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Major Chest Procedures without with Complications/with major complications
Medicare DRG 165. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$95,576
Avg total payment
$19,110
Avg Medicare pays
$14,516
Hospitals reporting
208
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 | 11 | $169,751 | $21,120 |
| Indiana | 4 | $158,463 | $14,609 |
| Idaho | 1 | $149,568 | $15,033 |
| Oklahoma | 3 | $144,477 | $12,896 |
| Florida | 9 | $139,201 | $11,987 |
| South Carolina | 6 | $126,768 | $12,392 |
| Pennsylvania | 12 | $118,467 | $14,007 |
| Arizona | 5 | $115,304 | $13,419 |
| Texas | 6 | $110,519 | $13,541 |
| Louisiana | 3 | $105,167 | $13,803 |
| Washington | 8 | $103,207 | $13,661 |
| Kansas | 2 | $103,016 | $13,025 |
| Illinois | 11 | $99,076 | $14,687 |
| New Jersey | 12 | $98,367 | $15,334 |
| New York | 13 | $98,363 | $16,901 |
| Hawaii | 1 | $95,844 | $11,421 |
| Georgia | 6 | $94,276 | $14,545 |
| Kentucky | 4 | $93,443 | $10,870 |
| West Virginia | 2 | $89,998 | $11,406 |
| District of Columbia | 3 | $85,963 | $15,137 |
| North Carolina | 8 | $85,633 | $13,686 |
| Missouri | 2 | $83,400 | $12,744 |
| Ohio | 7 | $81,897 | $12,523 |
| Colorado | 3 | $80,158 | $13,149 |
| Wisconsin | 2 | $79,264 | $11,445 |
| Tennessee | 6 | $75,758 | $12,041 |
| Virginia | 7 | $75,069 | $13,217 |
| Utah | 2 | $74,666 | $14,786 |
| New Hampshire | 1 | $72,406 | $17,022 |
| Iowa | 2 | $69,458 | $12,260 |
| South Dakota | 1 | $68,262 | $11,324 |
| Oregon | 5 | $67,684 | $16,072 |
| Alabama | 4 | $67,542 | $10,576 |
| Minnesota | 3 | $67,045 | $14,125 |
| Michigan | 7 | $65,379 | $13,500 |
| Massachusetts | 11 | $59,715 | $16,795 |
| Connecticut | 2 | $56,897 | $17,080 |
| Montana | 2 | $53,268 | $12,378 |
| Vermont | 1 | $53,181 | $8,799 |
| Mississippi | 1 | $42,332 | $15,050 |
| Delaware | 2 | $42,275 | $15,318 |
| Rhode Island | 1 | $33,290 | $14,602 |
| Maryland | 6 | $26,784 | $19,881 |
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.