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Medicare DRG 638. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$42,425
Avg total payment
$9,130
Avg Medicare pays
$6,939
Hospitals reporting
1,191
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 | $87,992 | $6,953 |
| New Jersey | 45 | $79,980 | $7,259 |
| California | 113 | $67,932 | $9,081 |
| Colorado | 5 | $60,791 | $6,315 |
| Alaska | 2 | $59,570 | $8,646 |
| Florida | 100 | $55,322 | $6,217 |
| District of Columbia | 5 | $49,746 | $8,399 |
| New York | 76 | $49,308 | $8,871 |
| Texas | 82 | $48,658 | $8,905 |
| Arizona | 21 | $46,149 | $6,540 |
| Pennsylvania | 60 | $41,958 | $6,017 |
| Washington | 17 | $41,838 | $6,511 |
| Maine | 3 | $41,371 | $5,903 |
| Kansas | 10 | $39,042 | $5,557 |
| Georgia | 36 | $38,820 | $6,961 |
| Oklahoma | 18 | $38,801 | $6,065 |
| Wyoming | 3 | $37,814 | $7,655 |
| Tennessee | 26 | $37,437 | $5,547 |
| Missouri | 24 | $36,804 | $5,986 |
| South Carolina | 23 | $35,996 | $5,862 |
| Illinois | 55 | $35,445 | $6,208 |
| South Dakota | 3 | $34,765 | $6,471 |
| Indiana | 27 | $34,757 | $5,750 |
| Louisiana | 15 | $34,535 | $5,280 |
| Wisconsin | 11 | $33,461 | $6,074 |
| Hawaii | 2 | $33,415 | $8,806 |
| Virginia | 30 | $32,891 | $5,801 |
| Alabama | 19 | $32,624 | $5,339 |
| Connecticut | 14 | $32,453 | $7,308 |
| Kentucky | 14 | $32,413 | $5,259 |
| Utah | 5 | $31,401 | $6,549 |
| New Hampshire | 7 | $30,428 | $6,408 |
| Idaho | 4 | $30,330 | $6,001 |
| Ohio | 56 | $30,004 | $5,434 |
| Minnesota | 15 | $29,483 | $6,127 |
| Iowa | 9 | $29,004 | $5,418 |
| Rhode Island | 3 | $28,657 | $6,953 |
| New Mexico | 6 | $28,478 | $7,114 |
| Oregon | 9 | $28,407 | $7,166 |
| Delaware | 3 | $28,255 | $6,031 |
| Mississippi | 14 | $27,066 | $5,430 |
| North Carolina | 37 | $26,704 | $6,159 |
| Vermont | 3 | $26,246 | $4,399 |
| Michigan | 40 | $26,120 | $6,002 |
| Arkansas | 14 | $25,263 | $5,220 |
| West Virginia | 10 | $24,228 | $5,130 |
| Nebraska | 6 | $23,856 | $5,943 |
| Montana | 4 | $23,430 | $6,196 |
| North Dakota | 2 | $23,093 | $5,842 |
| Massachusetts | 38 | $20,953 | $7,224 |
| Maryland | 34 | $13,644 | $10,715 |
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.