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Interstitial Lung Disease with complications
Medicare DRG 197. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$48,588
Avg total payment
$15,123
Avg Medicare pays
$11,950
Hospitals reporting
3
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 | 1 | $86,879 | $10,751 |
| Illinois | 1 | $33,155 | $6,761 |
| Maryland | 1 | $25,729 | $18,338 |
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.