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Medicare DRG 155. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$62,540
Avg total payment
$10,317
Avg Medicare pays
$7,465
Hospitals reporting
14
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 | $121,607 | $10,044 |
| New Jersey | 2 | $107,323 | $7,551 |
| Florida | 3 | $68,519 | $5,965 |
| New York | 2 | $66,916 | $9,579 |
| Pennsylvania | 2 | $48,702 | $6,479 |
| Delaware | 1 | $28,340 | $6,963 |
| Illinois | 1 | $27,796 | $7,149 |
| Massachusetts | 2 | $23,190 | $7,623 |
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.