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Other Ear, Nose, Mouth and Throat Diagnoses with major complications
Medicare DRG 154. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$113,518
Avg total payment
$20,667
Avg Medicare pays
$16,440
Hospitals reporting
4
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 |
|---|---|---|---|
| California | 1 | $175,947 | $22,216 |
| New York | 1 | $148,757 | $17,499 |
| Florida | 1 | $73,799 | $10,398 |
| Connecticut | 1 | $55,569 | $15,648 |
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.