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Medicare DRG 163. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$213,108
Avg total payment
$43,934
Avg Medicare pays
$36,689
Hospitals reporting
432
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 |
|---|---|---|---|
| Alaska | 1 | $434,431 | $40,049 |
| Nevada | 4 | $426,834 | $34,342 |
| California | 34 | $368,895 | $52,776 |
| Texas | 39 | $294,765 | $33,932 |
| Colorado | 8 | $265,959 | $32,974 |
| Pennsylvania | 19 | $261,944 | $37,403 |
| Florida | 32 | $260,708 | $31,474 |
| Oklahoma | 7 | $247,597 | $33,388 |
| New York | 19 | $233,287 | $44,077 |
| Washington | 11 | $231,738 | $44,635 |
| Kansas | 4 | $223,156 | $31,587 |
| Maine | 1 | $222,265 | $35,726 |
| Arizona | 15 | $218,081 | $36,206 |
| New Jersey | 11 | $215,699 | $38,784 |
| Georgia | 8 | $203,106 | $34,189 |
| Idaho | 4 | $201,961 | $33,729 |
| District of Columbia | 2 | $201,132 | $47,852 |
| South Carolina | 10 | $199,610 | $31,769 |
| Virginia | 11 | $186,145 | $33,613 |
| Kentucky | 8 | $181,386 | $30,668 |
| Indiana | 9 | $172,622 | $32,486 |
| Missouri | 13 | $169,649 | $34,628 |
| Illinois | 17 | $168,004 | $35,665 |
| West Virginia | 4 | $166,321 | $32,787 |
| Alabama | 6 | $165,494 | $25,567 |
| Ohio | 16 | $164,538 | $31,597 |
| New Hampshire | 2 | $163,517 | $41,791 |
| Minnesota | 7 | $157,138 | $40,368 |
| Nebraska | 5 | $156,131 | $37,140 |
| North Carolina | 11 | $152,834 | $34,876 |
| Delaware | 2 | $151,320 | $35,463 |
| South Dakota | 4 | $149,164 | $32,701 |
| Connecticut | 4 | $146,869 | $41,105 |
| Hawaii | 1 | $139,364 | $35,738 |
| Oregon | 4 | $137,547 | $39,651 |
| Louisiana | 2 | $137,518 | $30,204 |
| Tennessee | 13 | $137,433 | $28,977 |
| Wisconsin | 4 | $137,412 | $34,439 |
| Vermont | 1 | $134,386 | $27,204 |
| Michigan | 14 | $133,597 | $34,674 |
| New Mexico | 2 | $131,283 | $42,718 |
| Rhode Island | 1 | $127,340 | $46,289 |
| Mississippi | 4 | $126,107 | $29,776 |
| Massachusetts | 10 | $125,939 | $45,650 |
| Utah | 5 | $123,995 | $35,557 |
| Iowa | 4 | $123,820 | $30,737 |
| Arkansas | 9 | $116,630 | $30,412 |
| North Dakota | 2 | $103,955 | $29,363 |
| Montana | 2 | $80,422 | $34,266 |
| Maryland | 6 | $59,553 | $51,775 |
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.