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Medicare DRG 272. What hospitals charge and what Medicare pays, 2024.
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 |
|---|---|---|---|
| Pennsylvania | 1 | $272,083 | $25,459 |
| Kentucky | 1 | $188,241 | $22,521 |
| Florida | 5 | $184,763 | $16,961 |
| Texas | 2 | $163,297 | $17,111 |
| California | 2 | $161,167 | $29,505 |
| Iowa | 2 | $130,185 | $15,018 |
| Missouri | 1 | $120,439 | $17,041 |
| Ohio | 1 | $109,025 | $15,776 |
| Virginia | 2 | $106,833 | $18,360 |
| South Dakota | 1 | $105,866 | $16,666 |
| New Hampshire | 1 | $105,271 | $23,969 |
| Idaho | 1 | $83,508 | $21,508 |
| Minnesota | 1 | $81,109 | $14,126 |
| New Jersey | 1 | $76,208 | $19,904 |
| New York | 2 | $72,882 | $22,520 |
| North Carolina | 2 | $67,781 | $15,100 |
| Louisiana | 1 | $64,475 | $13,297 |
| Oklahoma | 1 | $60,658 | $14,621 |
| Kansas | 1 | $36,216 | $14,355 |
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.