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Medicare DRG 092. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$52,369
Avg total payment
$10,286
Avg Medicare pays
$7,976
Hospitals reporting
685
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 |
|---|---|---|---|
| Nevada | 6 | $96,636 | $8,306 |
| Colorado | 6 | $94,964 | $7,169 |
| California | 69 | $83,568 | $10,055 |
| Hawaii | 1 | $74,236 | $8,250 |
| Alaska | 2 | $71,296 | $11,051 |
| New Jersey | 30 | $70,688 | $8,173 |
| Florida | 59 | $67,303 | $7,305 |
| Texas | 37 | $66,160 | $7,357 |
| New York | 42 | $65,282 | $9,569 |
| Pennsylvania | 39 | $58,500 | $7,116 |
| Kansas | 5 | $57,004 | $6,759 |
| District of Columbia | 2 | $56,775 | $9,010 |
| Arizona | 13 | $56,281 | $7,259 |
| Alabama | 6 | $54,734 | $6,185 |
| Vermont | 1 | $49,830 | $4,214 |
| Washington | 13 | $49,504 | $7,919 |
| New Hampshire | 6 | $48,407 | $7,559 |
| Wisconsin | 5 | $47,315 | $7,414 |
| Connecticut | 7 | $46,885 | $9,510 |
| Iowa | 4 | $45,564 | $6,486 |
| Maine | 2 | $44,957 | $7,325 |
| Oklahoma | 7 | $44,517 | $7,100 |
| Illinois | 28 | $44,043 | $7,288 |
| South Carolina | 11 | $43,977 | $6,957 |
| South Dakota | 3 | $43,184 | $7,534 |
| Georgia | 21 | $41,591 | $7,350 |
| Idaho | 2 | $41,530 | $7,646 |
| Missouri | 12 | $41,097 | $7,190 |
| Virginia | 25 | $40,732 | $6,626 |
| Rhode Island | 1 | $40,525 | $8,742 |
| Tennessee | 18 | $40,486 | $6,810 |
| Ohio | 22 | $39,681 | $6,625 |
| Indiana | 19 | $39,312 | $7,140 |
| Louisiana | 8 | $38,399 | $6,290 |
| Utah | 3 | $38,138 | $7,862 |
| Kentucky | 8 | $36,582 | $6,291 |
| Nebraska | 3 | $35,946 | $7,349 |
| West Virginia | 4 | $35,104 | $6,078 |
| North Carolina | 21 | $34,565 | $7,270 |
| Oregon | 6 | $34,432 | $8,349 |
| Mississippi | 10 | $34,175 | $6,079 |
| Minnesota | 10 | $34,000 | $7,491 |
| Michigan | 20 | $33,746 | $7,441 |
| Delaware | 2 | $33,375 | $7,381 |
| Wyoming | 2 | $33,308 | $9,060 |
| New Mexico | 1 | $32,036 | $5,845 |
| Arkansas | 6 | $30,691 | $6,083 |
| North Dakota | 1 | $28,648 | $6,541 |
| Massachusetts | 29 | $26,565 | $8,640 |
| Montana | 3 | $20,502 | $6,412 |
| Maryland | 24 | $17,551 | $14,249 |
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.