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Infectious and Parasitic Diseases with O.r. Procedures with complications
Medicare DRG 854. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$100,695
Avg total payment
$18,974
Avg Medicare pays
$15,140
Hospitals reporting
719
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 | 4 | $195,401 | $17,378 |
| District of Columbia | 2 | $167,178 | $22,587 |
| California | 80 | $163,577 | $20,333 |
| Florida | 52 | $158,688 | $13,638 |
| Alaska | 2 | $148,924 | $20,488 |
| Colorado | 7 | $131,169 | $13,934 |
| Texas | 58 | $129,519 | $15,471 |
| New Jersey | 26 | $126,452 | $15,679 |
| New York | 35 | $109,614 | $18,137 |
| New Hampshire | 4 | $108,255 | $17,286 |
| South Carolina | 14 | $104,460 | $12,693 |
| Georgia | 18 | $103,998 | $13,568 |
| Arizona | 18 | $102,758 | $15,185 |
| Pennsylvania | 27 | $97,680 | $14,083 |
| Washington | 14 | $94,563 | $15,002 |
| Hawaii | 1 | $92,497 | $15,073 |
| Kansas | 9 | $89,839 | $12,685 |
| Louisiana | 11 | $87,410 | $11,908 |
| Illinois | 34 | $84,851 | $13,763 |
| Virginia | 32 | $84,228 | $13,062 |
| Alabama | 7 | $83,798 | $12,205 |
| Wyoming | 1 | $82,677 | $21,278 |
| West Virginia | 6 | $79,407 | $13,029 |
| Indiana | 16 | $78,498 | $13,828 |
| Ohio | 22 | $73,025 | $12,075 |
| Connecticut | 4 | $72,007 | $19,682 |
| Maine | 1 | $71,892 | $14,562 |
| Oklahoma | 10 | $71,863 | $13,553 |
| South Dakota | 3 | $70,920 | $15,430 |
| Mississippi | 8 | $70,378 | $11,871 |
| Tennessee | 20 | $70,307 | $11,716 |
| Delaware | 3 | $70,141 | $15,339 |
| Arkansas | 11 | $69,398 | $12,726 |
| Missouri | 16 | $69,195 | $12,744 |
| Idaho | 4 | $67,818 | $14,112 |
| North Carolina | 17 | $67,176 | $13,689 |
| Vermont | 1 | $65,962 | $10,419 |
| Nebraska | 3 | $65,333 | $14,083 |
| Oregon | 7 | $65,204 | $16,769 |
| Kentucky | 11 | $63,067 | $11,359 |
| Minnesota | 11 | $62,763 | $13,976 |
| Wisconsin | 7 | $60,764 | $13,450 |
| Utah | 3 | $60,506 | $13,598 |
| Michigan | 20 | $58,542 | $14,194 |
| New Mexico | 3 | $56,810 | $17,367 |
| Iowa | 11 | $53,555 | $13,165 |
| North Dakota | 4 | $50,941 | $13,887 |
| Montana | 5 | $48,910 | $13,888 |
| Massachusetts | 15 | $44,278 | $16,892 |
| Maryland | 21 | $26,523 | $21,819 |
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.