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Medicare DRG 204. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$52,639
Avg total payment
$8,249
Avg Medicare pays
$6,048
Hospitals reporting
32
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 | 2 | $83,130 | $7,169 |
| New York | 7 | $67,575 | $8,066 |
| New Jersey | 3 | $67,298 | $5,651 |
| Florida | 8 | $51,411 | $5,284 |
| Texas | 2 | $46,330 | $5,434 |
| Tennessee | 1 | $42,835 | $4,615 |
| Arizona | 1 | $42,341 | $4,919 |
| Pennsylvania | 2 | $41,696 | $5,758 |
| Kentucky | 1 | $40,500 | $4,395 |
| Michigan | 3 | $28,031 | $5,298 |
| North Carolina | 1 | $27,901 | $5,673 |
| Massachusetts | 1 | $18,248 | $5,630 |
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.