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Medicare DRG 164. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$124,574
Avg total payment
$24,132
Avg Medicare pays
$19,472
Hospitals reporting
433
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 |
|---|---|---|---|
| New Mexico | 1 | $226,642 | $14,648 |
| Alaska | 1 | $215,032 | $22,194 |
| Nevada | 2 | $202,982 | $18,022 |
| California | 33 | $198,012 | $26,604 |
| Texas | 24 | $173,537 | $16,784 |
| Florida | 30 | $161,957 | $16,979 |
| South Carolina | 9 | $158,570 | $17,419 |
| Arizona | 11 | $145,932 | $19,578 |
| Oklahoma | 4 | $143,562 | $16,325 |
| Pennsylvania | 22 | $143,258 | $19,347 |
| District of Columbia | 4 | $137,314 | $22,320 |
| New York | 24 | $133,688 | $23,525 |
| Indiana | 11 | $131,989 | $16,817 |
| Georgia | 15 | $131,612 | $18,090 |
| New Hampshire | 3 | $129,766 | $20,450 |
| Kentucky | 8 | $127,296 | $15,136 |
| Idaho | 3 | $127,193 | $20,622 |
| Virginia | 13 | $123,902 | $17,234 |
| Colorado | 6 | $123,453 | $18,157 |
| New Jersey | 13 | $122,413 | $20,938 |
| Louisiana | 4 | $119,981 | $15,886 |
| Illinois | 16 | $118,012 | $19,181 |
| Hawaii | 1 | $116,923 | $20,709 |
| Kansas | 5 | $115,605 | $16,994 |
| Washington | 10 | $114,477 | $19,577 |
| Ohio | 12 | $111,478 | $16,498 |
| Nebraska | 4 | $105,995 | $18,794 |
| North Carolina | 17 | $105,906 | $17,762 |
| South Dakota | 3 | $103,547 | $18,371 |
| West Virginia | 3 | $97,879 | $15,679 |
| Tennessee | 11 | $96,408 | $15,919 |
| Missouri | 11 | $95,665 | $17,081 |
| Oregon | 6 | $91,195 | $22,318 |
| Alabama | 4 | $88,860 | $15,072 |
| Wisconsin | 7 | $88,123 | $17,911 |
| Arkansas | 4 | $85,919 | $16,164 |
| Connecticut | 5 | $85,597 | $22,262 |
| Utah | 3 | $85,405 | $18,784 |
| Maine | 2 | $82,992 | $16,022 |
| Mississippi | 4 | $82,337 | $16,576 |
| Iowa | 4 | $80,489 | $16,810 |
| Minnesota | 11 | $79,473 | $18,275 |
| Michigan | 12 | $77,345 | $18,473 |
| North Dakota | 2 | $76,106 | $15,897 |
| Delaware | 3 | $69,797 | $19,892 |
| Massachusetts | 16 | $68,269 | $22,356 |
| Vermont | 1 | $66,817 | $11,203 |
| Montana | 3 | $64,786 | $17,841 |
| Rhode Island | 1 | $45,683 | $23,765 |
| Maryland | 11 | $40,521 | $32,337 |
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.