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Medicare DRG 394. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$47,234
Avg total payment
$9,251
Avg Medicare pays
$7,130
Hospitals reporting
1,003
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 | 14 | $101,878 | $7,336 |
| Alaska | 2 | $78,188 | $7,453 |
| California | 103 | $75,488 | $9,509 |
| Colorado | 9 | $73,139 | $6,734 |
| New Jersey | 38 | $69,869 | $7,316 |
| District of Columbia | 3 | $65,514 | $8,169 |
| Florida | 95 | $64,121 | $6,606 |
| Texas | 69 | $54,335 | $6,842 |
| New York | 55 | $53,967 | $8,622 |
| Kansas | 10 | $50,936 | $5,783 |
| Pennsylvania | 44 | $48,152 | $6,487 |
| Georgia | 28 | $46,079 | $7,851 |
| New Mexico | 3 | $45,721 | $5,392 |
| Arizona | 19 | $45,372 | $6,602 |
| Hawaii | 1 | $43,334 | $7,947 |
| South Dakota | 3 | $41,861 | $6,894 |
| Alabama | 15 | $41,527 | $5,806 |
| South Carolina | 18 | $41,013 | $6,358 |
| Washington | 17 | $40,803 | $7,005 |
| Connecticut | 12 | $40,358 | $8,234 |
| Oklahoma | 7 | $39,689 | $6,378 |
| Missouri | 17 | $39,600 | $6,083 |
| Illinois | 45 | $38,288 | $6,435 |
| Louisiana | 12 | $37,777 | $5,597 |
| Tennessee | 21 | $37,031 | $5,905 |
| Mississippi | 10 | $36,414 | $6,097 |
| Kentucky | 13 | $36,259 | $5,843 |
| Indiana | 26 | $35,560 | $6,388 |
| Vermont | 2 | $34,871 | $4,424 |
| New Hampshire | 6 | $34,198 | $6,693 |
| Virginia | 31 | $34,015 | $5,984 |
| Utah | 5 | $33,816 | $6,505 |
| Maine | 3 | $33,373 | $6,296 |
| Oregon | 7 | $33,094 | $7,827 |
| Wisconsin | 17 | $33,022 | $6,201 |
| North Carolina | 24 | $32,930 | $6,801 |
| Delaware | 3 | $32,740 | $6,464 |
| Ohio | 41 | $32,369 | $5,755 |
| Nebraska | 5 | $31,996 | $6,504 |
| West Virginia | 9 | $30,576 | $5,329 |
| Arkansas | 9 | $30,025 | $5,533 |
| Minnesota | 15 | $29,791 | $6,368 |
| Rhode Island | 5 | $27,877 | $7,213 |
| Michigan | 31 | $27,806 | $6,575 |
| Iowa | 9 | $27,363 | $5,657 |
| Idaho | 3 | $25,246 | $6,067 |
| Montana | 4 | $23,161 | $5,978 |
| North Dakota | 3 | $22,255 | $6,290 |
| Wyoming | 1 | $22,210 | $6,968 |
| Massachusetts | 34 | $21,661 | $7,553 |
| Maryland | 27 | $15,081 | $12,117 |
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.