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Medicare DRG 375. 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 |
|---|---|---|---|
| Nevada | 1 | $157,959 | $10,092 |
| California | 24 | $101,911 | $12,903 |
| New York | 17 | $92,228 | $12,008 |
| New Jersey | 11 | $83,799 | $9,391 |
| Colorado | 1 | $79,316 | $8,155 |
| Texas | 11 | $78,305 | $8,348 |
| Pennsylvania | 10 | $71,435 | $8,149 |
| Florida | 17 | $67,096 | $8,262 |
| South Dakota | 1 | $63,061 | $8,776 |
| Kansas | 3 | $59,027 | $7,202 |
| Arizona | 3 | $58,442 | $8,132 |
| Connecticut | 2 | $58,381 | $11,210 |
| Hawaii | 1 | $58,234 | $10,635 |
| Georgia | 4 | $56,691 | $7,756 |
| Oregon | 1 | $56,504 | $12,832 |
| Oklahoma | 2 | $54,394 | $8,914 |
| Virginia | 11 | $53,812 | $8,017 |
| Illinois | 17 | $53,068 | $8,592 |
| Washington | 4 | $50,210 | $7,741 |
| West Virginia | 1 | $48,550 | $7,440 |
| Tennessee | 6 | $47,601 | $8,363 |
| Ohio | 4 | $47,160 | $7,782 |
| Wisconsin | 1 | $45,498 | $9,407 |
| Iowa | 1 | $45,067 | $7,112 |
| Alabama | 1 | $44,957 | $7,526 |
| Mississippi | 1 | $44,502 | $7,251 |
| Missouri | 2 | $43,287 | $8,817 |
| Kentucky | 2 | $42,709 | $7,382 |
| Delaware | 1 | $41,594 | $9,068 |
| North Dakota | 1 | $41,176 | $7,790 |
| Minnesota | 2 | $40,543 | $9,279 |
| Indiana | 4 | $40,516 | $7,634 |
| Louisiana | 2 | $38,844 | $6,913 |
| Michigan | 5 | $38,561 | $8,706 |
| North Carolina | 6 | $37,759 | $9,056 |
| Massachusetts | 10 | $34,711 | $10,223 |
| Utah | 1 | $31,033 | $11,333 |
| Nebraska | 1 | $30,805 | $7,992 |
| South Carolina | 3 | $30,754 | $8,776 |
| Maine | 1 | $28,814 | $8,272 |
| Maryland | 10 | $18,148 | $14,623 |
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.