Inpatient stays / DRG 125
MS-DRG 125 · 48 hospitals · 3,809 stays
DRG 125: Other Disorders of The Eye without MCC
Medicare patients had 3,809 stays in DRG 125 in 2024. Hospitals charged an average of $43,825 per stay and were paid $8,907 — a ratio of 4.9 to 1 — of which Medicare's own share averaged $6,399. Average charges ran from $14,078 at the least expensive hospital to $109,749 at the most; half of hospitals charged between $29,714 and $60,497.
- 1Average charge $43,825
- 2Average paid $8,907
- 3Reporting hospitals 48
- 4Medicare stays 3,809
By state
Average charges for DRG 125 were highest in Colorado ($74,290) and lowest in Maryland ($12,749). Payments vary far less than charges, because Medicare sets them: they range across states from $6,499 to $12,831.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Colorado | 35 | $74,290 | $7,882 | 9.4× |
| California | 312 | $71,369 | $10,889 | 6.6× |
| Nevada | 34 | $60,562 | $8,322 | 7.3× |
| New Jersey | 129 | $59,778 | $8,600 | 7× |
| Florida | 429 | $58,675 | $7,333 | 8× |
| Kansas | 39 | $55,428 | $6,876 | 8.1× |
| Texas | 237 | $54,294 | $10,053 | 5.4× |
| New York | 296 | $52,630 | $11,669 | 4.5× |
| District of Columbia | 22 | $49,818 | $12,831 | 3.9× |
| Pennsylvania | 272 | $45,193 | $8,195 | 5.5× |
| Arizona | 75 | $44,592 | $7,935 | 5.6× |
| New Hampshire | 16 | $43,040 | $7,623 | 5.6× |
| Georgia | 89 | $40,143 | $10,093 | 4× |
| Virginia | 107 | $39,000 | $7,360 | 5.3× |
| Missouri | 92 | $38,966 | $8,012 | 4.9× |
| Alabama | 53 | $38,511 | $6,891 | 5.6× |
| Wisconsin | 54 | $37,751 | $8,805 | 4.3× |
| Louisiana | 41 | $37,100 | $7,892 | 4.7× |
| Washington | 55 | $36,895 | $10,069 | 3.7× |
| Nebraska | 21 | $36,132 | $7,933 | 4.6× |
| Tennessee | 79 | $35,857 | $9,399 | 3.8× |
| Illinois | 160 | $34,810 | $8,582 | 4.1× |
| Oklahoma | 36 | $34,751 | $8,491 | 4.1× |
| Utah | 15 | $33,287 | $9,143 | 3.6× |
| Connecticut | 46 | $32,289 | $10,040 | 3.2× |
| South Carolina | 69 | $32,183 | $8,460 | 3.8× |
| Iowa | 27 | $30,811 | $6,738 | 4.6× |
| North Carolina | 118 | $30,431 | $8,641 | 3.5× |
| Kentucky | 32 | $30,350 | $7,003 | 4.3× |
| Mississippi | 13 | $29,568 | $7,111 | 4.2× |
| Indiana | 73 | $29,564 | $7,670 | 3.9× |
| West Virginia | 34 | $28,955 | $7,627 | 3.8× |
| Oregon | 18 | $28,079 | $8,610 | 3.3× |
| New Mexico | 12 | $27,817 | $7,948 | 3.5× |
| Ohio | 106 | $27,514 | $7,736 | 3.6× |
| South Dakota | 12 | $27,245 | $7,024 | 3.9× |
| Michigan | 126 | $27,112 | $7,900 | 3.4× |
| Minnesota | 63 | $25,587 | $8,426 | 3× |
| Arkansas | 19 | $24,324 | $6,499 | 3.7× |
| Massachusetts | 136 | $23,351 | $9,284 | 2.5× |
| Delaware | 23 | $23,309 | $7,210 | 3.2× |
| Rhode Island | 11 | $22,646 | $8,171 | 2.8× |
| Maine | 15 | $22,163 | $7,316 | 3× |
| Maryland | 110 | $12,749 | $11,426 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Westchester Medical Center Valhalla, NY · 11 stays | $109,749 | $10,375 |
| HCA Florida Ocala Hospital Ocala, FL · 11 stays | $83,386 | $6,927 |
| Montefiore Medical Center Bronx, NY · 16 stays | $78,840 | $12,945 |
| Houston Methodist Hospital Houston, TX · 15 stays | $77,780 | $10,535 |
| Orlando Health Orlando Regional Medical Center Orlando, FL · 14 stays | $77,764 | $9,343 |
| Ronald Reagan UCLA Medical Center Los Angeles, CA · 13 stays | $71,041 | $19,548 |
| Long Island Jewish Medical Center New Hyde Park, NY · 14 stays | $67,674 | $10,403 |
| North Shore University Hospital Manhasset, NY · 17 stays | $67,628 | $10,088 |
| Stony Brook University Hospital Stony Brook, NY · 15 stays | $67,568 | $10,938 |
| Adventhealth Orlando Orlando, FL · 29 stays | $60,994 | $7,112 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| South Shore Hospital South Weymouth, MA · 14 stays | $14,078 | $6,747 |
| Johns Hopkins Hospital, the Baltimore, MD · 22 stays | $17,578 | $15,420 |
| University of Maryland Medical Center Baltimore, MD · 13 stays | $18,481 | $17,111 |
| Beth Israel Deaconess Medical Center Boston, MA · 14 stays | $18,677 | $10,903 |
| Christianacare Newark, DE · 12 stays | $20,148 | $7,437 |
| Renown Regional Medical Center Reno, NV · 12 stays | $25,534 | $8,110 |
| West Virginia University Hospitals, Inc Morgantown, WV · 15 stays | $25,781 | $8,880 |
| MUSC Medical Center Charleston, SC · 16 stays | $27,822 | $10,589 |
| Memorial Mission Hospital and Asheville Surgery Ce Asheville, NC · 13 stays | $28,765 | $6,720 |
| Corewell Health William Beaumont University Hospit Royal Oak, MI · 14 stays | $29,564 | $7,605 |
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.