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Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
Medicare DRG 809. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$69,776
Avg total payment
$14,582
Avg Medicare pays
$10,896
Hospitals reporting
203
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 | 2 | $143,473 | $12,764 |
| California | 14 | $123,406 | $15,068 |
| Nevada | 2 | $111,226 | $9,580 |
| Pennsylvania | 11 | $101,600 | $11,330 |
| New York | 13 | $100,114 | $11,579 |
| Tennessee | 5 | $90,196 | $10,070 |
| New Jersey | 13 | $88,389 | $9,772 |
| Kansas | 1 | $83,693 | $10,572 |
| Texas | 11 | $78,445 | $9,315 |
| Missouri | 3 | $73,362 | $10,535 |
| Florida | 15 | $72,756 | $9,171 |
| Ohio | 6 | $72,073 | $9,725 |
| Virginia | 6 | $71,060 | $11,425 |
| Georgia | 5 | $66,220 | $10,978 |
| Indiana | 4 | $62,499 | $9,458 |
| Oklahoma | 4 | $58,998 | $8,739 |
| Illinois | 7 | $58,118 | $10,964 |
| Arizona | 3 | $56,548 | $10,798 |
| Oregon | 2 | $54,332 | $11,752 |
| Kentucky | 3 | $54,156 | $8,090 |
| South Carolina | 4 | $51,909 | $8,951 |
| Vermont | 1 | $51,359 | $5,271 |
| Massachusetts | 10 | $50,914 | $13,998 |
| Minnesota | 5 | $50,856 | $10,623 |
| Idaho | 1 | $50,577 | $8,907 |
| North Carolina | 8 | $49,570 | $11,403 |
| Rhode Island | 1 | $48,744 | $8,763 |
| Wisconsin | 2 | $48,517 | $10,293 |
| South Dakota | 1 | $48,507 | $8,693 |
| Iowa | 1 | $46,219 | $9,673 |
| North Dakota | 2 | $45,490 | $9,132 |
| Connecticut | 2 | $45,164 | $11,872 |
| New Hampshire | 2 | $44,902 | $8,524 |
| Louisiana | 4 | $44,064 | $7,361 |
| Washington | 1 | $42,857 | $9,074 |
| Nebraska | 2 | $42,201 | $8,395 |
| Michigan | 5 | $41,331 | $9,933 |
| Delaware | 2 | $41,083 | $8,889 |
| West Virginia | 1 | $39,021 | $8,533 |
| District of Columbia | 1 | $37,529 | $8,685 |
| Alabama | 1 | $37,259 | $8,702 |
| Mississippi | 3 | $35,115 | $9,150 |
| Arkansas | 4 | $34,915 | $8,131 |
| Maryland | 9 | $21,607 | $17,819 |
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.