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Medicare DRG 551. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$84,826
Avg total payment
$15,989
Avg Medicare pays
$13,209
Hospitals reporting
464
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 |
|---|---|---|---|
| Colorado | 3 | $148,088 | $10,420 |
| Nevada | 8 | $147,273 | $12,976 |
| California | 50 | $144,842 | $17,570 |
| New York | 30 | $111,594 | $15,989 |
| New Jersey | 17 | $109,240 | $14,121 |
| Florida | 45 | $99,455 | $11,310 |
| Georgia | 9 | $99,281 | $13,777 |
| District of Columbia | 1 | $95,706 | $15,510 |
| Texas | 34 | $95,041 | $11,669 |
| South Carolina | 7 | $92,697 | $11,415 |
| Kansas | 6 | $89,794 | $11,055 |
| Arizona | 8 | $84,085 | $12,654 |
| Pennsylvania | 22 | $81,217 | $12,074 |
| Alabama | 5 | $80,125 | $12,158 |
| Washington | 9 | $79,267 | $14,445 |
| Missouri | 12 | $73,411 | $11,411 |
| Tennessee | 13 | $71,032 | $11,210 |
| Virginia | 14 | $68,356 | $11,927 |
| Hawaii | 1 | $67,159 | $13,580 |
| Oregon | 2 | $66,009 | $18,080 |
| Louisiana | 2 | $64,930 | $10,925 |
| Illinois | 21 | $64,728 | $11,734 |
| Oklahoma | 5 | $64,069 | $11,730 |
| Idaho | 1 | $63,238 | $11,372 |
| Kentucky | 5 | $62,548 | $10,789 |
| Connecticut | 6 | $62,048 | $15,059 |
| New Hampshire | 5 | $61,569 | $12,805 |
| Indiana | 9 | $61,400 | $11,546 |
| Wisconsin | 5 | $61,332 | $11,687 |
| North Carolina | 13 | $58,206 | $11,925 |
| North Dakota | 2 | $57,610 | $13,141 |
| Maine | 1 | $57,387 | $11,207 |
| Arkansas | 2 | $56,356 | $9,773 |
| Iowa | 5 | $55,795 | $10,481 |
| Ohio | 16 | $54,023 | $11,694 |
| Delaware | 1 | $51,218 | $12,976 |
| Minnesota | 12 | $51,012 | $12,141 |
| Nebraska | 3 | $50,931 | $11,435 |
| West Virginia | 1 | $46,996 | $11,961 |
| Utah | 2 | $46,603 | $11,458 |
| South Dakota | 1 | $46,219 | $11,607 |
| Rhode Island | 1 | $44,576 | $15,342 |
| Michigan | 15 | $42,721 | $12,056 |
| Massachusetts | 19 | $41,889 | $14,956 |
| Vermont | 1 | $39,651 | $4,808 |
| New Mexico | 1 | $37,752 | $8,319 |
| Mississippi | 3 | $37,521 | $10,222 |
| Montana | 1 | $37,398 | $12,335 |
| Maryland | 9 | $27,855 | $23,412 |
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.