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Postoperative or Post-traumatic Infections with O.r. Procedures with major complications
Medicare DRG 856. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$224,887
Avg total payment
$49,001
Avg Medicare pays
$39,028
Hospitals reporting
166
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 |
|---|---|---|---|
| Alabama | 2 | $416,516 | $56,209 |
| California | 13 | $400,733 | $57,438 |
| Pennsylvania | 9 | $338,625 | $44,106 |
| New York | 7 | $306,738 | $46,561 |
| Kansas | 2 | $285,429 | $30,177 |
| Texas | 10 | $268,985 | $33,036 |
| Florida | 12 | $262,534 | $32,934 |
| Colorado | 5 | $260,373 | $30,708 |
| South Carolina | 3 | $252,459 | $37,330 |
| Maine | 1 | $241,351 | $59,033 |
| New Jersey | 3 | $233,511 | $37,348 |
| District of Columbia | 2 | $231,511 | $40,646 |
| Oklahoma | 4 | $222,284 | $31,776 |
| Illinois | 11 | $217,744 | $39,306 |
| Nevada | 2 | $217,081 | $38,494 |
| Virginia | 3 | $212,665 | $42,233 |
| Georgia | 6 | $206,031 | $31,259 |
| Iowa | 1 | $201,045 | $41,224 |
| Oregon | 1 | $197,778 | $60,031 |
| Connecticut | 2 | $193,948 | $43,148 |
| Ohio | 8 | $184,849 | $34,783 |
| Missouri | 5 | $171,109 | $40,151 |
| Wisconsin | 2 | $169,638 | $39,845 |
| North Carolina | 3 | $167,303 | $30,975 |
| Arizona | 6 | $166,517 | $36,240 |
| Massachusetts | 5 | $165,557 | $48,582 |
| Kentucky | 2 | $162,232 | $29,385 |
| Washington | 3 | $161,568 | $33,847 |
| South Dakota | 1 | $159,237 | $30,268 |
| Tennessee | 3 | $157,656 | $30,786 |
| Indiana | 4 | $155,840 | $31,977 |
| Vermont | 1 | $146,342 | $26,284 |
| West Virginia | 2 | $146,132 | $31,159 |
| Arkansas | 1 | $146,062 | $27,237 |
| Delaware | 1 | $145,424 | $41,060 |
| Minnesota | 5 | $137,223 | $35,896 |
| Michigan | 2 | $125,076 | $31,683 |
| Nebraska | 2 | $120,557 | $33,576 |
| Louisiana | 1 | $106,246 | $29,174 |
| Utah | 2 | $98,729 | $39,155 |
| North Dakota | 1 | $97,509 | $32,642 |
| Mississippi | 1 | $79,865 | $25,179 |
| New Mexico | 1 | $74,829 | $24,389 |
| Maryland | 5 | $61,751 | $55,024 |
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.