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Medicare DRG 698. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$69,404
Avg total payment
$14,844
Avg Medicare pays
$12,789
Hospitals reporting
1,790
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 | 17 | $145,366 | $13,300 |
| New Jersey | 51 | $113,507 | $13,826 |
| California | 177 | $113,289 | $17,008 |
| District of Columbia | 4 | $100,561 | $15,255 |
| Colorado | 29 | $99,845 | $12,241 |
| Florida | 134 | $91,534 | $11,446 |
| Texas | 136 | $88,256 | $12,339 |
| Alaska | 3 | $86,784 | $19,959 |
| Arizona | 33 | $73,681 | $12,453 |
| New York | 99 | $72,690 | $16,139 |
| Alabama | 27 | $71,820 | $10,130 |
| Pennsylvania | 81 | $71,069 | $11,885 |
| New Mexico | 8 | $69,582 | $12,350 |
| Georgia | 56 | $66,278 | $12,052 |
| Kansas | 17 | $64,639 | $10,431 |
| Tennessee | 40 | $64,636 | $10,238 |
| Missouri | 39 | $60,693 | $11,449 |
| Washington | 39 | $60,410 | $12,928 |
| Idaho | 8 | $60,301 | $11,414 |
| South Carolina | 35 | $59,143 | $11,175 |
| Louisiana | 25 | $57,821 | $10,631 |
| Oklahoma | 23 | $56,759 | $11,363 |
| Illinois | 78 | $56,217 | $11,999 |
| Mississippi | 20 | $54,816 | $10,662 |
| Hawaii | 5 | $54,718 | $16,989 |
| Indiana | 42 | $53,151 | $11,060 |
| Kentucky | 26 | $52,241 | $10,531 |
| Connecticut | 21 | $52,213 | $14,564 |
| Arkansas | 20 | $51,486 | $10,465 |
| South Dakota | 4 | $51,344 | $11,960 |
| Virginia | 49 | $50,650 | $11,390 |
| Utah | 10 | $48,357 | $10,984 |
| West Virginia | 12 | $48,337 | $10,699 |
| Oregon | 20 | $48,318 | $14,311 |
| New Hampshire | 12 | $48,033 | $12,113 |
| Ohio | 73 | $47,468 | $11,093 |
| Nebraska | 13 | $46,837 | $11,323 |
| Wyoming | 2 | $46,716 | $16,020 |
| Delaware | 6 | $46,659 | $12,382 |
| Michigan | 50 | $45,753 | $11,880 |
| Rhode Island | 5 | $44,394 | $12,698 |
| Maine | 6 | $44,091 | $12,295 |
| North Carolina | 52 | $43,463 | $11,617 |
| Minnesota | 27 | $42,773 | $12,960 |
| Wisconsin | 36 | $42,773 | $11,317 |
| Iowa | 20 | $41,111 | $10,663 |
| North Dakota | 6 | $37,139 | $11,551 |
| Vermont | 4 | $36,442 | $6,160 |
| Massachusetts | 46 | $33,358 | $13,972 |
| Montana | 8 | $33,251 | $12,109 |
| Maryland | 36 | $23,866 | $20,299 |
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.