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Medicare DRG 243. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$110,043
Avg total payment
$20,231
Avg Medicare pays
$17,199
Hospitals reporting
681
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 | 6 | $235,019 | $18,898 |
| California | 50 | $168,417 | $22,938 |
| Florida | 60 | $146,650 | $15,644 |
| Texas | 51 | $144,524 | $15,530 |
| Colorado | 6 | $136,276 | $17,047 |
| New Jersey | 20 | $132,712 | $18,982 |
| New Mexico | 1 | $132,601 | $14,072 |
| South Carolina | 15 | $126,701 | $15,678 |
| Kentucky | 9 | $123,338 | $14,452 |
| Pennsylvania | 34 | $118,827 | $16,413 |
| New York | 32 | $118,551 | $21,247 |
| Arizona | 16 | $110,237 | $17,724 |
| Georgia | 19 | $109,786 | $15,787 |
| Kansas | 8 | $109,245 | $15,092 |
| District of Columbia | 1 | $107,318 | $21,876 |
| New Hampshire | 6 | $107,229 | $18,163 |
| Indiana | 16 | $104,804 | $15,817 |
| Louisiana | 9 | $104,599 | $14,141 |
| Tennessee | 15 | $102,825 | $14,693 |
| Virginia | 23 | $102,092 | $15,718 |
| Alaska | 1 | $100,767 | $18,624 |
| Missouri | 15 | $98,731 | $15,446 |
| Alabama | 7 | $97,376 | $13,849 |
| Maine | 2 | $96,609 | $16,369 |
| Utah | 6 | $94,151 | $16,408 |
| Illinois | 28 | $92,401 | $16,581 |
| North Carolina | 19 | $91,664 | $16,344 |
| Idaho | 5 | $91,110 | $16,510 |
| Oklahoma | 8 | $89,562 | $14,352 |
| West Virginia | 7 | $87,303 | $14,564 |
| Wyoming | 1 | $86,849 | $19,739 |
| South Dakota | 3 | $86,166 | $16,653 |
| Ohio | 28 | $85,236 | $15,213 |
| Washington | 15 | $84,277 | $17,921 |
| Minnesota | 13 | $82,438 | $16,692 |
| Vermont | 1 | $81,599 | $9,531 |
| Mississippi | 8 | $81,414 | $13,710 |
| Delaware | 3 | $80,278 | $16,730 |
| Oregon | 7 | $80,118 | $19,247 |
| Connecticut | 7 | $76,395 | $21,472 |
| Hawaii | 2 | $75,005 | $19,336 |
| Michigan | 20 | $73,359 | $15,981 |
| Wisconsin | 10 | $72,229 | $15,952 |
| North Dakota | 2 | $69,199 | $16,190 |
| Nebraska | 5 | $68,044 | $15,681 |
| Massachusetts | 18 | $67,816 | $21,320 |
| Rhode Island | 3 | $67,701 | $19,701 |
| Iowa | 9 | $66,300 | $14,635 |
| Montana | 5 | $64,804 | $15,298 |
| Arkansas | 10 | $57,731 | $14,023 |
| Maryland | 16 | $31,029 | $26,028 |
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.