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Medicare DRG 205. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$91,229
Avg total payment
$19,532
Avg Medicare pays
$15,374
Hospitals reporting
198
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 | 1 | $191,305 | $14,442 |
| California | 20 | $157,834 | $21,203 |
| Pennsylvania | 8 | $151,848 | $16,005 |
| Colorado | 1 | $133,860 | $17,266 |
| New York | 15 | $128,199 | $19,074 |
| Arizona | 4 | $114,403 | $16,390 |
| Kansas | 1 | $111,839 | $15,067 |
| New Jersey | 11 | $102,314 | $14,690 |
| Texas | 15 | $102,031 | $14,362 |
| Oklahoma | 2 | $99,444 | $13,783 |
| Iowa | 1 | $96,836 | $15,403 |
| Florida | 15 | $94,773 | $13,192 |
| Idaho | 1 | $94,049 | $18,215 |
| Georgia | 4 | $91,875 | $14,370 |
| Washington | 2 | $84,634 | $15,548 |
| Louisiana | 1 | $73,986 | $10,782 |
| Wisconsin | 2 | $73,961 | $15,193 |
| Kentucky | 2 | $73,573 | $13,513 |
| Illinois | 11 | $72,407 | $14,320 |
| Alabama | 3 | $72,088 | $11,478 |
| District of Columbia | 1 | $71,896 | $14,499 |
| Ohio | 5 | $69,498 | $12,370 |
| Virginia | 5 | $69,111 | $14,555 |
| Indiana | 5 | $68,652 | $12,851 |
| Minnesota | 6 | $66,793 | $15,190 |
| Missouri | 4 | $62,978 | $12,354 |
| South Carolina | 2 | $61,521 | $12,825 |
| Tennessee | 5 | $60,741 | $11,572 |
| Nebraska | 2 | $58,257 | $12,700 |
| New Mexico | 1 | $57,226 | $12,286 |
| North Carolina | 5 | $55,952 | $13,612 |
| South Dakota | 2 | $55,369 | $12,641 |
| Michigan | 8 | $54,271 | $13,495 |
| Connecticut | 3 | $54,212 | $14,972 |
| Massachusetts | 13 | $53,593 | $16,878 |
| Mississippi | 2 | $51,010 | $10,596 |
| Delaware | 2 | $48,104 | $13,334 |
| North Dakota | 1 | $47,927 | $12,770 |
| New Hampshire | 2 | $39,224 | $13,054 |
| Utah | 1 | $37,062 | $14,777 |
| Maryland | 3 | $27,093 | $22,167 |
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.