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Non-extensive O.r. Procedures Unrelated to Principal Diagnosis with complications
Medicare DRG 988. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$98,032
Avg total payment
$19,215
Avg Medicare pays
$15,133
Hospitals reporting
50
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 | 3 | $246,005 | $20,659 |
| New York | 5 | $137,389 | $18,254 |
| Michigan | 2 | $134,038 | $28,046 |
| Pennsylvania | 3 | $129,798 | $12,596 |
| New Jersey | 3 | $121,209 | $11,587 |
| Florida | 5 | $103,044 | $10,818 |
| Georgia | 1 | $91,202 | $13,189 |
| Tennessee | 1 | $84,242 | $13,609 |
| Wisconsin | 2 | $82,456 | $14,260 |
| Massachusetts | 4 | $80,204 | $17,514 |
| South Carolina | 1 | $77,500 | $11,087 |
| Virginia | 1 | $76,157 | $10,874 |
| North Carolina | 1 | $72,408 | $12,188 |
| Kansas | 1 | $70,282 | $10,921 |
| Ohio | 2 | $67,174 | $12,269 |
| Arizona | 1 | $65,330 | $13,116 |
| Minnesota | 2 | $63,552 | $14,332 |
| Texas | 4 | $63,146 | $16,429 |
| Illinois | 1 | $62,299 | $12,426 |
| Oklahoma | 2 | $58,684 | $11,241 |
| West Virginia | 1 | $58,474 | $11,440 |
| Delaware | 1 | $57,344 | $13,616 |
| Maine | 1 | $47,688 | $11,799 |
| Maryland | 2 | $30,123 | $23,206 |
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.