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Diabetes with major complications
Medicare DRG 637. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$68,206
Avg total payment
$13,803
Avg Medicare pays
$11,349
Hospitals reporting
1,055
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 |
|---|---|---|---|
| Nevada | 13 | $131,285 | $11,317 |
| Colorado | 9 | $115,323 | $10,477 |
| District of Columbia | 4 | $110,558 | $14,050 |
| California | 118 | $107,054 | $14,623 |
| New Jersey | 40 | $99,486 | $11,957 |
| Alaska | 2 | $96,553 | $14,244 |
| Florida | 92 | $84,102 | $9,974 |
| New York | 61 | $81,335 | $15,219 |
| Texas | 85 | $77,413 | $10,322 |
| Hawaii | 1 | $72,388 | $13,039 |
| New Mexico | 6 | $71,546 | $11,847 |
| Pennsylvania | 39 | $69,194 | $10,254 |
| Connecticut | 9 | $67,105 | $13,821 |
| Georgia | 40 | $65,237 | $10,938 |
| Oklahoma | 14 | $64,496 | $9,681 |
| Washington | 20 | $63,137 | $11,373 |
| Maine | 2 | $62,815 | $11,421 |
| Kansas | 11 | $61,536 | $9,373 |
| Arizona | 15 | $60,694 | $10,251 |
| South Carolina | 18 | $60,286 | $9,834 |
| Missouri | 23 | $60,098 | $9,922 |
| Wisconsin | 11 | $55,993 | $10,651 |
| South Dakota | 3 | $55,084 | $10,501 |
| Illinois | 49 | $54,832 | $10,361 |
| Virginia | 32 | $54,121 | $9,965 |
| Ohio | 39 | $52,854 | $9,727 |
| Minnesota | 15 | $52,502 | $11,185 |
| North Dakota | 1 | $52,497 | $10,922 |
| Kentucky | 10 | $52,349 | $8,730 |
| Indiana | 21 | $50,649 | $9,866 |
| Louisiana | 10 | $49,915 | $8,532 |
| Wyoming | 1 | $49,342 | $14,551 |
| Tennessee | 25 | $48,581 | $8,898 |
| Alabama | 15 | $47,412 | $8,922 |
| Oregon | 8 | $47,097 | $12,356 |
| Rhode Island | 3 | $46,595 | $12,151 |
| Utah | 5 | $46,405 | $10,586 |
| Delaware | 4 | $45,805 | $10,994 |
| New Hampshire | 6 | $45,708 | $10,338 |
| Iowa | 6 | $45,285 | $9,382 |
| Idaho | 2 | $43,921 | $9,234 |
| Vermont | 2 | $43,047 | $7,479 |
| West Virginia | 10 | $42,821 | $8,620 |
| North Carolina | 28 | $42,363 | $10,090 |
| Mississippi | 13 | $42,338 | $9,169 |
| Michigan | 35 | $41,051 | $10,570 |
| Arkansas | 13 | $40,090 | $8,630 |
| Nebraska | 5 | $39,733 | $10,559 |
| Massachusetts | 31 | $34,600 | $12,211 |
| Montana | 3 | $27,979 | $10,223 |
| Maryland | 27 | $23,525 | $19,482 |
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.