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Interstitial Lung Disease with major complications
Medicare DRG 196. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$95,639
Avg total payment
$19,715
Avg Medicare pays
$15,870
Hospitals reporting
217
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 |
|---|---|---|---|
| California | 20 | $205,003 | $25,370 |
| Nevada | 3 | $146,698 | $15,115 |
| New York | 17 | $126,857 | $18,881 |
| New Jersey | 15 | $110,590 | $14,888 |
| Alaska | 1 | $107,673 | $16,707 |
| Pennsylvania | 10 | $106,301 | $14,272 |
| Texas | 11 | $104,426 | $13,756 |
| Colorado | 4 | $103,613 | $14,874 |
| Georgia | 4 | $101,465 | $13,703 |
| Kansas | 2 | $100,264 | $13,758 |
| Florida | 17 | $97,482 | $13,003 |
| Alabama | 3 | $95,094 | $15,150 |
| Wisconsin | 3 | $89,775 | $15,579 |
| Washington | 3 | $83,591 | $14,965 |
| Illinois | 13 | $82,895 | $16,348 |
| Arizona | 4 | $81,410 | $13,089 |
| Indiana | 1 | $79,953 | $9,545 |
| Minnesota | 4 | $79,466 | $17,337 |
| Vermont | 1 | $77,404 | $12,765 |
| Missouri | 4 | $76,545 | $13,583 |
| Kentucky | 1 | $72,835 | $10,868 |
| Connecticut | 3 | $71,885 | $16,799 |
| Ohio | 4 | $70,212 | $12,769 |
| Tennessee | 6 | $69,014 | $11,825 |
| North Carolina | 4 | $68,250 | $14,512 |
| South Carolina | 3 | $68,204 | $14,317 |
| Virginia | 11 | $66,582 | $13,035 |
| New Hampshire | 3 | $66,111 | $18,652 |
| Delaware | 2 | $60,228 | $15,453 |
| Oklahoma | 2 | $60,039 | $14,498 |
| North Dakota | 1 | $59,426 | $14,883 |
| South Dakota | 2 | $58,424 | $15,117 |
| Nebraska | 3 | $56,365 | $13,149 |
| Louisiana | 3 | $53,764 | $11,643 |
| Michigan | 4 | $52,212 | $15,288 |
| Massachusetts | 11 | $50,899 | $16,450 |
| New Mexico | 1 | $50,485 | $12,131 |
| Arkansas | 1 | $50,006 | $11,488 |
| Oregon | 2 | $45,517 | $16,063 |
| Mississippi | 3 | $38,850 | $10,499 |
| Iowa | 1 | $30,630 | $11,152 |
| Montana | 1 | $30,319 | $14,243 |
| Maryland | 5 | $26,762 | $21,480 |
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.