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Medicare DRG 838. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$83,091
Avg total payment
$26,280
Avg Medicare pays
$20,814
Hospitals reporting
30
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 |
|---|---|---|---|
| Texas | 1 | $248,039 | $14,923 |
| Pennsylvania | 2 | $116,852 | $19,053 |
| California | 2 | $116,516 | $26,660 |
| New York | 1 | $112,737 | $22,865 |
| Alabama | 1 | $106,270 | $13,376 |
| Wisconsin | 1 | $98,275 | $18,231 |
| Nebraska | 1 | $94,379 | $16,743 |
| Missouri | 1 | $92,333 | $19,977 |
| Illinois | 2 | $90,869 | $19,046 |
| Ohio | 1 | $88,048 | $14,595 |
| Connecticut | 1 | $75,095 | $20,067 |
| Massachusetts | 2 | $72,338 | $21,800 |
| Oregon | 1 | $72,314 | $22,410 |
| Mississippi | 1 | $70,915 | $18,828 |
| Minnesota | 1 | $69,308 | $18,060 |
| Georgia | 1 | $61,988 | $18,463 |
| Maryland | 2 | $57,838 | $49,813 |
| North Carolina | 2 | $56,945 | $20,779 |
| North Dakota | 1 | $50,183 | $13,811 |
| Tennessee | 2 | $50,010 | $14,224 |
| South Carolina | 1 | $49,589 | $17,417 |
| Washington | 1 | $42,972 | $17,556 |
| Florida | 1 | $37,563 | $14,339 |
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.