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Hiv with major Related Condition with major complications
Medicare DRG 974. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$194,713
Avg total payment
$46,573
Avg Medicare pays
$38,270
Hospitals reporting
23
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 |
|---|---|---|---|
| District of Columbia | 1 | $312,023 | $35,526 |
| California | 3 | $292,046 | $41,655 |
| New York | 9 | $213,373 | $39,203 |
| Texas | 2 | $187,822 | $46,366 |
| Florida | 3 | $177,217 | $27,710 |
| Georgia | 1 | $143,144 | $34,285 |
| Massachusetts | 1 | $119,223 | $33,259 |
| Delaware | 1 | $82,361 | $24,544 |
| Maryland | 2 | $58,934 | $49,471 |
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.