849 |
| South Dakota | 2 | $81,532 | $12,782 |
| Arizona | 4 | $79,396 | $11,831 |
| Tennessee | 3 | $78,029 | $9,823 |
| Massachusetts | 8 | $75,362 | $15,624 |
| Connecticut | 1 | $74,398 | $13,857 |
| Arkansas | 2 | $73,030 | $9,814 |
| Indiana | 6 | $66,930 | $10,518 |
| Oklahoma | 6 | $66,033 | $10,194 |
| Kansas | 5 | $65,878 | $10,988 |
| Kentucky | 3 | $64,781 | $9,331 |
| North Dakota | 2 | $63,808 | $11,803 |
| Delaware | 1 | $63,200 | $13,284 |
| North Carolina | 6 | $63,197 | $11,703 |
| Nevada | 1 | $60,435 | $13,525 |
| Montana | 1 | $57,702 | $10,304 |
| Minnesota | 7 | $55,935 | $12,136 |
| Michigan | 4 | $54,944 | $10,969 |
| Oregon | 1 | $54,461 | $10,955 |
| Maine | 1 | $54,259 | $12,583 |
| Virginia | 5 | $53,570 | $11,820 |
| Wisconsin | 8 | $52,764 | $11,125 |
| Iowa | 1 | $51,566 | $9,006 |
| Idaho | 1 | $50,695 | $9,871 |
| Mississippi | 4 | $50,292 | $10,244 |
| Vermont | 1 | $49,433 | $8,556 |
| Utah | 1 | $46,924 | $11,563 |
| Nebraska | 3 | $40,548 | $9,818 |
| Maryland | 7 | $22,109 | $17,991 |
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.