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Inflammatory Bowel Disease with major complications
Medicare DRG 385. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$91,386
Avg total payment
$22,919
Avg Medicare pays
$13,987
Hospitals reporting
8
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 | 1 | $190,153 | $20,008 |
| Tennessee | 1 | $97,490 | $11,926 |
| District of Columbia | 1 | $92,877 | $13,673 |
| Florida | 1 | $89,922 | $10,057 |
| Arizona | 1 | $77,618 | $11,059 |
| Missouri | 1 | $68,752 | $16,153 |
| Ohio | 1 | $61,713 | $12,158 |
| Massachusetts | 1 | $52,565 | $16,859 |
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.