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Medicare DRG 056. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$96,979
Avg total payment
$23,119
Avg Medicare pays
$19,267
Hospitals reporting
407
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 | 33 | $156,309 | $23,908 |
| Hawaii | 1 | $152,720 | $24,847 |
| New York | 33 | $133,237 | $24,796 |
| Pennsylvania | 20 | $127,521 | $18,637 |
| New Jersey | 20 | $125,306 | $18,698 |
| Nevada | 2 | $125,262 | $20,068 |
| Texas | 23 | $119,008 | $16,792 |
| Wisconsin | 3 | $118,157 | $21,674 |
| Kansas | 4 | $115,517 | $15,459 |
| Colorado | 3 | $105,197 | $16,442 |
| Connecticut | 5 | $102,525 | $22,382 |
| Florida | 46 | $101,007 | $15,501 |
| Georgia | 8 | $100,777 | $19,530 |
| Minnesota | 8 | $100,756 | $21,881 |
| Vermont | 1 | $99,120 | $9,613 |
| Arizona | 3 | $98,986 | $17,188 |
| Washington | 9 | $97,486 | $18,361 |
| South Carolina | 8 | $96,997 | $15,664 |
| Louisiana | 3 | $96,593 | $16,240 |
| District of Columbia | 2 | $91,581 | $24,098 |
| Maine | 1 | $90,978 | $20,226 |
| South Dakota | 2 | $90,288 | $19,696 |
| Virginia | 15 | $88,137 | $17,386 |
| Idaho | 1 | $81,087 | $17,681 |
| Iowa | 3 | $80,565 | $17,407 |
| West Virginia | 2 | $78,097 | $13,285 |
| North Carolina | 13 | $77,094 | $16,563 |
| New Hampshire | 2 | $75,729 | $18,016 |
| Alabama | 3 | $75,050 | $15,203 |
| Kentucky | 3 | $74,837 | $15,120 |
| Ohio | 13 | $74,671 | $15,323 |
| Missouri | 8 | $73,791 | $17,467 |
| Illinois | 18 | $72,009 | $17,043 |
| Tennessee | 9 | $71,669 | $14,701 |
| Oregon | 4 | $69,561 | $20,491 |
| Nebraska | 3 | $67,715 | $16,418 |
| Mississippi | 6 | $66,486 | $15,240 |
| Delaware | 1 | $64,051 | $20,012 |
| Indiana | 6 | $63,131 | $16,189 |
| Utah | 1 | $57,437 | $21,302 |
| Oklahoma | 3 | $53,994 | $14,741 |
| Rhode Island | 2 | $52,521 | $18,694 |
| Michigan | 11 | $52,502 | $16,366 |
| Massachusetts | 19 | $50,280 | $20,550 |
| Arkansas | 3 | $42,651 | $13,318 |
| New Mexico | 1 | $41,880 | $15,391 |
| Maryland | 19 | $40,235 | $34,192 |
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.