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Medicare DRG 321. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$165,150
Avg total payment
$26,486
Avg Medicare pays
$22,115
Hospitals reporting
1,134
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 | $333,441 | $22,595 |
| Alaska | 4 | $261,801 | $32,610 |
| California | 103 | $246,014 | $30,380 |
| Florida | 91 | $222,683 | $20,093 |
| Colorado | 18 | $211,466 | $20,806 |
| New Jersey | 35 | $201,900 | $24,785 |
| Texas | 86 | $201,588 | $20,305 |
| Arizona | 28 | $193,379 | $22,339 |
| District of Columbia | 2 | $183,026 | $28,571 |
| New Mexico | 7 | $182,191 | $23,225 |
| Alabama | 20 | $168,723 | $17,518 |
| Pennsylvania | 49 | $163,031 | $21,336 |
| South Carolina | 19 | $159,218 | $20,169 |
| Louisiana | 16 | $159,003 | $18,053 |
| New York | 46 | $158,956 | $27,675 |
| Virginia | 31 | $156,563 | $19,758 |
| Kentucky | 19 | $155,794 | $19,279 |
| Utah | 6 | $152,393 | $20,980 |
| Mississippi | 14 | $152,391 | $18,005 |
| Georgia | 33 | $151,342 | $20,347 |
| Tennessee | 23 | $150,831 | $17,814 |
| Indiana | 31 | $150,825 | $20,189 |
| Wyoming | 2 | $150,473 | $28,734 |
| Maine | 2 | $149,101 | $23,967 |
| Kansas | 13 | $144,749 | $19,330 |
| Idaho | 7 | $144,726 | $22,010 |
| Washington | 21 | $144,583 | $22,483 |
| Missouri | 36 | $142,165 | $19,615 |
| New Hampshire | 7 | $141,943 | $21,818 |
| Oklahoma | 16 | $141,639 | $18,817 |
| Illinois | 49 | $141,263 | $21,340 |
| Connecticut | 9 | $134,342 | $26,580 |
| South Dakota | 4 | $130,626 | $20,269 |
| West Virginia | 13 | $129,900 | $19,613 |
| Minnesota | 15 | $124,791 | $22,773 |
| Hawaii | 4 | $123,702 | $29,195 |
| North Carolina | 25 | $122,541 | $20,164 |
| Ohio | 50 | $119,613 | $19,813 |
| Delaware | 3 | $118,919 | $23,111 |
| Arkansas | 18 | $118,630 | $18,177 |
| Oregon | 13 | $116,700 | $25,637 |
| Massachusetts | 18 | $116,450 | $27,310 |
| Michigan | 35 | $112,885 | $20,993 |
| Nebraska | 8 | $112,417 | $18,319 |
| Rhode Island | 4 | $112,104 | $23,712 |
| Vermont | 1 | $108,197 | $13,087 |
| Wisconsin | 23 | $104,042 | $20,036 |
| Iowa | 16 | $100,414 | $19,387 |
| North Dakota | 5 | $93,584 | $20,473 |
| Montana | 4 | $91,848 | $20,693 |
| Maryland | 22 | $35,315 | $29,233 |
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.