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Medicare DRG 811. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$67,824
Avg total payment
$13,781
Avg Medicare pays
$11,404
Hospitals reporting
988
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 | 9 | $132,596 | $11,682 |
| Colorado | 3 | $124,274 | $11,857 |
| California | 76 | $109,978 | $15,051 |
| New Jersey | 40 | $105,452 | $11,992 |
| Florida | 96 | $89,468 | $10,154 |
| New York | 62 | $81,913 | $14,953 |
| Alaska | 2 | $79,492 | $10,817 |
| Kansas | 7 | $77,541 | $9,029 |
| Texas | 75 | $75,447 | $10,859 |
| Pennsylvania | 46 | $75,428 | $10,820 |
| Georgia | 38 | $69,293 | $12,001 |
| Oklahoma | 12 | $67,147 | $9,500 |
| Tennessee | 20 | $65,964 | $10,392 |
| Arizona | 10 | $63,683 | $10,088 |
| Missouri | 16 | $62,686 | $9,667 |
| District of Columbia | 4 | $60,675 | $13,399 |
| South Dakota | 3 | $59,904 | $10,743 |
| Washington | 24 | $58,725 | $10,620 |
| Illinois | 49 | $57,669 | $10,514 |
| Virginia | 36 | $57,338 | $10,173 |
| Idaho | 2 | $56,873 | $10,184 |
| Indiana | 20 | $56,490 | $10,147 |
| South Carolina | 20 | $56,316 | $9,475 |
| Delaware | 4 | $55,020 | $12,382 |
| Minnesota | 12 | $54,420 | $12,473 |
| Alabama | 9 | $52,578 | $8,928 |
| Ohio | 39 | $52,244 | $9,595 |
| Utah | 4 | $51,787 | $10,909 |
| Kentucky | 11 | $50,532 | $8,754 |
| New Hampshire | 9 | $50,114 | $10,597 |
| Louisiana | 12 | $49,615 | $8,920 |
| Connecticut | 14 | $49,532 | $13,431 |
| Vermont | 3 | $49,046 | $8,192 |
| Montana | 2 | $48,837 | $13,097 |
| Nebraska | 5 | $47,117 | $9,723 |
| North Carolina | 30 | $46,905 | $10,501 |
| Mississippi | 11 | $45,449 | $8,809 |
| Wisconsin | 10 | $44,885 | $10,079 |
| Iowa | 9 | $44,232 | $9,234 |
| West Virginia | 11 | $44,186 | $8,702 |
| Oregon | 8 | $43,037 | $12,091 |
| Michigan | 31 | $41,957 | $10,358 |
| Rhode Island | 3 | $41,861 | $12,203 |
| Arkansas | 12 | $40,947 | $9,344 |
| North Dakota | 3 | $38,901 | $10,093 |
| Maine | 2 | $38,216 | $11,905 |
| Massachusetts | 31 | $35,767 | $12,273 |
| New Mexico | 1 | $35,483 | $9,008 |
| Maryland | 32 | $21,052 | $17,209 |
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.