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Medicare DRG 895. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$49,490
Avg total payment
$15,212
Avg Medicare pays
$12,833
Hospitals reporting
53
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 | 18 | $85,141 | $13,827 |
| New Jersey | 3 | $68,892 | $13,918 |
| Utah | 1 | $63,084 | $9,010 |
| Minnesota | 1 | $58,831 | $11,040 |
| Tennessee | 1 | $54,163 | $9,960 |
| Colorado | 1 | $45,302 | $11,494 |
| Ohio | 1 | $38,124 | $11,753 |
| Florida | 1 | $36,287 | $16,288 |
| Illinois | 2 | $35,812 | $12,179 |
| Nevada | 1 | $35,049 | $13,541 |
| Washington | 1 | $34,993 | $12,119 |
| Pennsylvania | 2 | $34,683 | $10,286 |
| California | 5 | $33,227 | $14,750 |
| Texas | 2 | $22,742 | $12,258 |
| Kentucky | 1 | $15,409 | $10,317 |
| Michigan | 1 | $15,236 | $9,067 |
| Georgia | 1 | $14,289 | $9,409 |
| Massachusetts | 4 | $12,567 | $13,813 |
| Indiana | 1 | $12,313 | $10,418 |
| Alabama | 4 | $11,662 | $11,482 |
| Wisconsin | 1 | $11,123 | $10,711 |
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.