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Medicare DRG 123. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$48,353
Avg total payment
$9,181
Avg Medicare pays
$6,339
Hospitals reporting
12
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 |
|---|---|---|---|
| Florida | 3 | $60,187 | $5,476 |
| Pennsylvania | 2 | $57,877 | $6,140 |
| Virginia | 1 | $53,753 | $3,814 |
| Michigan | 1 | $51,620 | $5,280 |
| Texas | 1 | $46,677 | $5,854 |
| North Carolina | 1 | $42,782 | $6,958 |
| Kentucky | 1 | $36,843 | $6,146 |
| Nevada | 1 | $34,564 | $5,882 |
| Maryland | 1 | $17,677 | $13,427 |
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.