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Medicare DRG 176. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$41,166
Avg total payment
$8,135
Avg Medicare pays
$5,871
Hospitals reporting
514
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 | 4 | $101,069 | $6,608 |
| California | 26 | $78,616 | $7,770 |
| New Jersey | 21 | $60,126 | $5,829 |
| New York | 32 | $55,545 | $6,960 |
| Florida | 40 | $53,695 | $5,675 |
| Kansas | 5 | $51,804 | $4,581 |
| Colorado | 3 | $50,505 | $4,961 |
| Pennsylvania | 34 | $48,985 | $5,371 |
| District of Columbia | 3 | $48,114 | $5,802 |
| Oklahoma | 4 | $46,478 | $6,049 |
| Arizona | 17 | $44,796 | $5,218 |
| Texas | 20 | $43,622 | $5,761 |
| South Dakota | 1 | $41,310 | $5,486 |
| Georgia | 15 | $39,580 | $6,470 |
| Louisiana | 6 | $38,514 | $5,683 |
| Illinois | 28 | $38,113 | $5,440 |
| Virginia | 22 | $36,493 | $5,170 |
| Washington | 5 | $35,697 | $5,494 |
| Tennessee | 16 | $35,242 | $5,234 |
| Missouri | 16 | $35,104 | $5,106 |
| New Hampshire | 5 | $34,508 | $5,444 |
| West Virginia | 4 | $34,469 | $4,582 |
| Connecticut | 3 | $34,371 | $7,088 |
| Ohio | 27 | $33,137 | $5,064 |
| Idaho | 3 | $33,129 | $5,451 |
| South Carolina | 12 | $33,091 | $5,239 |
| Indiana | 13 | $31,889 | $5,073 |
| Alabama | 7 | $31,765 | $4,986 |
| Vermont | 1 | $31,735 | $3,307 |
| Wisconsin | 3 | $31,229 | $5,326 |
| North Carolina | 22 | $29,721 | $5,652 |
| Delaware | 3 | $29,612 | $5,493 |
| Nebraska | 5 | $28,974 | $5,085 |
| Kentucky | 9 | $28,901 | $4,742 |
| Minnesota | 7 | $28,045 | $5,512 |
| Michigan | 11 | $27,513 | $5,185 |
| Mississippi | 4 | $27,465 | $4,465 |
| Iowa | 4 | $25,014 | $4,289 |
| New Mexico | 1 | $24,576 | $7,021 |
| Arkansas | 3 | $24,281 | $4,367 |
| Rhode Island | 3 | $23,820 | $6,075 |
| North Dakota | 2 | $23,519 | $5,111 |
| Massachusetts | 19 | $23,448 | $6,338 |
| Montana | 1 | $22,654 | $4,975 |
| Utah | 2 | $21,608 | $5,812 |
| Maryland | 22 | $13,258 | $10,351 |
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.