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Medicare DRG 580. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$95,988
Avg total payment
$19,080
Avg Medicare pays
$13,536
Hospitals reporting
84
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 | 8 | $176,649 | $17,402 |
| Louisiana | 2 | $157,977 | $16,503 |
| New Jersey | 2 | $142,968 | $12,065 |
| Nevada | 2 | $141,669 | $15,223 |
| Pennsylvania | 2 | $134,154 | $14,115 |
| Illinois | 1 | $124,744 | $11,161 |
| Florida | 8 | $115,096 | $11,764 |
| Texas | 2 | $113,691 | $11,007 |
| New York | 7 | $113,489 | $15,832 |
| Alabama | 1 | $103,039 | $12,660 |
| Kansas | 1 | $102,434 | $12,860 |
| Tennessee | 1 | $100,767 | $12,742 |
| Arizona | 2 | $95,775 | $12,540 |
| Washington | 1 | $91,609 | $16,449 |
| Colorado | 1 | $84,551 | $11,974 |
| South Carolina | 2 | $83,138 | $15,065 |
| Virginia | 3 | $80,179 | $12,713 |
| Georgia | 1 | $78,914 | $14,039 |
| Michigan | 4 | $78,267 | $12,714 |
| Massachusetts | 3 | $70,822 | $17,276 |
| Oklahoma | 4 | $69,314 | $11,868 |
| Minnesota | 2 | $67,122 | $15,503 |
| Kentucky | 2 | $66,769 | $12,047 |
| South Dakota | 1 | $64,875 | $11,866 |
| Ohio | 4 | $63,191 | $11,331 |
| Arkansas | 1 | $62,400 | $12,769 |
| Rhode Island | 1 | $62,392 | $15,331 |
| Mississippi | 1 | $62,001 | $7,972 |
| North Carolina | 4 | $58,701 | $11,533 |
| Wisconsin | 2 | $56,710 | $12,274 |
| Missouri | 2 | $55,442 | $13,354 |
| Indiana | 1 | $46,800 | $8,417 |
| Delaware | 1 | $45,312 | $13,746 |
| North Dakota | 1 | $44,477 | $10,782 |
| Nebraska | 1 | $40,812 | $9,885 |
| Utah | 1 | $39,239 | $15,031 |
| Maryland | 1 | $18,558 | $16,064 |
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.