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Diabetes without with Complications/with major complications
Medicare DRG 639. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$35,514
Avg total payment
$7,331
Avg Medicare pays
$5,162
Hospitals reporting
12
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 | $94,493 | $12,507 |
| New York | 2 | $43,721 | $6,710 |
| Florida | 1 | $38,889 | $3,670 |
| Texas | 3 | $36,637 | $4,102 |
| Pennsylvania | 1 | $25,057 | $3,312 |
| North Carolina | 1 | $20,835 | $4,574 |
| Delaware | 1 | $19,536 | $4,248 |
| Kentucky | 1 | $17,970 | $3,905 |
| Massachusetts | 1 | $12,031 | $4,003 |
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.