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Precerebral Occlusion without Infarction without with major complications

Medicare DRG 068. What hospitals charge and what Medicare pays, 2024.

Avg hospital charge
$58,725
Avg total payment
$8,747
Avg Medicare pays
$6,427
Hospitals reporting
38

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
California1$153,349$9,266
Texas5$84,996$5,288
Florida5$78,546$5,769
New Jersey1$69,700$6,329
New York7$60,193$8,698
Pennsylvania3$58,285$5,865
Ohio2$53,650$5,324
Alabama1$49,966$5,677
Washington1$46,417$6,529
Tennessee1$46,157$4,541
Massachusetts2$39,756$8,188
South Carolina1$38,136$4,855
Virginia2$35,437$5,109
Kentucky1$34,117$4,658
Michigan1$32,769$4,991
Oklahoma1$31,295$6,128
North Carolina1$25,988$6,180
Georgia1$21,669$6,252
Maryland1$10,387$7,803

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.