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Extensive O.r. Procedures Unrelated to Principal Diagnosis with major complications
Medicare DRG 981. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$215,746
Avg total payment
$44,866
Avg Medicare pays
$38,843
Hospitals reporting
679
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 | 65 | $351,902 | $53,396 |
| District of Columbia | 3 | $330,831 | $49,534 |
| Nevada | 8 | $315,125 | $37,202 |
| New Jersey | 29 | $309,101 | $39,470 |
| Colorado | 6 | $272,266 | $38,272 |
| Alaska | 2 | $268,703 | $54,201 |
| Pennsylvania | 29 | $265,611 | $40,887 |
| Florida | 47 | $252,251 | $34,107 |
| New York | 39 | $251,741 | $48,379 |
| Texas | 47 | $249,573 | $33,962 |
| Arizona | 16 | $242,836 | $39,638 |
| Hawaii | 1 | $226,723 | $42,894 |
| Kansas | 4 | $217,370 | $34,326 |
| Georgia | 16 | $212,900 | $34,815 |
| Washington | 15 | $210,961 | $42,119 |
| Oklahoma | 8 | $209,025 | $32,841 |
| Louisiana | 7 | $206,869 | $34,928 |
| Wisconsin | 5 | $204,864 | $45,307 |
| South Carolina | 10 | $195,361 | $31,948 |
| Rhode Island | 1 | $192,298 | $42,101 |
| Alabama | 11 | $187,465 | $29,980 |
| Mississippi | 10 | $183,589 | $28,000 |
| Illinois | 33 | $183,463 | $36,747 |
| Missouri | 15 | $181,909 | $34,455 |
| Virginia | 21 | $181,674 | $33,487 |
| New Hampshire | 2 | $170,785 | $37,804 |
| Connecticut | 6 | $170,643 | $40,889 |
| South Dakota | 3 | $170,468 | $36,674 |
| Indiana | 17 | $169,842 | $32,867 |
| Minnesota | 12 | $167,522 | $40,780 |
| Kentucky | 13 | $166,455 | $30,581 |
| Ohio | 19 | $165,238 | $33,946 |
| West Virginia | 6 | $164,589 | $31,463 |
| North Carolina | 20 | $163,389 | $34,948 |
| Idaho | 4 | $163,163 | $34,847 |
| Vermont | 1 | $158,959 | $21,528 |
| Delaware | 3 | $158,537 | $39,754 |
| Iowa | 7 | $157,868 | $30,490 |
| Nebraska | 5 | $154,022 | $33,454 |
| Tennessee | 17 | $149,243 | $29,607 |
| Maine | 2 | $147,454 | $34,932 |
| Utah | 5 | $142,211 | $34,577 |
| Wyoming | 1 | $141,646 | $43,906 |
| Michigan | 25 | $139,467 | $35,700 |
| Arkansas | 11 | $133,664 | $28,353 |
| Massachusetts | 19 | $133,579 | $46,907 |
| Oregon | 6 | $129,203 | $41,357 |
| New Mexico | 3 | $105,547 | $45,300 |
| North Dakota | 3 | $103,534 | $31,182 |
| Montana | 2 | $89,824 | $34,039 |
| Maryland | 19 | $66,656 | $55,829 |
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.