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Extracranial Procedures without with Complications/with major complications

Medicare DRG 039. What hospitals charge and what Medicare pays, 2024.

Avg hospital charge
$60,901
Avg total payment
$10,461
Avg Medicare pays
$7,909
Hospitals reporting
378

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.

StateHospitalsAvg chargeAvg Medicare payment
Pennsylvania14$87,704$8,029
California16$85,379$10,609
Florida27$85,131$7,296
Arizona10$80,359$7,723
Texas27$77,402$7,329
New Hampshire3$76,202$8,772
South Carolina8$75,424$7,680
Colorado3$74,465$7,488
Washington7$71,225$7,889
New Jersey14$70,566$8,788
Nevada4$69,956$8,375
Wyoming1$67,050$9,076
Georgia12$65,545$7,422
Louisiana8$64,655$6,691
Alaska2$62,235$11,674
New York15$61,562$9,622
Ohio13$60,566$6,851
Alabama11$58,051$6,417
Illinois12$57,968$7,247
West Virginia4$57,724$6,185
Missouri12$54,580$7,534
District of Columbia1$53,475$10,663
Tennessee9$52,453$6,637
Indiana10$52,385$7,203
Oregon4$51,777$9,307
Oklahoma6$51,447$6,980
Idaho2$50,344$7,717
North Carolina18$50,202$7,878
South Dakota4$49,824$7,582
Michigan11$48,707$7,441
Kentucky6$48,059$6,057
Arkansas8$46,382$6,254
Massachusetts11$46,289$10,209
Maine2$45,683$7,872
Virginia9$44,446$7,638
Kansas7$44,416$6,827
Minnesota7$43,232$7,706
Iowa6$42,650$7,005
Vermont1$42,536$4,556
Wisconsin7$42,064$7,014
Connecticut1$41,137$9,342
Montana3$40,755$7,273
Mississippi6$38,609$6,250
Delaware1$34,448$8,591
Nebraska2$33,748$6,327
North Dakota3$31,901$7,082
Utah1$31,081$7,042
Rhode Island1$29,930$10,358
Maryland8$20,282$16,542

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.