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Medicare DRG 433. What hospitals charge and what Medicare pays, 2024.
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 | $123,441 | $9,605 |
| New York | 8 | $108,543 | $10,781 |
| New Jersey | 7 | $86,405 | $9,841 |
| California | 18 | $83,617 | $12,010 |
| Pennsylvania | 9 | $83,349 | $7,837 |
| Kansas | 1 | $70,433 | $7,027 |
| Texas | 18 | $63,757 | $8,195 |
| Oklahoma | 1 | $60,816 | $6,589 |
| Colorado | 1 | $60,523 | $6,851 |
| Georgia | 2 | $59,903 | $7,205 |
| Florida | 17 | $57,255 | $7,304 |
| Connecticut | 1 | $56,377 | $10,096 |
| Wisconsin | 2 | $55,950 | $8,592 |
| Virginia | 7 | $53,706 | $7,738 |
| Alabama | 4 | $44,978 | $6,441 |
| South Carolina | 4 | $44,967 | $7,471 |
| West Virginia | 3 | $42,992 | $6,837 |
| Missouri | 5 | $42,688 | $7,991 |
| Ohio | 10 | $42,587 | $7,005 |
| Illinois | 7 | $40,465 | $7,540 |
| Indiana | 5 | $39,322 | $7,544 |
| Louisiana | 2 | $37,724 | $6,973 |
| Michigan | 6 | $37,089 | $7,231 |
| Tennessee | 3 | $36,561 | $7,014 |
| Utah | 1 | $34,854 | $4,582 |
| Delaware | 2 | $34,084 | $7,355 |
| Kentucky | 4 | $34,067 | $6,509 |
| North Carolina | 6 | $33,872 | $7,872 |
| Maine | 1 | $32,597 | $7,814 |
| New Mexico | 1 | $31,330 | $5,565 |
| Mississippi | 3 | $28,221 | $6,921 |
| Massachusetts | 12 | $27,909 | $8,746 |
| Arkansas | 2 | $21,299 | $6,323 |
| Maryland | 1 | $13,736 | $11,750 |
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.