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Medicare DRG 386. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$52,357
Avg total payment
$9,888
Avg Medicare pays
$6,964
Hospitals reporting
67
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 | $118,881 | $8,361 |
| California | 3 | $118,240 | $9,147 |
| New Jersey | 4 | $89,220 | $6,625 |
| New York | 4 | $89,220 | $10,081 |
| Pennsylvania | 2 | $72,785 | $6,510 |
| Florida | 13 | $63,460 | $6,114 |
| Texas | 4 | $51,834 | $6,570 |
| Virginia | 2 | $49,472 | $5,368 |
| North Carolina | 2 | $38,046 | $7,026 |
| Ohio | 5 | $37,898 | $5,957 |
| Wisconsin | 2 | $37,618 | $6,917 |
| Arizona | 1 | $36,486 | $7,064 |
| Minnesota | 1 | $33,515 | $6,355 |
| Michigan | 4 | $32,497 | $6,367 |
| Alabama | 1 | $29,815 | $5,930 |
| Massachusetts | 8 | $29,242 | $8,418 |
| Kentucky | 1 | $29,149 | $6,067 |
| Missouri | 2 | $28,412 | $5,622 |
| South Carolina | 1 | $28,032 | $7,767 |
| Illinois | 3 | $27,270 | $5,842 |
| Indiana | 1 | $22,009 | $5,614 |
| Maryland | 2 | $10,670 | $8,197 |
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.