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Medicare DRG 175. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$65,648
Avg total payment
$13,133
Avg Medicare pays
$10,631
Hospitals reporting
989
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 |
|---|---|---|---|
| Nevada | 11 | $135,307 | $10,899 |
| California | 83 | $117,777 | $14,258 |
| New Jersey | 30 | $107,833 | $11,333 |
| Alaska | 2 | $106,174 | $15,643 |
| New York | 42 | $92,928 | $12,752 |
| Texas | 58 | $81,960 | $9,789 |
| Florida | 63 | $79,841 | $9,686 |
| Pennsylvania | 42 | $76,156 | $10,090 |
| Colorado | 22 | $74,563 | $9,860 |
| Arizona | 27 | $71,577 | $10,595 |
| District of Columbia | 3 | $71,338 | $12,049 |
| Kansas | 10 | $70,785 | $9,057 |
| Georgia | 34 | $61,090 | $10,362 |
| South Carolina | 19 | $60,433 | $9,312 |
| Illinois | 52 | $58,944 | $10,113 |
| Connecticut | 12 | $58,180 | $12,767 |
| Oklahoma | 13 | $57,541 | $9,095 |
| Hawaii | 1 | $57,474 | $12,408 |
| Missouri | 18 | $56,943 | $9,677 |
| Washington | 22 | $55,710 | $10,224 |
| Tennessee | 22 | $55,073 | $8,771 |
| South Dakota | 4 | $53,948 | $9,270 |
| New Mexico | 7 | $53,598 | $11,125 |
| Alabama | 10 | $53,455 | $8,583 |
| Nebraska | 7 | $52,796 | $10,411 |
| Indiana | 24 | $51,601 | $9,651 |
| Idaho | 6 | $50,503 | $9,542 |
| Virginia | 34 | $50,178 | $9,259 |
| Maine | 3 | $50,119 | $10,777 |
| Louisiana | 12 | $49,741 | $8,383 |
| Ohio | 41 | $49,299 | $9,140 |
| Delaware | 5 | $48,813 | $11,339 |
| Oregon | 7 | $48,546 | $11,627 |
| Wisconsin | 14 | $48,307 | $9,695 |
| Arkansas | 9 | $46,836 | $8,886 |
| Minnesota | 12 | $45,671 | $9,986 |
| Kentucky | 14 | $45,379 | $8,723 |
| North Carolina | 31 | $45,279 | $9,806 |
| New Hampshire | 9 | $43,502 | $10,522 |
| Vermont | 3 | $42,516 | $7,585 |
| West Virginia | 9 | $42,074 | $8,645 |
| Michigan | 29 | $41,976 | $10,077 |
| Utah | 7 | $41,399 | $9,492 |
| Mississippi | 10 | $41,113 | $8,658 |
| Iowa | 11 | $38,600 | $8,609 |
| Rhode Island | 3 | $37,891 | $11,008 |
| Massachusetts | 35 | $36,337 | $11,542 |
| North Dakota | 6 | $35,391 | $9,643 |
| Montana | 7 | $33,666 | $9,872 |
| Wyoming | 3 | $32,681 | $13,592 |
| Maryland | 31 | $20,217 | $16,655 |
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.