Inpatient stays / DRG 163
MS-DRG 163 · 432 hospitals · 13,996 stays
DRG 163: Major Chest Procedures with MCC
Medicare patients had 13,996 stays in DRG 163 in 2024. Hospitals charged an average of $210,509 per stay and were paid $43,876 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $36,956. Average charges ran from $33,460 at the least expensive hospital to $887,051 at the most; half of hospitals charged between $131,436 and $262,858.
- 1Average charge $210,509
- 2Average paid $43,876
- 3Reporting hospitals 432
- 4Medicare stays 13,996
By state
Average charges for DRG 163 were highest in Nevada ($381,410) and lowest in Maryland ($59,648). Payments vary far less than charges, because Medicare sets them: they range across states from $31,639 to $59,912.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 146 | $381,410 | $42,961 | 8.9× |
| Alaska | 37 | $369,688 | $57,992 | 6.4× |
| California | 1,137 | $368,613 | $59,912 | 6.2× |
| Texas | 1,156 | $271,482 | $39,740 | 6.8× |
| Florida | 1,191 | $263,879 | $36,106 | 7.3× |
| Colorado | 230 | $253,186 | $42,030 | 6× |
| New Jersey | 377 | $250,603 | $45,546 | 5.5× |
| New York | 758 | $247,665 | $58,238 | 4.3× |
| Pennsylvania | 566 | $234,657 | $42,761 | 5.5× |
| District of Columbia | 69 | $227,865 | $52,533 | 4.3× |
| Arizona | 373 | $222,676 | $42,856 | 5.2× |
| Washington | 260 | $209,698 | $52,102 | 4× |
| Oklahoma | 195 | $209,245 | $38,116 | 5.5× |
| Kansas | 150 | $208,761 | $35,682 | 5.9× |
| Georgia | 307 | $207,520 | $47,916 | 4.3× |
| South Carolina | 300 | $192,738 | $39,675 | 4.9× |
| Idaho | 77 | $192,706 | $46,024 | 4.2× |
| Alabama | 177 | $178,719 | $32,581 | 5.5× |
| Missouri | 336 | $176,208 | $40,752 | 4.3× |
| Maine | 29 | $175,495 | $51,654 | 3.4× |
| Kentucky | 213 | $174,469 | $37,763 | 4.6× |
| Louisiana | 146 | $173,851 | $33,967 | 5.1× |
| New Hampshire | 67 | $173,549 | $43,201 | 4× |
| Illinois | 562 | $168,585 | $44,961 | 3.7× |
| Virginia | 364 | $164,177 | $43,451 | 3.8× |
| Indiana | 400 | $163,568 | $38,401 | 4.3× |
| Connecticut | 126 | $158,087 | $52,008 | 3× |
| Ohio | 538 | $155,846 | $39,833 | 3.9× |
| South Dakota | 84 | $155,721 | $36,148 | 4.3× |
| Nebraska | 147 | $154,194 | $42,318 | 3.6× |
| Utah | 114 | $152,356 | $39,371 | 3.9× |
| West Virginia | 128 | $150,039 | $38,598 | 3.9× |
| North Carolina | 329 | $149,866 | $41,217 | 3.6× |
| Mississippi | 141 | $149,447 | $31,639 | 4.7× |
| Tennessee | 386 | $148,988 | $36,317 | 4.1× |
| Minnesota | 227 | $147,749 | $48,257 | 3.1× |
| Vermont | 23 | $147,638 | $39,814 | 3.7× |
| New Mexico | 67 | $147,024 | $43,390 | 3.4× |
| Oregon | 129 | $144,366 | $50,504 | 2.9× |
| Massachusetts | 433 | $140,853 | $51,948 | 2.7× |
| Rhode Island | 27 | $135,846 | $55,822 | 2.4× |
| Delaware | 53 | $133,136 | $43,426 | 3.1× |
| Michigan | 398 | $128,957 | $40,604 | 3.2× |
| Arkansas | 232 | $127,836 | $33,032 | 3.9× |
| Wisconsin | 228 | $124,970 | $42,031 | 3× |
| North Dakota | 74 | $123,084 | $37,854 | 3.3× |
| Iowa | 151 | $121,661 | $35,243 | 3.5× |
| Hawaii | 42 | $118,883 | $47,386 | 2.5× |
| Wyoming | 12 | $113,955 | $46,599 | 2.4× |
| Montana | 89 | $96,293 | $35,646 | 2.7× |
| Maryland | 195 | $59,648 | $53,673 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 42 stays | $887,051 | $106,382 |
| Cedars-Sinai Medical Center Los Angeles, CA · 52 stays | $755,038 | $70,007 |
| Good Samaritan Hospital San Jose, CA · 13 stays | $721,860 | $50,796 |
| Round Rock Medical Center Round Rock, TX · 14 stays | $688,874 | $39,187 |
| OU Health University of Oklahoma Medical Center Oklahoma City, OK · 11 stays | $653,199 | $111,327 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 29 stays | $613,832 | $37,320 |
| Swedish Medical Center Seattle, WA · 14 stays | $590,811 | $128,999 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 20 stays | $580,541 | $38,150 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 16 stays | $570,492 | $62,463 |
| Medical City Dallas Dallas, TX · 17 stays | $564,375 | $42,132 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 24 stays | $33,460 | $31,124 |
| Medstar Franklin Square Medical Center Rosedale, MD · 17 stays | $43,677 | $39,126 |
| Sinai Hospital of Baltimore Baltimore, MD · 12 stays | $48,888 | $42,945 |
| Adventist Healthcare White Oak Medical Center Silver Spring, MD · 11 stays | $58,187 | $52,026 |
| Cape Cod Hospital Hyannis, MA · 19 stays | $60,695 | $48,172 |
| South Shore Hospital South Weymouth, MA · 16 stays | $63,991 | $37,808 |
| Winchester Medical Center Winchester, VA · 19 stays | $68,515 | $45,957 |
| St Patrick Hospital Missoula, MT · 26 stays | $70,342 | $36,257 |
| Bethesda North Cincinnati, OH · 24 stays | $74,950 | $35,864 |
| Rex Hospital Raleigh, NC · 18 stays | $75,962 | $33,856 |
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.