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Medicare DRG 652. 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 | 3 | $490,170 | $21,527 |
| Hawaii | 1 | $482,433 | $27,873 |
| California | 13 | $464,356 | $37,519 |
| Missouri | 4 | $453,583 | $22,706 |
| Pennsylvania | 8 | $439,526 | $24,957 |
| Louisiana | 3 | $418,571 | $20,866 |
| Kansas | 1 | $404,108 | $19,417 |
| Nevada | 1 | $396,875 | $24,569 |
| Georgia | 3 | $383,465 | $21,864 |
| Virginia | 5 | $379,404 | $21,760 |
| Oklahoma | 3 | $371,413 | $22,936 |
| Texas | 13 | $366,932 | $21,496 |
| New York | 10 | $363,199 | $31,273 |
| West Virginia | 1 | $359,237 | $22,704 |
| Kentucky | 2 | $348,165 | $16,431 |
| New Jersey | 4 | $347,029 | $24,724 |
| South Carolina | 3 | $345,173 | $20,954 |
| Florida | 8 | $344,307 | $25,150 |
| Nebraska | 1 | $334,509 | $19,897 |
| Indiana | 2 | $330,216 | $25,566 |
| Wisconsin | 2 | $319,991 | $18,560 |
| Tennessee | 4 | $314,966 | $19,343 |
| Illinois | 8 | $312,161 | $28,901 |
| Alabama | 1 | $305,629 | $19,681 |
| Washington | 4 | $303,412 | $23,181 |
| Maine | 1 | $288,447 | $21,903 |
| Utah | 2 | $284,939 | $23,296 |
| Ohio | 6 | $275,069 | $20,068 |
| District of Columbia | 1 | $272,262 | $26,166 |
| South Dakota | 2 | $271,593 | $17,043 |
| Massachusetts | 7 | $263,878 | $30,112 |
| Delaware | 1 | $255,103 | $26,005 |
| Oregon | 2 | $249,249 | $26,793 |
| Minnesota | 3 | $249,025 | $24,174 |
| Michigan | 5 | $241,116 | $23,194 |
| Iowa | 2 | $236,473 | $20,925 |
| Arizona | 2 | $236,152 | $18,538 |
| North Carolina | 5 | $234,599 | $22,666 |
| New Hampshire | 1 | $230,717 | $24,952 |
| Connecticut | 2 | $225,292 | $28,652 |
| Mississippi | 1 | $216,711 | $26,180 |
| New Mexico | 2 | $206,081 | $21,028 |
| Arkansas | 1 | $195,849 | $24,182 |
| North Dakota | 2 | $184,214 | $19,397 |
| Maryland | 2 | $142,911 | $120,760 |
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.