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Non-extensive O.r. Procedures Unrelated to Principal Diagnosis with major complications
Medicare DRG 987. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$190,935
Avg total payment
$40,311
Avg Medicare pays
$31,894
Hospitals reporting
120
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 | 7 | $409,474 | $47,367 |
| New York | 14 | $283,092 | $40,647 |
| Alabama | 2 | $269,101 | $41,488 |
| New Jersey | 6 | $262,566 | $32,079 |
| Pennsylvania | 8 | $260,071 | $32,193 |
| Texas | 7 | $188,196 | $31,219 |
| Georgia | 1 | $181,209 | $28,411 |
| Florida | 10 | $176,387 | $23,136 |
| South Carolina | 2 | $162,941 | $23,805 |
| West Virginia | 1 | $162,460 | $24,060 |
| Wisconsin | 3 | $159,529 | $29,670 |
| Tennessee | 3 | $158,173 | $25,011 |
| Connecticut | 3 | $154,225 | $40,164 |
| Illinois | 7 | $152,184 | $29,097 |
| Ohio | 4 | $151,444 | $26,572 |
| Nebraska | 1 | $144,825 | $30,180 |
| Maryland | 1 | $144,823 | $108,230 |
| Rhode Island | 1 | $141,618 | $33,569 |
| South Dakota | 1 | $137,745 | $25,012 |
| Oregon | 2 | $137,712 | $34,197 |
| Kentucky | 2 | $137,294 | $22,583 |
| Michigan | 4 | $133,870 | $24,679 |
| Arizona | 1 | $123,136 | $29,786 |
| Massachusetts | 8 | $120,626 | $34,782 |
| Missouri | 4 | $117,822 | $26,060 |
| Minnesota | 3 | $114,740 | $28,703 |
| Mississippi | 2 | $112,315 | $21,390 |
| North Carolina | 6 | $110,198 | $26,131 |
| Oklahoma | 1 | $109,042 | $21,177 |
| Maine | 1 | $107,800 | $27,216 |
| Virginia | 2 | $102,598 | $24,381 |
| Delaware | 1 | $100,803 | $23,291 |
| New Mexico | 1 | $84,009 | $21,523 |
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.