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Other Respiratory System O.r. Procedures with major complications
Medicare DRG 166. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$181,873
Avg total payment
$41,107
Avg Medicare pays
$33,707
Hospitals reporting
164
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 | 13 | $384,759 | $56,499 |
| Nevada | 1 | $314,832 | $28,527 |
| New York | 13 | $276,790 | $43,197 |
| Pennsylvania | 10 | $238,471 | $33,661 |
| New Jersey | 5 | $219,764 | $37,590 |
| Colorado | 1 | $218,380 | $31,589 |
| District of Columbia | 2 | $216,178 | $33,216 |
| Oklahoma | 3 | $215,862 | $30,321 |
| Wisconsin | 2 | $204,332 | $43,496 |
| Texas | 11 | $192,511 | $26,971 |
| Kansas | 3 | $192,149 | $30,326 |
| Virginia | 3 | $190,501 | $25,682 |
| Florida | 14 | $162,951 | $27,258 |
| Ohio | 6 | $162,397 | $32,320 |
| Illinois | 7 | $151,763 | $34,445 |
| Arizona | 4 | $151,606 | $34,242 |
| Georgia | 3 | $150,473 | $28,751 |
| Minnesota | 1 | $142,064 | $44,589 |
| West Virginia | 2 | $141,032 | $29,525 |
| Missouri | 4 | $133,067 | $33,027 |
| Indiana | 5 | $131,587 | $28,527 |
| Delaware | 1 | $130,808 | $34,025 |
| Tennessee | 5 | $129,220 | $25,762 |
| North Carolina | 6 | $123,683 | $31,343 |
| Washington | 1 | $123,333 | $34,387 |
| Hawaii | 1 | $122,379 | $27,500 |
| Iowa | 1 | $119,047 | $26,692 |
| Kentucky | 5 | $111,884 | $25,703 |
| Connecticut | 2 | $109,985 | $38,663 |
| South Carolina | 3 | $107,870 | $28,254 |
| Massachusetts | 7 | $106,884 | $36,981 |
| Alabama | 1 | $105,737 | $26,309 |
| Michigan | 6 | $99,985 | $29,728 |
| Mississippi | 2 | $93,097 | $23,638 |
| Arkansas | 4 | $89,614 | $25,136 |
| Utah | 2 | $88,594 | $29,268 |
| Nebraska | 2 | $83,653 | $27,170 |
| Louisiana | 1 | $73,707 | $19,345 |
| Maryland | 1 | $62,517 | $46,173 |
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.