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Other Circulatory System O.r. Procedures
Medicare DRG 264. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$164,229
Avg total payment
$33,756
Avg Medicare pays
$27,938
Hospitals reporting
171
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 | $357,652 | $24,631 |
| New York | 16 | $248,865 | $37,255 |
| Georgia | 3 | $230,036 | $24,727 |
| California | 12 | $229,141 | $36,611 |
| District of Columbia | 2 | $214,306 | $29,661 |
| Pennsylvania | 10 | $205,068 | $30,706 |
| New Jersey | 11 | $193,796 | $27,040 |
| Texas | 16 | $187,270 | $27,240 |
| Kansas | 2 | $185,614 | $23,994 |
| Florida | 18 | $179,430 | $22,768 |
| Connecticut | 3 | $177,291 | $35,393 |
| Tennessee | 3 | $148,180 | $24,632 |
| New Hampshire | 1 | $135,659 | $24,606 |
| Virginia | 4 | $135,529 | $22,425 |
| Illinois | 9 | $132,181 | $29,028 |
| Washington | 3 | $131,054 | $30,876 |
| Arkansas | 1 | $130,350 | $19,340 |
| Massachusetts | 6 | $128,070 | $33,743 |
| Ohio | 3 | $123,524 | $23,290 |
| South Carolina | 3 | $121,499 | $22,822 |
| Arizona | 1 | $120,076 | $25,832 |
| Michigan | 4 | $115,835 | $29,641 |
| Indiana | 4 | $111,988 | $23,075 |
| Nebraska | 1 | $111,377 | $24,276 |
| Missouri | 2 | $108,868 | $26,544 |
| South Dakota | 2 | $106,017 | $23,019 |
| North Carolina | 6 | $105,681 | $24,544 |
| Alabama | 2 | $105,164 | $21,952 |
| Oklahoma | 2 | $103,665 | $21,194 |
| Kentucky | 3 | $97,707 | $20,561 |
| Minnesota | 4 | $93,799 | $27,399 |
| Louisiana | 2 | $91,342 | $21,902 |
| Wisconsin | 3 | $89,861 | $26,815 |
| Hawaii | 1 | $89,506 | $26,237 |
| West Virginia | 2 | $75,213 | $22,129 |
| Mississippi | 1 | $68,904 | $18,738 |
| New Mexico | 1 | $56,344 | $20,393 |
| Delaware | 1 | $55,474 | $25,932 |
| Maryland | 2 | $29,562 | $26,263 |
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.