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Malignant Breast Disorders with major complications
Medicare DRG 597. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$121,210
Avg total payment
$18,072
Avg Medicare pays
$13,326
Hospitals reporting
3
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 |
|---|---|---|---|
| Florida | 1 | $155,734 | $10,445 |
| New York | 1 | $150,854 | $17,460 |
| Indiana | 1 | $57,042 | $12,074 |
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.