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Medicare DRG 054. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$82,292
Avg total payment
$15,817
Avg Medicare pays
$11,883
Hospitals reporting
287
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 |
|---|---|---|---|
| Colorado | 3 | $189,706 | $12,381 |
| California | 28 | $145,576 | $14,799 |
| Nevada | 2 | $136,103 | $11,199 |
| New York | 20 | $127,373 | $15,909 |
| New Jersey | 15 | $105,004 | $12,178 |
| Kansas | 4 | $98,517 | $9,585 |
| Pennsylvania | 15 | $96,760 | $11,929 |
| Alaska | 1 | $95,956 | $11,631 |
| District of Columbia | 2 | $95,679 | $13,319 |
| Wisconsin | 4 | $83,128 | $11,710 |
| Texas | 18 | $82,694 | $9,864 |
| Iowa | 2 | $82,334 | $11,244 |
| Florida | 21 | $74,842 | $9,435 |
| Tennessee | 9 | $73,183 | $9,207 |
| Georgia | 8 | $72,480 | $11,158 |
| Alabama | 2 | $69,473 | $9,809 |
| Illinois | 13 | $69,104 | $11,613 |
| Connecticut | 3 | $68,654 | $11,955 |
| Washington | 4 | $68,145 | $11,499 |
| Oklahoma | 4 | $66,845 | $9,977 |
| Missouri | 7 | $64,824 | $11,503 |
| Ohio | 9 | $64,611 | $10,845 |
| Louisiana | 1 | $64,160 | $9,667 |
| Arizona | 8 | $63,090 | $10,810 |
| Kentucky | 5 | $62,875 | $10,039 |
| Maine | 1 | $61,779 | $10,255 |
| South Carolina | 6 | $58,997 | $10,242 |
| Delaware | 2 | $56,961 | $11,313 |
| Utah | 1 | $56,890 | $13,339 |
| West Virginia | 2 | $54,694 | $9,885 |
| Michigan | 6 | $54,466 | $10,802 |
| Indiana | 6 | $54,408 | $9,713 |
| Virginia | 12 | $52,854 | $10,494 |
| South Dakota | 3 | $51,858 | $10,576 |
| Vermont | 1 | $51,807 | $8,337 |
| Nebraska | 1 | $51,342 | $11,370 |
| Massachusetts | 8 | $51,231 | $13,970 |
| Oregon | 2 | $50,567 | $11,920 |
| Minnesota | 5 | $48,910 | $10,479 |
| New Hampshire | 1 | $48,883 | $13,599 |
| Rhode Island | 1 | $45,250 | $12,727 |
| North Dakota | 1 | $45,161 | $9,294 |
| North Carolina | 9 | $44,546 | $11,217 |
| Arkansas | 2 | $43,030 | $7,603 |
| Mississippi | 3 | $39,556 | $8,350 |
| Maryland | 5 | $34,639 | $28,919 |
| New Mexico | 1 | $31,739 | $8,721 |
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.