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Complicated Peptic Ulcer with complications
Medicare DRG 381. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$62,609
Avg total payment
$10,501
Avg Medicare pays
$8,067
Hospitals reporting
34
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 York | 4 | $103,598 | $10,603 |
| California | 5 | $93,638 | $9,636 |
| New Jersey | 2 | $88,048 | $9,792 |
| Texas | 1 | $72,128 | $6,389 |
| Pennsylvania | 1 | $66,936 | $8,072 |
| Florida | 6 | $60,988 | $6,869 |
| Nevada | 1 | $53,034 | $8,073 |
| Ohio | 2 | $45,763 | $7,248 |
| Wisconsin | 1 | $45,560 | $9,001 |
| South Carolina | 1 | $43,019 | $6,685 |
| Minnesota | 1 | $41,417 | $10,702 |
| Tennessee | 1 | $39,392 | $6,576 |
| Mississippi | 1 | $36,329 | $5,569 |
| Kentucky | 1 | $34,632 | $6,116 |
| Illinois | 2 | $32,412 | $6,021 |
| New Mexico | 1 | $32,176 | $6,390 |
| Delaware | 1 | $31,012 | $8,111 |
| Massachusetts | 1 | $29,910 | $7,802 |
| Virginia | 1 | $22,223 | $6,872 |
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.