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Infectious and Parasitic Diseases with O.r. Procedures with major complications
Medicare DRG 853. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$215,856
Avg total payment
$44,940
Avg Medicare pays
$39,485
Hospitals reporting
1,776
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 | 16 | $432,445 | $40,732 |
| California | 192 | $341,961 | $54,458 |
| New Jersey | 52 | $313,015 | $42,696 |
| Florida | 136 | $296,122 | $34,331 |
| Alaska | 6 | $291,337 | $62,556 |
| Colorado | 28 | $286,501 | $37,868 |
| Texas | 134 | $274,972 | $35,591 |
| District of Columbia | 6 | $268,159 | $51,280 |
| New York | 87 | $231,382 | $52,500 |
| Arizona | 39 | $228,832 | $38,799 |
| Georgia | 53 | $222,214 | $36,834 |
| Pennsylvania | 80 | $209,660 | $36,481 |
| New Mexico | 8 | $209,545 | $42,109 |
| Alabama | 29 | $207,799 | $30,941 |
| Oklahoma | 21 | $191,859 | $33,175 |
| Washington | 38 | $190,634 | $40,811 |
| Louisiana | 26 | $190,407 | $33,291 |
| Tennessee | 38 | $187,515 | $31,136 |
| South Carolina | 31 | $183,508 | $32,654 |
| Mississippi | 22 | $178,710 | $31,227 |
| Kansas | 19 | $178,239 | $34,127 |
| Illinois | 78 | $175,375 | $39,102 |
| Connecticut | 21 | $173,477 | $45,503 |
| Missouri | 44 | $169,763 | $34,095 |
| Hawaii | 8 | $169,136 | $49,989 |
| Virginia | 43 | $168,307 | $34,526 |
| Idaho | 9 | $167,926 | $38,378 |
| Indiana | 37 | $165,967 | $34,426 |
| Kentucky | 26 | $164,751 | $32,887 |
| Wyoming | 2 | $159,154 | $49,227 |
| Utah | 12 | $156,807 | $33,017 |
| Minnesota | 20 | $156,771 | $41,342 |
| South Dakota | 5 | $155,326 | $39,098 |
| New Hampshire | 11 | $152,047 | $38,192 |
| Ohio | 69 | $150,875 | $32,813 |
| Maine | 5 | $150,518 | $41,663 |
| Oregon | 21 | $150,148 | $46,399 |
| Arkansas | 19 | $149,849 | $30,552 |
| Nebraska | 13 | $144,588 | $37,962 |
| North Carolina | 49 | $137,500 | $33,818 |
| Michigan | 54 | $137,014 | $36,576 |
| West Virginia | 13 | $136,302 | $32,280 |
| Rhode Island | 7 | $133,638 | $39,305 |
| Wisconsin | 32 | $133,158 | $35,242 |
| North Dakota | 6 | $126,212 | $37,307 |
| Vermont | 3 | $126,024 | $27,251 |
| Delaware | 5 | $123,984 | $41,196 |
| Iowa | 19 | $113,275 | $32,400 |
| Massachusetts | 39 | $106,350 | $43,858 |
| Montana | 8 | $105,927 | $39,673 |
| Maryland | 37 | $59,312 | $50,137 |
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.