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Dysequilibrium
Medicare DRG 149. What hospitals charge and what Medicare pays, 2024.
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 | $97,860 | $5,634 |
| Colorado | 4 | $83,571 | $4,762 |
| California | 28 | $74,462 | $6,993 |
| Kansas | 5 | $66,600 | $4,853 |
| Alabama | 1 | $66,295 | $3,101 |
| Texas | 22 | $60,772 | $4,858 |
| Florida | 60 | $59,366 | $4,751 |
| New Jersey | 25 | $58,647 | $5,448 |
| New York | 31 | $56,500 | $6,534 |
| Connecticut | 1 | $51,921 | $6,995 |
| New Mexico | 1 | $47,819 | $3,665 |
| Arizona | 7 | $46,999 | $4,568 |
| New Hampshire | 2 | $43,713 | $4,975 |
| South Carolina | 8 | $42,057 | $4,643 |
| Georgia | 10 | $39,955 | $5,172 |
| Tennessee | 5 | $38,736 | $4,593 |
| Pennsylvania | 25 | $38,715 | $4,376 |
| Illinois | 21 | $34,849 | $4,757 |
| Virginia | 18 | $34,846 | $4,164 |
| Wisconsin | 3 | $34,195 | $4,556 |
| North Carolina | 7 | $34,033 | $4,787 |
| Kentucky | 4 | $33,585 | $3,879 |
| South Dakota | 3 | $33,053 | $4,926 |
| Washington | 5 | $32,499 | $4,867 |
| Oklahoma | 3 | $32,436 | $4,578 |
| Missouri | 10 | $31,613 | $4,244 |
| Rhode Island | 1 | $30,161 | $6,640 |
| Indiana | 6 | $29,709 | $4,449 |
| Ohio | 14 | $29,366 | $4,405 |
| Delaware | 3 | $29,346 | $5,147 |
| Minnesota | 6 | $28,702 | $4,966 |
| Michigan | 16 | $27,135 | $4,841 |
| Nebraska | 1 | $25,952 | $4,856 |
| Maine | 1 | $25,727 | $5,335 |
| Louisiana | 1 | $24,879 | $3,485 |
| Iowa | 2 | $22,983 | $3,632 |
| Mississippi | 1 | $22,077 | $4,290 |
| West Virginia | 3 | $21,080 | $4,012 |
| North Dakota | 1 | $19,934 | $4,424 |
| Massachusetts | 19 | $18,934 | $5,368 |
| Oregon | 1 | $16,895 | $5,686 |
| Maryland | 13 | $11,393 | $8,611 |
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.