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Bone Diseases and Arthropathies without with major complications
Medicare DRG 554. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$37,250
Avg total payment
$8,637
Avg Medicare pays
$6,493
Hospitals reporting
199
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 | $88,334 | $7,416 |
| California | 13 | $65,914 | $8,113 |
| New Jersey | 16 | $61,398 | $6,807 |
| New York | 16 | $55,315 | $7,517 |
| Georgia | 1 | $52,938 | $17,019 |
| Connecticut | 2 | $49,993 | $7,889 |
| Florida | 14 | $47,799 | $5,421 |
| District of Columbia | 2 | $40,725 | $6,853 |
| Pennsylvania | 15 | $40,424 | $5,641 |
| Kansas | 2 | $39,635 | $5,174 |
| Arizona | 5 | $37,733 | $5,447 |
| Virginia | 5 | $37,647 | $4,939 |
| Texas | 3 | $36,597 | $6,076 |
| Hawaii | 1 | $35,269 | $6,266 |
| Washington | 2 | $35,165 | $5,886 |
| Illinois | 19 | $33,492 | $5,685 |
| Utah | 1 | $30,989 | $7,800 |
| Tennessee | 2 | $30,789 | $4,984 |
| Mississippi | 1 | $30,764 | $4,540 |
| Wisconsin | 3 | $30,435 | $6,128 |
| North Carolina | 4 | $28,724 | $5,805 |
| Ohio | 6 | $28,578 | $5,333 |
| Kentucky | 3 | $28,218 | $5,041 |
| Minnesota | 4 | $27,638 | $5,688 |
| Maine | 1 | $24,738 | $6,608 |
| Rhode Island | 2 | $24,666 | $6,920 |
| South Dakota | 1 | $23,601 | $5,725 |
| Indiana | 4 | $23,344 | $5,140 |
| Delaware | 1 | $22,548 | $5,590 |
| Michigan | 8 | $22,156 | $5,529 |
| Missouri | 6 | $21,604 | $5,286 |
| Alabama | 1 | $19,644 | $5,127 |
| Nebraska | 2 | $19,299 | $4,963 |
| Massachusetts | 16 | $19,094 | $6,402 |
| Maryland | 16 | $12,622 | $9,813 |
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.