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Hepatobiliary Diagnostic Procedures with major complications
Medicare DRG 420. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$148,366
Avg total payment
$34,159
Avg Medicare pays
$24,373
Hospitals reporting
2
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 Jersey | 1 | $222,022 | $25,224 |
| North Carolina | 1 | $74,709 | $23,522 |
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.