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Medicare DRG 571. 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 |
|---|---|---|---|
| Georgia | 1 | $225,610 | $8,948 |
| New York | 2 | $133,706 | $17,837 |
| Massachusetts | 1 | $94,207 | $15,659 |
| Florida | 4 | $88,679 | $10,036 |
| Indiana | 1 | $87,850 | $13,629 |
| Pennsylvania | 1 | $86,291 | $11,991 |
| New Jersey | 1 | $82,198 | $11,993 |
| Kentucky | 1 | $73,731 | $9,017 |
| Texas | 2 | $65,533 | $12,138 |
| Hawaii | 1 | $58,185 | $14,405 |
| Ohio | 1 | $27,414 | $8,346 |
| Maryland | 1 | $15,299 | $12,952 |
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.