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Medicare DRG 315. 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 |
|---|---|---|---|
| California | 39 | $78,934 | $9,836 |
| Nevada | 4 | $77,085 | $7,805 |
| New Jersey | 19 | $71,887 | $7,451 |
| Colorado | 3 | $70,625 | $7,358 |
| Pennsylvania | 24 | $65,436 | $7,327 |
| New York | 31 | $64,035 | $9,247 |
| Oklahoma | 4 | $60,767 | $7,070 |
| Texas | 27 | $58,326 | $6,561 |
| District of Columbia | 2 | $56,678 | $7,983 |
| Kansas | 3 | $56,577 | $6,364 |
| Florida | 48 | $55,919 | $6,803 |
| Iowa | 4 | $52,629 | $6,492 |
| South Carolina | 10 | $44,833 | $6,621 |
| Missouri | 10 | $43,714 | $6,398 |
| Utah | 3 | $42,243 | $7,263 |
| Washington | 5 | $42,161 | $7,227 |
| Rhode Island | 2 | $42,049 | $7,410 |
| Arizona | 10 | $41,790 | $6,889 |
| Ohio | 13 | $40,095 | $6,489 |
| Georgia | 8 | $39,792 | $6,716 |
| Kentucky | 7 | $39,696 | $5,561 |
| West Virginia | 1 | $39,598 | $7,113 |
| Virginia | 12 | $39,590 | $6,426 |
| Tennessee | 11 | $38,993 | $6,532 |
| Alabama | 4 | $38,268 | $6,162 |
| New Hampshire | 3 | $38,024 | $7,309 |
| Illinois | 25 | $37,802 | $6,934 |
| Minnesota | 11 | $37,501 | $7,065 |
| South Dakota | 2 | $37,439 | $6,983 |
| Oregon | 4 | $36,654 | $8,445 |
| Connecticut | 4 | $36,497 | $8,422 |
| Louisiana | 5 | $36,463 | $5,563 |
| Indiana | 10 | $36,259 | $6,458 |
| Wisconsin | 6 | $35,833 | $6,676 |
| Nebraska | 3 | $34,340 | $7,052 |
| North Carolina | 14 | $33,803 | $7,132 |
| North Dakota | 1 | $33,281 | $6,867 |
| Vermont | 1 | $33,088 | $3,992 |
| Maine | 2 | $32,310 | $7,172 |
| Delaware | 2 | $32,273 | $6,614 |
| Massachusetts | 19 | $30,334 | $8,239 |
| Michigan | 10 | $29,250 | $6,586 |
| Arkansas | 4 | $28,404 | $5,405 |
| Idaho | 1 | $23,972 | $6,284 |
| Mississippi | 3 | $23,077 | $5,932 |
| New Mexico | 1 | $22,269 | $5,894 |
| Maryland | 16 | $14,370 | $11,410 |
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.