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Viral Illness without with major complications
Medicare DRG 866. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$53,012
Avg total payment
$11,625
Avg Medicare pays
$7,567
Hospitals reporting
34
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 | 1 | $91,332 | $10,357 |
| Kansas | 1 | $89,771 | $7,448 |
| New York | 7 | $82,838 | $8,391 |
| Ohio | 1 | $66,112 | $8,845 |
| New Jersey | 2 | $63,494 | $7,271 |
| Florida | 2 | $61,734 | $6,476 |
| Virginia | 1 | $54,602 | $7,864 |
| Pennsylvania | 4 | $53,610 | $6,689 |
| Connecticut | 1 | $45,893 | $8,173 |
| Tennessee | 1 | $44,445 | $7,607 |
| Missouri | 1 | $38,476 | $5,802 |
| Delaware | 1 | $34,096 | $6,616 |
| Illinois | 2 | $30,936 | $6,047 |
| Massachusetts | 3 | $29,845 | $8,455 |
| Michigan | 2 | $26,642 | $6,344 |
| Wisconsin | 1 | $26,366 | $6,831 |
| Arizona | 1 | $24,359 | $6,226 |
| North Carolina | 1 | $23,347 | $8,139 |
| Maryland | 1 | $14,174 | $10,229 |
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.