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Medicare DRG 857. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$109,560
Avg total payment
$22,847
Avg Medicare pays
$18,139
Hospitals reporting
149
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 |
|---|---|---|---|
| California | 9 | $228,750 | $26,544 |
| District of Columbia | 2 | $169,454 | $18,869 |
| Colorado | 1 | $158,668 | $20,817 |
| New York | 9 | $154,674 | $21,947 |
| Pennsylvania | 7 | $149,355 | $18,153 |
| New Jersey | 4 | $135,470 | $17,280 |
| Florida | 16 | $132,487 | $14,640 |
| Oklahoma | 1 | $126,515 | $13,450 |
| West Virginia | 2 | $118,296 | $18,286 |
| Texas | 12 | $115,768 | $16,593 |
| Connecticut | 2 | $115,643 | $21,138 |
| Iowa | 1 | $113,089 | $17,202 |
| Alabama | 1 | $111,528 | $16,232 |
| Indiana | 2 | $106,572 | $17,680 |
| Wisconsin | 2 | $104,782 | $20,212 |
| Kansas | 1 | $103,023 | $15,515 |
| Nebraska | 1 | $101,090 | $24,685 |
| Missouri | 5 | $96,218 | $16,209 |
| Washington | 3 | $95,116 | $19,413 |
| Maine | 1 | $94,306 | $19,717 |
| South Carolina | 1 | $94,185 | $18,286 |
| Illinois | 8 | $92,797 | $16,844 |
| Ohio | 8 | $92,304 | $15,644 |
| Georgia | 1 | $90,983 | $16,876 |
| South Dakota | 1 | $89,537 | $15,651 |
| Tennessee | 5 | $84,908 | $14,434 |
| Kentucky | 2 | $84,606 | $15,164 |
| Virginia | 4 | $84,197 | $17,052 |
| Massachusetts | 4 | $81,432 | $21,499 |
| Oregon | 2 | $78,837 | $21,038 |
| Rhode Island | 1 | $77,324 | $19,294 |
| New Hampshire | 1 | $72,094 | $21,731 |
| Nevada | 1 | $67,000 | $18,242 |
| Arizona | 2 | $66,718 | $16,043 |
| Delaware | 1 | $64,858 | $14,588 |
| Minnesota | 5 | $64,110 | $17,759 |
| North Carolina | 6 | $61,867 | $15,923 |
| Vermont | 1 | $61,685 | $16,564 |
| Michigan | 3 | $59,314 | $13,824 |
| Mississippi | 3 | $58,439 | $15,109 |
| Utah | 1 | $49,641 | $19,033 |
| Arkansas | 1 | $47,065 | $17,710 |
| North Dakota | 1 | $37,175 | $15,518 |
| Maryland | 4 | $37,087 | $30,507 |
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.