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Medicare DRG 621. 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 |
|---|---|---|---|
| Colorado | 1 | $181,897 | $8,272 |
| Florida | 3 | $150,949 | $9,117 |
| South Carolina | 3 | $130,618 | $10,556 |
| Louisiana | 1 | $110,629 | $8,645 |
| New York | 2 | $108,707 | $12,486 |
| Georgia | 1 | $105,398 | $10,679 |
| Arizona | 1 | $103,806 | $8,863 |
| Kansas | 1 | $94,734 | $7,571 |
| Washington | 4 | $94,026 | $9,510 |
| Indiana | 1 | $90,976 | $9,406 |
| California | 8 | $86,894 | $13,280 |
| Utah | 1 | $85,191 | $6,648 |
| West Virginia | 1 | $84,888 | $8,029 |
| Texas | 7 | $83,249 | $8,981 |
| Nevada | 2 | $78,312 | $10,370 |
| Kentucky | 2 | $77,328 | $7,322 |
| Tennessee | 1 | $75,490 | $9,393 |
| Idaho | 1 | $73,765 | $6,337 |
| Oklahoma | 2 | $64,281 | $8,211 |
| New Jersey | 3 | $63,052 | $13,265 |
| Arkansas | 3 | $56,137 | $8,552 |
| North Carolina | 2 | $55,982 | $9,239 |
| Illinois | 3 | $51,350 | $10,298 |
| Ohio | 2 | $51,017 | $9,905 |
| Montana | 1 | $48,657 | $9,874 |
| Delaware | 1 | $47,487 | $9,960 |
| Oregon | 1 | $43,733 | $10,915 |
| Virginia | 1 | $43,256 | $6,840 |
| New Hampshire | 1 | $42,667 | $9,032 |
| Missouri | 3 | $41,779 | $9,311 |
| Wisconsin | 1 | $36,046 | $10,877 |
| Massachusetts | 3 | $34,250 | $10,603 |
| Pennsylvania | 1 | $32,600 | $7,701 |
| Mississippi | 1 | $30,557 | $8,678 |
| Maryland | 4 | $20,078 | $15,262 |
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.