Inpatient stays / DRG 012
MS-DRG 012 · 34 hospitals · 1,437 stays
DRG 012: Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
Medicare patients had 1,437 stays in DRG 012 in 2024. Hospitals charged an average of $239,304 per stay and were paid $49,992 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $38,910. Average charges ran from $76,046 at the least expensive hospital to $745,223 at the most; half of hospitals charged between $147,376 and $248,136.
- 1Average charge $239,304
- 2Average paid $49,992
- 3Reporting hospitals 34
- 4Medicare stays 1,437
By state
Average charges for DRG 012 were highest in California ($493,595) and lowest in Arkansas ($89,215). Payments vary far less than charges, because Medicare sets them: they range across states from $32,671 to $97,246.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 125 | $493,595 | $74,325 | 6.6× |
| Colorado | 20 | $396,687 | $38,250 | 10.4× |
| South Carolina | 30 | $383,497 | $38,878 | 9.9× |
| Oklahoma | 14 | $339,800 | $40,170 | 8.5× |
| New York | 65 | $332,706 | $54,733 | 6.1× |
| Pennsylvania | 81 | $314,675 | $42,272 | 7.4× |
| New Jersey | 31 | $311,501 | $50,151 | 6.2× |
| Florida | 83 | $251,024 | $37,547 | 6.7× |
| Washington | 22 | $245,135 | $40,725 | 6× |
| Georgia | 33 | $242,832 | $49,498 | 4.9× |
| West Virginia | 12 | $239,045 | $40,218 | 5.9× |
| Tennessee | 27 | $238,003 | $43,014 | 5.5× |
| District of Columbia | 17 | $235,456 | $50,369 | 4.7× |
| Texas | 75 | $230,749 | $51,799 | 4.5× |
| Arizona | 27 | $225,512 | $55,392 | 4.1× |
| Virginia | 38 | $217,074 | $53,467 | 4.1× |
| Kansas | 30 | $211,143 | $37,564 | 5.6× |
| Wisconsin | 17 | $207,726 | $48,174 | 4.3× |
| Iowa | 16 | $202,495 | $40,470 | 5× |
| Alabama | 24 | $197,745 | $38,686 | 5.1× |
| Oregon | 17 | $191,916 | $56,421 | 3.4× |
| Indiana | 32 | $189,259 | $35,673 | 5.3× |
| Illinois | 59 | $186,349 | $44,870 | 4.2× |
| Ohio | 60 | $184,590 | $41,610 | 4.4× |
| South Dakota | 11 | $183,133 | $32,671 | 5.6× |
| Louisiana | 26 | $177,719 | $41,171 | 4.3× |
| North Carolina | 71 | $173,333 | $47,416 | 3.7× |
| Michigan | 52 | $170,914 | $47,088 | 3.6× |
| Missouri | 38 | $156,926 | $43,526 | 3.6× |
| Nebraska | 12 | $156,853 | $56,066 | 2.8× |
| Massachusetts | 53 | $156,618 | $53,654 | 2.9× |
| Kentucky | 18 | $155,226 | $36,145 | 4.3× |
| Utah | 12 | $145,068 | $54,468 | 2.7× |
| Minnesota | 56 | $143,514 | $53,940 | 2.7× |
| Mississippi | 18 | $108,907 | $36,788 | 3× |
| Maryland | 52 | $108,277 | $97,246 | 1.1× |
| Arkansas | 22 | $89,215 | $36,721 | 2.4× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 22 stays | $745,223 | $70,806 |
| Trident Medical Center Charleston, SC · 11 stays | $640,653 | $30,625 |
| Loma Linda University Medical Center Loma Linda, CA · 18 stays | $471,090 | $64,083 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 25 stays | $409,542 | $37,092 |
| Keck Hospital of Usc Los Angeles, CA · 24 stays | $333,163 | $69,340 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 20 stays | $291,752 | $49,020 |
| Mayo Clinic Hospital Phoenix, AZ · 13 stays | $255,785 | $73,024 |
| Thomas Jefferson University Hospital Philadelphia, PA · 15 stays | $254,273 | $48,192 |
| Vanderbilt University Medical Center Nashville, TN · 21 stays | $246,090 | $46,984 |
| Baylor Scott and White All Saints Medical Center Fort Worth, TX · 12 stays | $234,846 | $46,485 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Hospital, the Baltimore, MD · 11 stays | $76,046 | $67,025 |
| Uams Medical Center Little Rock, AR · 21 stays | $92,783 | $37,219 |
| Massachusetts Eye and Ear Infirmary - Boston, MA · 24 stays | $110,272 | $52,876 |
| University of Mississippi Med Center Jackson, MS · 16 stays | $110,828 | $37,726 |
| UNC Hospitals Chapel Hill, NC · 18 stays | $116,629 | $49,291 |
| University of Maryland Medical Center Baltimore, MD · 31 stays | $132,529 | $119,983 |
| Duke University Hospital Durham, NC · 12 stays | $141,730 | $43,411 |
| Barnes Jewish Hospital Saint Louis, MO · 20 stays | $142,040 | $45,033 |
| Mayo Clinic Hospital Rochester Rochester, MN · 38 stays | $149,154 | $61,870 |
| Loyola University Medical Center Maywood, IL · 11 stays | $157,966 | $43,610 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.