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Poisoning and Toxic Effects of Drugs with major complications

Medicare DRG 917. What hospitals charge and what Medicare pays, 2024.

Avg hospital charge
$78,635
Avg total payment
$16,494
Avg Medicare pays
$13,576
Hospitals reporting
519

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.

StateHospitalsAvg chargeAvg Medicare payment
Nevada10$137,860$12,424
Alaska2$126,133$12,703
California73$120,512$16,839
Pennsylvania15$101,099$13,441
New Jersey23$100,320$13,036
New York33$97,364$17,176
Alabama3$93,938$9,287
District of Columbia1$87,950$15,961
Texas29$87,030$13,772
Wisconsin6$85,260$14,196
Kansas3$82,342$10,375
Colorado2$80,971$10,070
Florida48$80,514$11,158
Georgia9$78,690$13,647
Iowa2$77,286$11,635
Louisiana3$76,801$8,458
South Carolina7$73,945$10,659
Washington17$72,507$12,158
Oklahoma7$72,443$11,105
Utah2$70,455$17,745
Vermont1$69,912$13,207
Missouri9$67,898$12,479
Ohio9$67,549$11,640
Arizona11$65,376$14,133
Virginia17$64,712$11,377
Connecticut7$64,617$15,191
Hawaii1$64,591$12,030
Illinois18$63,664$12,093
South Dakota2$61,380$13,188
Kentucky5$60,941$10,118
Tennessee12$60,758$10,977
Idaho5$60,527$11,346
New Hampshire6$58,875$12,383
Nebraska1$57,586$9,663
Indiana8$57,458$11,114
West Virginia3$56,586$10,365
Maine1$54,736$11,831
Minnesota10$53,746$13,284
Mississippi5$53,524$10,141
Delaware3$50,189$12,008
Oregon8$50,069$14,425
North Carolina11$49,911$11,577
New Mexico3$49,001$12,354
Massachusetts24$48,972$15,163
Arkansas7$48,708$9,872
Rhode Island1$44,871$15,057
Michigan14$44,593$11,662
North Dakota3$37,571$10,941
Montana2$31,822$10,832
Maryland17$25,709$20,930

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.