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This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.

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Pleural Effusion with complications

Medicare DRG 187. What hospitals charge and what Medicare pays, 2024.

Avg hospital charge
$55,063
Avg total payment
$10,085
Avg Medicare pays
$7,986
Hospitals reporting
16

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.

StateHospitalsAvg chargeAvg Medicare payment
New York4$86,449$10,684
New Jersey1$65,530$6,942
Florida2$56,898$6,800
Massachusetts1$53,265$10,833
Pennsylvania2$45,318$6,534
Illinois2$44,758$7,349
Missouri1$32,072$5,180
Delaware1$31,491$7,312
Louisiana1$30,460$6,956
Nebraska1$28,449$6,457

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.