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Medicare DRG 313. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$40,290
Avg total payment
$6,990
Avg Medicare pays
$5,165
Hospitals reporting
615
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 | 10 | $93,216 | $5,641 |
| California | 65 | $62,203 | $6,592 |
| Kansas | 4 | $52,683 | $4,465 |
| Florida | 95 | $48,768 | $4,919 |
| Texas | 44 | $47,891 | $5,026 |
| New Jersey | 22 | $46,968 | $5,506 |
| Arizona | 9 | $46,567 | $4,473 |
| New Mexico | 1 | $44,041 | $3,722 |
| District of Columbia | 2 | $43,553 | $7,464 |
| New York | 35 | $43,040 | $7,175 |
| New Hampshire | 3 | $41,702 | $4,802 |
| Tennessee | 19 | $40,988 | $4,433 |
| Connecticut | 2 | $40,228 | $6,848 |
| Georgia | 30 | $36,893 | $5,661 |
| Oklahoma | 7 | $36,272 | $4,566 |
| Washington | 4 | $35,770 | $4,513 |
| Missouri | 14 | $35,414 | $4,418 |
| Idaho | 1 | $34,995 | $4,916 |
| Hawaii | 1 | $34,514 | $6,637 |
| Illinois | 31 | $33,434 | $4,851 |
| Maine | 1 | $32,751 | $4,246 |
| South Carolina | 11 | $32,649 | $4,381 |
| Pennsylvania | 17 | $32,482 | $4,451 |
| Mississippi | 5 | $30,645 | $3,866 |
| Kentucky | 8 | $30,349 | $4,217 |
| Virginia | 16 | $29,661 | $4,025 |
| Wisconsin | 5 | $29,122 | $4,262 |
| North Carolina | 17 | $28,974 | $4,868 |
| Indiana | 11 | $28,678 | $4,268 |
| South Dakota | 1 | $28,350 | $4,485 |
| Alabama | 15 | $28,232 | $4,241 |
| Ohio | 23 | $27,239 | $4,206 |
| Delaware | 2 | $26,237 | $4,759 |
| Nebraska | 1 | $25,803 | $4,291 |
| Louisiana | 10 | $25,364 | $3,660 |
| Minnesota | 4 | $24,537 | $4,694 |
| West Virginia | 10 | $23,721 | $3,905 |
| Massachusetts | 22 | $22,463 | $5,373 |
| Michigan | 20 | $22,354 | $4,653 |
| North Dakota | 1 | $21,514 | $4,737 |
| Oregon | 1 | $21,283 | $6,285 |
| Montana | 1 | $17,537 | $4,199 |
| Arkansas | 2 | $15,871 | $3,647 |
| Maryland | 12 | $10,410 | $7,895 |
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.