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Pleural Effusion with major complications
Medicare DRG 186. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$79,084
Avg total payment
$14,624
Avg Medicare pays
$11,997
Hospitals reporting
123
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 |
|---|---|---|---|
| New York | 9 | $126,269 | $15,475 |
| California | 13 | $119,290 | $15,953 |
| Kansas | 3 | $117,487 | $11,712 |
| Pennsylvania | 4 | $111,728 | $12,917 |
| Texas | 6 | $103,792 | $11,353 |
| West Virginia | 1 | $97,357 | $13,186 |
| Hawaii | 1 | $96,106 | $12,074 |
| Georgia | 4 | $94,171 | $11,489 |
| New Jersey | 5 | $88,589 | $12,851 |
| Arkansas | 1 | $86,590 | $9,615 |
| Alabama | 1 | $77,798 | $10,710 |
| Colorado | 1 | $75,921 | $10,203 |
| Virginia | 3 | $75,428 | $10,674 |
| Connecticut | 2 | $71,803 | $16,092 |
| Florida | 19 | $70,335 | $10,314 |
| Oklahoma | 3 | $68,702 | $10,894 |
| South Carolina | 2 | $68,466 | $10,874 |
| Iowa | 2 | $68,290 | $9,862 |
| Arizona | 6 | $68,153 | $11,512 |
| Tennessee | 6 | $59,214 | $10,152 |
| Illinois | 6 | $57,143 | $10,144 |
| Utah | 1 | $56,652 | $13,134 |
| Kentucky | 1 | $54,781 | $10,243 |
| Louisiana | 2 | $53,750 | $9,710 |
| Michigan | 1 | $52,469 | $10,133 |
| Nevada | 1 | $50,903 | $12,320 |
| North Carolina | 4 | $47,986 | $11,501 |
| Mississippi | 1 | $47,813 | $9,242 |
| Nebraska | 2 | $45,757 | $9,827 |
| Delaware | 1 | $45,282 | $12,390 |
| Ohio | 1 | $45,117 | $11,331 |
| New Mexico | 1 | $44,215 | $9,604 |
| Massachusetts | 3 | $43,861 | $13,903 |
| Missouri | 2 | $36,669 | $10,905 |
| Montana | 1 | $36,201 | $11,319 |
| Maryland | 3 | $14,119 | $11,516 |
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.