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Traumatic Stupor and Coma <1 Hour with complications
Medicare DRG 086. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$70,754
Avg total payment
$12,738
Avg Medicare pays
$10,215
Hospitals reporting
404
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 | 47 | $123,852 | $13,332 |
| New Jersey | 14 | $106,253 | $10,847 |
| Colorado | 6 | $100,019 | $8,781 |
| New Hampshire | 1 | $93,563 | $10,845 |
| Florida | 45 | $89,531 | $9,530 |
| Nevada | 3 | $87,284 | $10,931 |
| Hawaii | 1 | $85,028 | $12,745 |
| Kansas | 5 | $83,459 | $8,627 |
| New York | 18 | $81,710 | $12,004 |
| Arizona | 9 | $79,679 | $9,521 |
| Texas | 28 | $75,060 | $10,634 |
| Georgia | 9 | $74,803 | $11,325 |
| South Carolina | 5 | $72,849 | $8,827 |
| Pennsylvania | 23 | $67,855 | $9,246 |
| Oregon | 2 | $66,238 | $13,372 |
| Vermont | 1 | $62,144 | $8,172 |
| Oklahoma | 6 | $60,730 | $8,985 |
| Louisiana | 7 | $59,798 | $8,297 |
| Washington | 4 | $59,191 | $10,032 |
| Missouri | 11 | $59,078 | $9,413 |
| Tennessee | 11 | $58,436 | $9,664 |
| Virginia | 14 | $57,445 | $8,768 |
| Connecticut | 4 | $54,721 | $11,682 |
| North Carolina | 7 | $51,531 | $9,484 |
| District of Columbia | 1 | $51,331 | $11,581 |
| Illinois | 22 | $51,136 | $9,292 |
| Utah | 3 | $48,457 | $8,801 |
| Wisconsin | 6 | $46,971 | $9,252 |
| Ohio | 16 | $45,898 | $9,338 |
| North Dakota | 2 | $45,638 | $9,211 |
| Kentucky | 3 | $45,147 | $8,234 |
| Idaho | 1 | $44,689 | $9,558 |
| Alabama | 6 | $43,834 | $8,334 |
| Iowa | 2 | $43,656 | $7,849 |
| West Virginia | 3 | $41,304 | $8,258 |
| South Dakota | 1 | $39,826 | $9,482 |
| Indiana | 6 | $39,791 | $9,086 |
| Michigan | 9 | $39,544 | $8,789 |
| Minnesota | 8 | $38,592 | $9,036 |
| Arkansas | 3 | $38,070 | $8,813 |
| Maine | 1 | $36,841 | $9,310 |
| Delaware | 2 | $35,815 | $9,635 |
| Mississippi | 3 | $34,790 | $7,610 |
| Nebraska | 4 | $33,319 | $9,506 |
| Rhode Island | 1 | $31,964 | $11,898 |
| Massachusetts | 11 | $31,124 | $11,923 |
| Montana | 1 | $22,376 | $8,616 |
| Maryland | 8 | $15,849 | $12,853 |
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.