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Medicare DRG 167. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$103,381
Avg total payment
$21,044
Avg Medicare pays
$15,587
Hospitals reporting
56
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 | 5 | $192,850 | $20,176 |
| Pennsylvania | 3 | $179,117 | $14,035 |
| New York | 4 | $148,936 | $20,094 |
| Texas | 2 | $142,651 | $15,389 |
| Florida | 4 | $133,569 | $12,402 |
| Virginia | 4 | $110,898 | $14,044 |
| Tennessee | 2 | $102,179 | $12,047 |
| Colorado | 1 | $100,309 | $16,056 |
| Missouri | 2 | $89,566 | $13,020 |
| Alabama | 1 | $87,836 | $13,234 |
| New Jersey | 1 | $81,910 | $14,373 |
| Kentucky | 1 | $78,099 | $13,082 |
| Wisconsin | 1 | $76,545 | $13,916 |
| Delaware | 1 | $76,364 | $17,118 |
| Ohio | 1 | $75,189 | $12,271 |
| Arizona | 1 | $74,761 | $13,355 |
| Illinois | 3 | $74,606 | $14,389 |
| South Carolina | 3 | $74,336 | $13,323 |
| Minnesota | 1 | $70,508 | $17,775 |
| Arkansas | 1 | $69,727 | $11,021 |
| Georgia | 1 | $69,125 | $13,246 |
| Mississippi | 1 | $65,423 | $9,310 |
| Washington | 1 | $65,395 | $13,584 |
| Connecticut | 2 | $64,098 | $18,961 |
| Massachusetts | 4 | $61,924 | $17,429 |
| Utah | 1 | $59,673 | $17,750 |
| North Carolina | 1 | $56,259 | $15,504 |
| Michigan | 1 | $55,292 | $15,874 |
| Maryland | 2 | $30,094 | $22,294 |
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.