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Medicare DRG 242. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$161,002
Avg total payment
$30,345
Avg Medicare pays
$26,827
Hospitals reporting
513
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 | 5 | $274,802 | $28,077 |
| California | 45 | $242,940 | $36,171 |
| Colorado | 4 | $217,407 | $23,551 |
| Texas | 41 | $207,152 | $23,973 |
| South Carolina | 10 | $200,572 | $24,444 |
| Alaska | 1 | $195,701 | $29,486 |
| Florida | 46 | $194,760 | $23,156 |
| New Jersey | 18 | $194,593 | $29,976 |
| Alabama | 4 | $190,236 | $21,551 |
| New York | 24 | $183,835 | $34,301 |
| Pennsylvania | 25 | $183,567 | $26,365 |
| Georgia | 12 | $180,158 | $25,704 |
| Kansas | 8 | $167,798 | $23,355 |
| Kentucky | 8 | $160,684 | $23,453 |
| Arizona | 11 | $157,478 | $25,494 |
| Virginia | 16 | $154,741 | $23,979 |
| Utah | 5 | $154,068 | $23,820 |
| Maine | 2 | $142,638 | $26,580 |
| District of Columbia | 1 | $138,016 | $32,654 |
| Hawaii | 2 | $137,356 | $32,674 |
| Tennessee | 13 | $136,480 | $22,341 |
| West Virginia | 4 | $134,721 | $24,176 |
| Ohio | 20 | $133,151 | $24,975 |
| Washington | 13 | $132,332 | $27,957 |
| Indiana | 14 | $132,104 | $24,000 |
| Illinois | 20 | $128,794 | $24,917 |
| Connecticut | 3 | $126,000 | $32,746 |
| Oklahoma | 7 | $125,732 | $21,369 |
| South Dakota | 3 | $125,391 | $25,021 |
| North Carolina | 13 | $123,709 | $23,923 |
| Minnesota | 10 | $123,445 | $27,659 |
| New Mexico | 3 | $122,656 | $21,492 |
| Idaho | 2 | $120,233 | $27,591 |
| Michigan | 14 | $117,969 | $26,356 |
| Mississippi | 4 | $117,306 | $21,262 |
| Wyoming | 1 | $111,503 | $30,845 |
| Oregon | 5 | $111,012 | $31,282 |
| Missouri | 11 | $109,139 | $22,829 |
| Louisiana | 4 | $107,816 | $21,687 |
| Massachusetts | 17 | $106,338 | $33,354 |
| Delaware | 3 | $106,268 | $26,485 |
| Wisconsin | 5 | $105,973 | $25,126 |
| New Hampshire | 2 | $104,475 | $28,022 |
| Iowa | 7 | $96,047 | $23,125 |
| Vermont | 1 | $95,475 | $15,882 |
| Rhode Island | 2 | $93,400 | $25,780 |
| Nebraska | 3 | $83,839 | $21,233 |
| North Dakota | 4 | $83,712 | $25,449 |
| Arkansas | 5 | $78,947 | $19,899 |
| Montana | 2 | $72,045 | $24,728 |
| Maryland | 10 | $46,214 | $38,671 |
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.