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Hernia Procedures Except Inguinal and Femoral without with Complications/with major complications
Medicare DRG 355. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$74,301
Avg total payment
$13,007
Avg Medicare pays
$9,778
Hospitals reporting
51
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 |
|---|---|---|---|
| Florida | 6 | $99,252 | $8,273 |
| Pennsylvania | 4 | $95,026 | $10,118 |
| New York | 5 | $94,632 | $12,301 |
| Wisconsin | 1 | $91,554 | $11,376 |
| South Carolina | 2 | $86,030 | $8,845 |
| Texas | 4 | $82,510 | $8,256 |
| Virginia | 1 | $79,491 | $8,317 |
| Indiana | 1 | $78,987 | $11,252 |
| Alabama | 2 | $74,562 | $6,820 |
| North Carolina | 3 | $74,346 | $9,302 |
| New Jersey | 3 | $72,199 | $10,299 |
| Illinois | 2 | $71,333 | $10,810 |
| Georgia | 1 | $64,354 | $10,532 |
| Kentucky | 1 | $62,911 | $7,654 |
| Minnesota | 1 | $61,437 | $12,852 |
| Arizona | 2 | $61,240 | $9,774 |
| Kansas | 1 | $61,230 | $9,984 |
| Ohio | 1 | $60,718 | $9,357 |
| Michigan | 1 | $56,547 | $9,568 |
| Missouri | 1 | $49,477 | $10,893 |
| Massachusetts | 2 | $48,874 | $13,062 |
| Nebraska | 1 | $48,390 | $8,384 |
| Washington | 1 | $43,541 | $8,986 |
| Arkansas | 1 | $42,682 | $7,704 |
| Delaware | 1 | $35,370 | $9,081 |
| North Dakota | 1 | $35,081 | $9,282 |
| Maryland | 1 | $15,071 | $11,370 |
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.