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Dental and Oral Diseases with major complications
Medicare DRG 157. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$163,226
Avg total payment
$30,062
Avg Medicare pays
$20,271
Hospitals reporting
7
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 | $332,087 | $26,046 |
| New Jersey | 1 | $167,178 | $21,927 |
| New York | 2 | $162,437 | $19,255 |
| Minnesota | 1 | $140,163 | $20,904 |
| Pennsylvania | 1 | $90,464 | $12,807 |
| Connecticut | 1 | $87,816 | $21,700 |
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.