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Medicare DRG 864. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$50,819
Avg total payment
$10,000
Avg Medicare pays
$7,233
Hospitals reporting
51
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 |
|---|---|---|---|
| New York | 6 | $78,176 | $9,079 |
| California | 2 | $68,235 | $9,514 |
| New Jersey | 8 | $62,277 | $6,591 |
| Pennsylvania | 4 | $52,176 | $6,249 |
| Florida | 8 | $51,908 | $5,876 |
| Texas | 4 | $51,652 | $6,770 |
| Indiana | 1 | $51,104 | $8,094 |
| Michigan | 2 | $50,607 | $8,080 |
| Louisiana | 1 | $37,147 | $5,259 |
| North Carolina | 3 | $35,536 | $7,166 |
| Massachusetts | 3 | $34,413 | $7,812 |
| South Carolina | 1 | $34,232 | $8,222 |
| Arizona | 2 | $33,692 | $6,216 |
| Connecticut | 1 | $33,036 | $10,144 |
| Delaware | 2 | $28,519 | $6,336 |
| Illinois | 1 | $27,005 | $6,773 |
| Minnesota | 1 | $26,616 | $7,997 |
| Maryland | 1 | $12,848 | $10,862 |
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.