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Medicare DRG 398. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$83,317
Avg total payment
$14,063
Avg Medicare pays
$10,749
Hospitals reporting
15
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 | 2 | $123,660 | $16,753 |
| California | 1 | $108,522 | $14,096 |
| Texas | 3 | $98,055 | $9,159 |
| Louisiana | 1 | $93,148 | $9,063 |
| Florida | 4 | $80,257 | $9,662 |
| Arizona | 1 | $47,718 | $11,540 |
| North Carolina | 1 | $47,213 | $10,181 |
| Tennessee | 1 | $46,791 | $8,884 |
| Illinois | 1 | $43,851 | $7,838 |
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.