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Pneumothorax with major complications
Medicare DRG 199. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$90,491
Avg total payment
$18,167
Avg Medicare pays
$14,058
Hospitals reporting
86
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 | 6 | $163,449 | $17,090 |
| New York | 5 | $137,116 | $18,800 |
| Texas | 5 | $133,795 | $13,649 |
| New Jersey | 1 | $127,431 | $14,457 |
| Pennsylvania | 4 | $119,731 | $14,717 |
| Nevada | 3 | $115,280 | $13,157 |
| Florida | 9 | $109,733 | $12,209 |
| Tennessee | 4 | $101,232 | $13,028 |
| Virginia | 4 | $90,317 | $12,904 |
| Kansas | 4 | $89,770 | $11,635 |
| Georgia | 2 | $87,351 | $13,990 |
| Indiana | 3 | $87,146 | $13,997 |
| Missouri | 1 | $83,183 | $16,974 |
| New Hampshire | 1 | $76,340 | $13,008 |
| Illinois | 2 | $76,334 | $12,276 |
| Iowa | 2 | $74,628 | $12,099 |
| Arizona | 2 | $69,644 | $11,929 |
| North Carolina | 1 | $69,588 | $11,595 |
| Kentucky | 2 | $63,973 | $12,332 |
| Massachusetts | 7 | $58,201 | $17,178 |
| Michigan | 1 | $52,783 | $11,464 |
| Idaho | 1 | $52,648 | $12,208 |
| Minnesota | 3 | $51,109 | $13,861 |
| Ohio | 1 | $47,285 | $13,174 |
| Rhode Island | 1 | $46,717 | $16,398 |
| Oklahoma | 2 | $46,173 | $11,722 |
| Arkansas | 2 | $43,557 | $11,120 |
| Mississippi | 1 | $40,161 | $11,043 |
| Delaware | 2 | $36,871 | $12,855 |
| North Dakota | 1 | $31,895 | $13,290 |
| Maryland | 3 | $20,688 | $17,204 |
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.