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Other Respiratory System O.r. Procedures without with Complications/with major complications
Medicare DRG 168. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$66,437
Avg total payment
$15,741
Avg Medicare pays
$12,373
Hospitals reporting
6
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 |
|---|---|---|---|
| Tennessee | 1 | $126,589 | $8,213 |
| Pennsylvania | 1 | $106,725 | $13,251 |
| Missouri | 1 | $49,840 | $10,707 |
| North Carolina | 1 | $45,797 | $11,851 |
| Georgia | 1 | $39,596 | $6,962 |
| Maryland | 1 | $30,074 | $23,256 |
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.