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Appendix Procedures without with Complications/with major complications
Medicare DRG 399. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$69,767
Avg total payment
$9,850
Avg Medicare pays
$6,541
Hospitals reporting
3
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 |
|---|---|---|---|
| Florida | 2 | $71,794 | $6,566 |
| Texas | 1 | $65,715 | $6,492 |
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.