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Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with major complications
Medicare DRG 542. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$90,192
Avg total payment
$18,565
Avg Medicare pays
$15,086
Hospitals reporting
183
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 | 13 | $187,041 | $20,970 |
| Alaska | 1 | $183,781 | $17,678 |
| Pennsylvania | 9 | $155,567 | $17,235 |
| New York | 13 | $148,529 | $19,898 |
| Colorado | 4 | $146,524 | $13,201 |
| Texas | 5 | $128,337 | $13,669 |
| Nevada | 2 | $126,238 | $14,083 |
| New Jersey | 7 | $120,336 | $15,622 |
| Iowa | 1 | $114,216 | $15,032 |
| District of Columbia | 1 | $112,213 | $18,912 |
| Connecticut | 1 | $93,331 | $20,031 |
| Florida | 15 | $88,999 | $12,466 |
| Kansas | 2 | $83,592 | $11,737 |
| Arizona | 8 | $83,529 | $12,469 |
| Delaware | 1 | $77,654 | $14,550 |
| Georgia | 2 | $71,176 | $13,204 |
| North Dakota | 1 | $70,885 | $14,669 |
| Kentucky | 2 | $70,722 | $11,139 |
| Michigan | 5 | $68,549 | $13,093 |
| South Dakota | 1 | $67,391 | $12,552 |
| Maryland | 1 | $66,696 | $52,737 |
| Illinois | 13 | $65,430 | $13,210 |
| Tennessee | 4 | $63,160 | $12,265 |
| Ohio | 6 | $59,707 | $12,295 |
| North Carolina | 4 | $58,629 | $14,632 |
| Oregon | 3 | $57,335 | $16,902 |
| New Hampshire | 2 | $57,264 | $15,283 |
| Missouri | 5 | $57,199 | $13,468 |
| Wisconsin | 5 | $57,163 | $13,102 |
| South Carolina | 3 | $56,200 | $12,507 |
| Oklahoma | 1 | $54,816 | $11,805 |
| Washington | 5 | $54,142 | $14,215 |
| Minnesota | 6 | $52,829 | $14,524 |
| Mississippi | 1 | $52,656 | $14,260 |
| Utah | 1 | $51,441 | $16,182 |
| Idaho | 1 | $50,605 | $11,702 |
| Virginia | 5 | $49,853 | $12,396 |
| New Mexico | 3 | $48,742 | $15,292 |
| Massachusetts | 15 | $48,060 | $15,957 |
| Rhode Island | 1 | $47,285 | $14,864 |
| Indiana | 2 | $46,282 | $11,334 |
| Nebraska | 1 | $33,394 | $10,760 |
| Arkansas | 1 | $27,120 | $12,695 |
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.