Inpatient stays / DRG 038
MS-DRG 038 · 210 hospitals · 7,623 stays
DRG 038: Extracranial Procedures with CC
Medicare patients had 7,623 stays in DRG 038 in 2024. Hospitals charged an average of $87,494 per stay and were paid $14,971 — a ratio of 5.8 to 1 — of which Medicare's own share averaged $12,053. Average charges ran from $12,003 at the least expensive hospital to $252,642 at the most; half of hospitals charged between $50,089 and $103,740.
- 1Average charge $87,494
- 2Average paid $14,971
- 3Reporting hospitals 210
- 4Medicare stays 7,623
By state
Average charges for DRG 038 were highest in Nevada ($146,657) and lowest in Maryland ($23,991). Payments vary far less than charges, because Medicare sets them: they range across states from $10,387 to $26,721.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 74 | $146,657 | $15,080 | 9.7× |
| California | 498 | $143,165 | $19,364 | 7.4× |
| Florida | 567 | $130,748 | $13,644 | 9.6× |
| District of Columbia | 14 | $129,131 | $18,027 | 7.2× |
| Colorado | 59 | $126,102 | $13,435 | 9.4× |
| Texas | 575 | $108,526 | $13,801 | 7.9× |
| Arizona | 139 | $106,465 | $14,333 | 7.4× |
| Washington | 121 | $100,590 | $16,142 | 6.2× |
| Pennsylvania | 302 | $98,478 | $15,054 | 6.5× |
| New York | 328 | $97,750 | $18,982 | 5.1× |
| Alabama | 153 | $97,129 | $13,247 | 7.3× |
| New Jersey | 237 | $93,077 | $16,708 | 5.6× |
| South Carolina | 128 | $93,038 | $13,999 | 6.6× |
| Georgia | 272 | $93,024 | $15,484 | 6× |
| Louisiana | 154 | $83,526 | $12,382 | 6.7× |
| Illinois | 301 | $83,472 | $15,101 | 5.5× |
| New Mexico | 25 | $82,902 | $14,679 | 5.6× |
| New Hampshire | 48 | $82,142 | $14,370 | 5.7× |
| Ohio | 343 | $78,226 | $13,660 | 5.7× |
| Kentucky | 104 | $77,396 | $13,994 | 5.5× |
| Alaska | 14 | $77,380 | $20,531 | 3.8× |
| Tennessee | 179 | $76,039 | $13,559 | 5.6× |
| West Virginia | 69 | $75,588 | $12,968 | 5.8× |
| Oklahoma | 137 | $73,655 | $12,653 | 5.8× |
| South Dakota | 49 | $71,868 | $13,868 | 5.2× |
| Indiana | 196 | $70,949 | $13,350 | 5.3× |
| Missouri | 213 | $70,429 | $12,834 | 5.5× |
| Kansas | 131 | $70,272 | $12,949 | 5.4× |
| Virginia | 197 | $68,897 | $13,797 | 5× |
| Hawaii | 12 | $64,824 | $26,721 | 2.4× |
| Idaho | 28 | $64,553 | $15,308 | 4.2× |
| Connecticut | 56 | $64,392 | $17,786 | 3.6× |
| Michigan | 219 | $64,364 | $14,254 | 4.5× |
| Delaware | 29 | $64,072 | $16,730 | 3.8× |
| North Carolina | 212 | $63,890 | $13,791 | 4.6× |
| Oregon | 75 | $63,220 | $16,409 | 3.9× |
| Massachusetts | 253 | $62,751 | $17,717 | 3.5× |
| Minnesota | 152 | $61,070 | $14,999 | 4.1× |
| Maine | 30 | $59,908 | $14,166 | 4.2× |
| Utah | 36 | $58,849 | $14,858 | 4× |
| Arkansas | 99 | $58,806 | $11,641 | 5.1× |
| Montana | 37 | $57,819 | $13,294 | 4.3× |
| Mississippi | 125 | $55,864 | $11,904 | 4.7× |
| Iowa | 72 | $54,853 | $12,251 | 4.5× |
| North Dakota | 56 | $54,773 | $13,081 | 4.2× |
| Wisconsin | 178 | $53,974 | $14,139 | 3.8× |
| Vermont | 14 | $49,433 | $10,387 | 4.8× |
| Nebraska | 91 | $47,287 | $12,436 | 3.8× |
| Maryland | 207 | $23,991 | $21,675 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 17 stays | $252,642 | $24,937 |
| East Jefferson General Hospital Metairie, LA · 11 stays | $235,229 | $12,925 |
| Grandview Medical Center Birmingham, AL · 15 stays | $227,947 | $11,166 |
| HCA Florida Ocala Hospital Ocala, FL · 26 stays | $208,479 | $12,693 |
| Research Medical Center Kansas City, MO · 11 stays | $196,492 | $16,360 |
| Cedars-Sinai Medical Center Los Angeles, CA · 28 stays | $196,483 | $19,509 |
| Baptist Medical Center San Antonio, TX · 13 stays | $183,794 | $21,123 |
| Trident Medical Center Charleston, SC · 11 stays | $172,940 | $12,311 |
| Adventhealth Redmond Rome, GA · 17 stays | $168,269 | $12,450 |
| Adventhealth Ocala Ocala, FL · 15 stays | $162,303 | $11,742 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 18 stays | $12,003 | $11,105 |
| Kansas Heart Hospital Wichita, KS · 11 stays | $13,499 | $10,122 |
| Meritus Medical Center Hagerstown, MD · 11 stays | $16,412 | $15,309 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 21 stays | $20,276 | $18,101 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 17 stays | $21,214 | $19,833 |
| Johns Hopkins Hospital, the Baltimore, MD · 15 stays | $24,007 | $21,098 |
| Inova Fair Oaks Hospital Fairfax, VA · 11 stays | $25,750 | $13,505 |
| Carroll Hospital Center Westminster, MD · 11 stays | $26,261 | $23,299 |
| Aspirus Wausau Hospital Wausau, WI · 22 stays | $30,951 | $12,342 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 13 stays | $31,093 | $16,922 |
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.