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Complicated Peptic Ulcer with major complications
Medicare DRG 380. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$108,078
Avg total payment
$21,032
Avg Medicare pays
$16,967
Hospitals reporting
48
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 |
|---|---|---|---|
| New Jersey | 2 | $182,129 | $18,489 |
| New York | 3 | $165,741 | $19,539 |
| California | 10 | $163,166 | $22,271 |
| Florida | 1 | $161,564 | $13,138 |
| Kansas | 1 | $126,257 | $15,243 |
| Texas | 6 | $118,756 | $13,332 |
| Missouri | 1 | $111,592 | $14,566 |
| Nevada | 1 | $89,798 | $15,619 |
| Massachusetts | 2 | $84,592 | $21,528 |
| Illinois | 2 | $83,169 | $17,926 |
| Idaho | 1 | $82,386 | $13,121 |
| Oregon | 2 | $80,621 | $19,548 |
| Minnesota | 1 | $78,101 | $19,094 |
| Wisconsin | 1 | $72,632 | $15,302 |
| Arkansas | 1 | $71,156 | $12,567 |
| Pennsylvania | 1 | $67,858 | $12,581 |
| Indiana | 1 | $66,483 | $12,623 |
| Oklahoma | 1 | $62,931 | $11,962 |
| Iowa | 1 | $61,541 | $14,842 |
| Kentucky | 1 | $59,825 | $10,926 |
| Virginia | 2 | $56,632 | $13,547 |
| North Carolina | 1 | $51,058 | $14,400 |
| Arizona | 1 | $49,564 | $15,616 |
| Delaware | 1 | $48,214 | $15,639 |
| South Carolina | 1 | $46,262 | $14,384 |
| New Mexico | 1 | $37,100 | $10,191 |
| Maryland | 1 | $27,697 | $19,198 |
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.