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Postoperative and Post-traumatic Infections without with major complications
Medicare DRG 863. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$44,750
Avg total payment
$11,031
Avg Medicare pays
$8,000
Hospitals reporting
148
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 |
|---|---|---|---|
| Colorado | 2 | $79,586 | $8,475 |
| New Jersey | 6 | $74,611 | $7,861 |
| California | 10 | $74,051 | $10,211 |
| New York | 9 | $73,135 | $9,043 |
| Louisiana | 1 | $71,262 | $5,710 |
| Pennsylvania | 6 | $65,517 | $8,264 |
| Kansas | 2 | $50,858 | $6,956 |
| Florida | 21 | $50,190 | $6,557 |
| Iowa | 1 | $48,847 | $6,660 |
| Oklahoma | 3 | $47,444 | $8,457 |
| South Carolina | 2 | $45,262 | $7,752 |
| Georgia | 2 | $44,489 | $6,495 |
| Texas | 6 | $42,408 | $8,986 |
| Arizona | 2 | $42,151 | $7,130 |
| Alabama | 2 | $40,116 | $6,055 |
| Connecticut | 1 | $39,746 | $8,549 |
| Indiana | 3 | $38,956 | $7,738 |
| Tennessee | 3 | $37,541 | $6,915 |
| Illinois | 7 | $36,159 | $7,826 |
| Ohio | 6 | $34,870 | $7,141 |
| New Hampshire | 1 | $34,059 | $9,809 |
| South Dakota | 1 | $33,891 | $6,044 |
| Missouri | 3 | $33,093 | $6,674 |
| Wisconsin | 2 | $32,588 | $7,653 |
| North Carolina | 6 | $31,612 | $8,089 |
| Virginia | 5 | $31,193 | $7,287 |
| Michigan | 5 | $30,761 | $6,953 |
| Rhode Island | 1 | $29,945 | $7,971 |
| Maine | 1 | $29,281 | $6,701 |
| Washington | 2 | $29,082 | $8,243 |
| Delaware | 2 | $28,108 | $6,744 |
| Kentucky | 4 | $27,791 | $6,199 |
| Nevada | 1 | $27,148 | $7,815 |
| Minnesota | 3 | $25,759 | $7,831 |
| Massachusetts | 8 | $24,606 | $8,639 |
| Nebraska | 2 | $22,177 | $6,302 |
| North Dakota | 1 | $20,466 | $6,733 |
| Maryland | 5 | $18,683 | $15,677 |
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.