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Medicare DRG 103. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$54,115
Avg total payment
$9,348
Avg Medicare pays
$6,043
Hospitals reporting
109
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 | 4 | $113,956 | $6,374 |
| California | 9 | $95,867 | $9,209 |
| Colorado | 1 | $90,281 | $5,161 |
| Kansas | 2 | $86,869 | $5,299 |
| New York | 7 | $70,158 | $7,830 |
| South Carolina | 1 | $68,504 | $5,259 |
| Texas | 10 | $66,768 | $5,566 |
| New Jersey | 3 | $65,831 | $5,413 |
| Florida | 13 | $57,337 | $5,173 |
| Pennsylvania | 10 | $52,480 | $5,599 |
| Arizona | 3 | $46,130 | $6,220 |
| Illinois | 7 | $42,670 | $5,943 |
| Missouri | 4 | $40,102 | $5,360 |
| Tennessee | 2 | $39,804 | $5,263 |
| Virginia | 5 | $37,084 | $5,158 |
| Ohio | 4 | $34,902 | $4,350 |
| Delaware | 1 | $32,528 | $5,966 |
| North Carolina | 4 | $32,354 | $5,106 |
| Kentucky | 1 | $29,976 | $4,869 |
| Michigan | 4 | $29,328 | $5,201 |
| Indiana | 1 | $27,105 | $5,166 |
| Massachusetts | 5 | $24,747 | $6,038 |
| Oklahoma | 1 | $24,520 | $4,871 |
| Louisiana | 1 | $24,438 | $4,289 |
| Mississippi | 1 | $24,206 | $5,058 |
| West Virginia | 1 | $23,413 | $5,258 |
| North Dakota | 1 | $22,954 | $5,288 |
| Maryland | 3 | $13,078 | $10,575 |
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.