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Medicare DRG 694. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$44,991
Avg total payment
$8,024
Avg Medicare pays
$5,681
Hospitals reporting
54
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 | 2 | $95,947 | $5,686 |
| New York | 8 | $61,500 | $7,126 |
| California | 3 | $55,332 | $7,325 |
| Florida | 15 | $54,871 | $4,913 |
| New Jersey | 3 | $54,381 | $5,020 |
| Michigan | 2 | $35,924 | $5,224 |
| Ohio | 1 | $34,443 | $4,680 |
| Virginia | 2 | $33,521 | $4,018 |
| North Carolina | 1 | $33,161 | $6,966 |
| Indiana | 1 | $32,463 | $5,319 |
| Texas | 1 | $29,954 | $4,421 |
| Minnesota | 1 | $28,916 | $5,113 |
| Vermont | 1 | $28,479 | $2,499 |
| Illinois | 2 | $26,824 | $5,241 |
| Pennsylvania | 1 | $26,049 | $4,170 |
| Massachusetts | 4 | $22,131 | $5,521 |
| West Virginia | 2 | $20,864 | $3,939 |
| Delaware | 1 | $18,677 | $5,443 |
| Maryland | 3 | $12,832 | $10,049 |
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.