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Medicare DRG 813. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$85,249
Avg total payment
$18,225
Avg Medicare pays
$15,258
Hospitals reporting
480
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 |
|---|---|---|---|
| Alaska | 1 | $284,305 | $86,679 |
| Missouri | 10 | $170,439 | $27,706 |
| Nevada | 6 | $149,125 | $12,925 |
| Pennsylvania | 23 | $134,543 | $17,610 |
| Virginia | 15 | $133,162 | $16,155 |
| Iowa | 4 | $123,361 | $33,175 |
| Indiana | 10 | $122,333 | $37,916 |
| California | 36 | $117,534 | $16,998 |
| Colorado | 6 | $108,247 | $16,367 |
| New York | 33 | $104,503 | $16,655 |
| Texas | 20 | $102,407 | $12,264 |
| New Jersey | 31 | $100,357 | $12,998 |
| Kansas | 5 | $94,876 | $11,616 |
| Hawaii | 1 | $94,150 | $11,952 |
| Louisiana | 4 | $85,461 | $13,624 |
| Georgia | 12 | $85,063 | $13,706 |
| Florida | 44 | $77,172 | $11,812 |
| Oklahoma | 5 | $76,140 | $14,293 |
| South Carolina | 10 | $75,723 | $16,227 |
| Arizona | 10 | $67,679 | $13,294 |
| Illinois | 28 | $67,336 | $12,786 |
| Delaware | 4 | $65,429 | $14,944 |
| Utah | 3 | $65,114 | $18,695 |
| Ohio | 17 | $65,051 | $11,733 |
| North Carolina | 9 | $64,719 | $13,644 |
| Tennessee | 10 | $64,530 | $10,068 |
| West Virginia | 1 | $62,898 | $11,560 |
| Oregon | 3 | $62,703 | $14,301 |
| Washington | 9 | $61,430 | $12,272 |
| Connecticut | 12 | $59,279 | $14,545 |
| Minnesota | 9 | $58,581 | $12,920 |
| South Dakota | 3 | $53,122 | $14,773 |
| Kentucky | 3 | $52,288 | $10,914 |
| Arkansas | 4 | $51,688 | $10,208 |
| Wisconsin | 7 | $48,189 | $12,446 |
| Michigan | 13 | $47,431 | $12,223 |
| Alabama | 2 | $47,287 | $9,478 |
| Mississippi | 6 | $46,968 | $10,929 |
| New Mexico | 1 | $45,445 | $10,372 |
| New Hampshire | 4 | $44,631 | $12,056 |
| Idaho | 3 | $43,946 | $11,199 |
| Massachusetts | 24 | $43,405 | $15,584 |
| Rhode Island | 2 | $39,885 | $13,286 |
| Montana | 2 | $36,550 | $11,074 |
| Maine | 1 | $35,228 | $11,455 |
| North Dakota | 3 | $32,791 | $11,121 |
| Maryland | 10 | $31,320 | $26,903 |
| Nebraska | 1 | $28,402 | $10,336 |
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.