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Medicare DRG 125. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$46,168
Avg total payment
$9,899
Avg Medicare pays
$6,981
Hospitals reporting
48
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 |
|---|---|---|---|
| New York | 8 | $71,619 | $8,172 |
| California | 1 | $71,041 | $11,191 |
| New Jersey | 1 | $59,168 | $5,295 |
| Florida | 7 | $55,844 | $5,581 |
| Texas | 4 | $47,952 | $6,331 |
| Missouri | 2 | $44,590 | $6,386 |
| Oklahoma | 1 | $42,808 | $7,564 |
| Pennsylvania | 4 | $42,357 | $6,326 |
| Louisiana | 1 | $41,653 | $4,414 |
| Indiana | 1 | $40,405 | $6,781 |
| Washington | 1 | $39,735 | $8,387 |
| Illinois | 1 | $39,593 | $5,653 |
| Tennessee | 2 | $38,173 | $5,463 |
| Connecticut | 1 | $36,178 | $7,275 |
| Massachusetts | 4 | $32,883 | $7,600 |
| Michigan | 1 | $29,565 | $5,324 |
| North Carolina | 2 | $29,203 | $6,168 |
| South Carolina | 1 | $27,822 | $6,535 |
| West Virginia | 1 | $25,781 | $5,202 |
| Nevada | 1 | $25,534 | $5,132 |
| Delaware | 1 | $20,148 | $5,693 |
| Maryland | 2 | $18,029 | $14,569 |
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.