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Medicare DRG 158. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$56,002
Avg total payment
$10,836
Avg Medicare pays
$7,923
Hospitals reporting
22
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 | 2 | $147,005 | $12,027 |
| New York | 2 | $111,680 | $11,036 |
| New Jersey | 1 | $60,889 | $7,010 |
| Pennsylvania | 1 | $60,039 | $6,161 |
| Florida | 3 | $56,887 | $6,508 |
| Missouri | 1 | $46,872 | $7,259 |
| Illinois | 1 | $38,787 | $7,488 |
| Indiana | 2 | $38,015 | $6,301 |
| Michigan | 2 | $36,945 | $7,700 |
| Ohio | 2 | $32,965 | $6,133 |
| Massachusetts | 1 | $32,014 | $14,843 |
| Arizona | 1 | $27,716 | $6,514 |
| Delaware | 1 | $27,330 | $6,479 |
| North Carolina | 1 | $26,265 | $6,200 |
| Maryland | 1 | $8,261 | $6,427 |
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.