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Medicare DRG 206. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$61,384
Avg total payment
$10,827
Avg Medicare pays
$7,782
Hospitals reporting
97
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 |
|---|---|---|---|
| Arizona | 1 | $143,034 | $7,008 |
| Nevada | 1 | $120,982 | $6,639 |
| Texas | 4 | $106,354 | $10,149 |
| New York | 9 | $91,468 | $9,661 |
| Pennsylvania | 7 | $88,001 | $7,014 |
| Indiana | 2 | $77,944 | $9,557 |
| California | 16 | $69,553 | $9,095 |
| Missouri | 1 | $69,239 | $7,457 |
| Tennessee | 2 | $65,334 | $6,064 |
| Wisconsin | 1 | $61,948 | $7,122 |
| Florida | 14 | $60,380 | $5,790 |
| Kansas | 1 | $57,862 | $5,916 |
| New Jersey | 3 | $53,992 | $7,736 |
| Nebraska | 1 | $50,595 | $7,906 |
| Ohio | 2 | $50,486 | $7,851 |
| Oklahoma | 1 | $46,378 | $6,173 |
| North Carolina | 5 | $43,740 | $7,784 |
| Connecticut | 1 | $43,201 | $9,270 |
| Washington | 1 | $43,192 | $6,788 |
| Minnesota | 2 | $42,026 | $6,737 |
| Michigan | 2 | $39,050 | $6,830 |
| Illinois | 2 | $37,656 | $7,004 |
| Louisiana | 1 | $36,934 | $3,941 |
| Virginia | 1 | $36,360 | $5,547 |
| South Carolina | 1 | $35,554 | $7,272 |
| Rhode Island | 1 | $29,878 | $8,460 |
| Alabama | 1 | $27,681 | $5,883 |
| Massachusetts | 9 | $27,392 | $7,613 |
| Delaware | 1 | $22,186 | $6,957 |
| West Virginia | 1 | $19,026 | $4,717 |
| Maryland | 2 | $17,577 | $12,923 |
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.