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Medicare DRG 191. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$40,138
Avg total payment
$8,297
Avg Medicare pays
$6,409
Hospitals reporting
582
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 | 2 | $117,324 | $7,017 |
| California | 37 | $75,759 | $8,542 |
| New Jersey | 34 | $63,654 | $6,661 |
| Florida | 64 | $55,106 | $5,973 |
| Oklahoma | 5 | $49,998 | $5,335 |
| Texas | 20 | $48,110 | $6,255 |
| New York | 41 | $47,878 | $8,355 |
| Arizona | 9 | $44,915 | $5,516 |
| Pennsylvania | 35 | $44,780 | $5,773 |
| Washington | 1 | $42,768 | $5,915 |
| South Dakota | 1 | $38,240 | $5,790 |
| Georgia | 10 | $37,713 | $5,980 |
| Kansas | 1 | $36,447 | $4,083 |
| Illinois | 34 | $36,163 | $5,815 |
| Mississippi | 4 | $35,999 | $4,846 |
| Louisiana | 7 | $35,179 | $4,693 |
| Missouri | 21 | $34,719 | $5,696 |
| South Carolina | 10 | $33,661 | $5,550 |
| Connecticut | 7 | $33,649 | $7,283 |
| Tennessee | 7 | $33,503 | $5,514 |
| Alabama | 9 | $32,346 | $5,402 |
| District of Columbia | 1 | $30,832 | $9,844 |
| Ohio | 24 | $30,111 | $5,138 |
| Indiana | 15 | $29,615 | $5,357 |
| Kentucky | 11 | $29,609 | $4,850 |
| Virginia | 15 | $29,161 | $5,468 |
| Delaware | 4 | $28,961 | $5,943 |
| Nebraska | 3 | $28,324 | $5,365 |
| Wisconsin | 4 | $28,214 | $5,362 |
| Minnesota | 5 | $27,704 | $6,032 |
| North Carolina | 30 | $27,482 | $5,972 |
| Michigan | 24 | $26,268 | $5,814 |
| West Virginia | 7 | $26,104 | $4,746 |
| Arkansas | 7 | $25,140 | $4,986 |
| Rhode Island | 2 | $24,439 | $6,174 |
| New Hampshire | 4 | $23,155 | $5,693 |
| Maine | 1 | $21,364 | $6,720 |
| Iowa | 4 | $20,458 | $4,822 |
| Massachusetts | 36 | $19,743 | $6,920 |
| Oregon | 1 | $17,854 | $6,686 |
| North Dakota | 1 | $17,415 | $5,808 |
| Maryland | 24 | $13,602 | $10,679 |
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.