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Soft Tissue Procedures with complications
Medicare DRG 501. 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 |
|---|---|---|---|
| California | 2 | $237,706 | $24,868 |
| Pennsylvania | 1 | $164,932 | $16,847 |
| New York | 4 | $146,548 | $19,573 |
| Kansas | 1 | $134,084 | $14,368 |
| New Jersey | 1 | $119,436 | $14,728 |
| Alabama | 1 | $117,381 | $12,141 |
| Missouri | 1 | $105,572 | $15,377 |
| Ohio | 1 | $105,421 | $14,678 |
| Florida | 1 | $101,242 | $13,933 |
| Virginia | 2 | $85,291 | $14,047 |
| Massachusetts | 4 | $80,120 | $18,012 |
| Tennessee | 2 | $79,189 | $11,523 |
| Oklahoma | 1 | $75,168 | $10,919 |
| Minnesota | 2 | $72,369 | $15,566 |
| Arizona | 1 | $61,584 | $12,695 |
| Oregon | 1 | $57,031 | $16,777 |
| Delaware | 1 | $50,146 | $13,071 |
| North Carolina | 1 | $48,213 | $13,502 |
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.