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Other Endocrine, Nutritional and Metabolic O.r. Procedures with major complications
Medicare DRG 628. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$208,190
Avg total payment
$41,720
Avg Medicare pays
$33,743
Hospitals reporting
7
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 | 1 | $467,912 | $52,604 |
| New York | 1 | $358,944 | $52,387 |
| Florida | 1 | $164,816 | $24,386 |
| Texas | 1 | $154,401 | $28,497 |
| Oklahoma | 1 | $117,233 | $24,933 |
| Kentucky | 1 | $105,139 | $26,964 |
| North Carolina | 1 | $88,888 | $26,430 |
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.