Inpatient stays / DRG 164
MS-DRG 164 · 433 hospitals · 15,154 stays
DRG 164: Major Chest Procedures with CC
Medicare patients had 15,154 stays in DRG 164 in 2024. Hospitals charged an average of $127,372 per stay and were paid $25,176 — a ratio of 5.1 to 1 — of which Medicare's own share averaged $20,169. Average charges ran from $22,394 at the least expensive hospital to $454,888 at the most; half of hospitals charged between $82,102 and $153,664.
- 1Average charge $127,372
- 2Average paid $25,176
- 3Reporting hospitals 433
- 4Medicare stays 15,154
By state
Average charges for DRG 164 were highest in Alaska ($212,833) and lowest in Maryland ($39,304). Payments vary far less than charges, because Medicare sets them: they range across states from $18,551 to $35,643.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 22 | $212,833 | $26,686 | 8× |
| Nevada | 57 | $211,694 | $24,538 | 8.6× |
| California | 1,183 | $207,998 | $33,325 | 6.2× |
| Florida | 1,048 | $169,877 | $21,145 | 8× |
| Texas | 775 | $165,999 | $22,208 | 7.5× |
| Idaho | 57 | $150,007 | $25,025 | 6× |
| Pennsylvania | 748 | $148,670 | $23,954 | 6.2× |
| New York | 1,045 | $143,407 | $30,502 | 4.7× |
| South Carolina | 303 | $142,950 | $22,713 | 6.3× |
| New Mexico | 41 | $141,862 | $24,082 | 5.9× |
| District of Columbia | 97 | $140,237 | $27,641 | 5.1× |
| Arizona | 334 | $139,667 | $24,745 | 5.6× |
| Georgia | 379 | $136,724 | $24,595 | 5.6× |
| Colorado | 264 | $134,729 | $23,034 | 5.8× |
| Indiana | 294 | $132,991 | $21,562 | 6.2× |
| Oklahoma | 156 | $131,906 | $20,437 | 6.5× |
| Louisiana | 182 | $131,785 | $19,930 | 6.6× |
| Illinois | 637 | $126,074 | $26,525 | 4.8× |
| Kentucky | 285 | $125,259 | $20,954 | 6× |
| Kansas | 158 | $124,253 | $20,418 | 6.1× |
| Washington | 353 | $117,936 | $26,300 | 4.5× |
| New Jersey | 559 | $116,850 | $26,045 | 4.5× |
| Virginia | 498 | $114,148 | $23,576 | 4.8× |
| Ohio | 530 | $109,672 | $23,400 | 4.7× |
| Alabama | 178 | $106,747 | $19,518 | 5.5× |
| Tennessee | 348 | $105,359 | $20,482 | 5.1× |
| New Hampshire | 97 | $104,865 | $29,172 | 3.6× |
| Missouri | 358 | $104,452 | $22,353 | 4.7× |
| Hawaii | 37 | $103,464 | $31,794 | 3.3× |
| Utah | 76 | $99,217 | $23,945 | 4.1× |
| Nebraska | 194 | $98,722 | $22,303 | 4.4× |
| North Carolina | 534 | $97,454 | $23,289 | 4.2× |
| West Virginia | 136 | $95,731 | $21,418 | 4.5× |
| Mississippi | 123 | $95,231 | $18,551 | 5.1× |
| South Dakota | 75 | $91,740 | $20,211 | 4.5× |
| Wisconsin | 247 | $91,562 | $22,612 | 4× |
| Arkansas | 136 | $91,021 | $19,680 | 4.6× |
| Connecticut | 168 | $89,930 | $30,091 | 3× |
| Michigan | 383 | $87,721 | $24,773 | 3.5× |
| Iowa | 104 | $87,115 | $19,990 | 4.4× |
| Oregon | 191 | $85,315 | $26,150 | 3.3× |
| Massachusetts | 730 | $84,580 | $28,206 | 3× |
| Maine | 56 | $84,045 | $25,396 | 3.3× |
| Minnesota | 323 | $80,090 | $25,918 | 3.1× |
| North Dakota | 48 | $78,043 | $23,355 | 3.3× |
| Delaware | 88 | $75,904 | $23,761 | 3.2× |
| Montana | 67 | $69,849 | $20,892 | 3.3× |
| Rhode Island | 47 | $51,458 | $27,992 | 1.8× |
| Maryland | 379 | $39,304 | $35,643 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cjw Medical Center Richmond, VA · 23 stays | $454,888 | $19,979 |
| Medical City Dallas Dallas, TX · 15 stays | $395,143 | $24,284 |
| Stanford Health Care Stanford, CA · 106 stays | $374,610 | $41,761 |
| Grand Strand Regional Medical Center Myrtle Beach, SC · 15 stays | $362,921 | $20,926 |
| Adventist Health St Helena Saint Helena, CA · 12 stays | $334,804 | $27,018 |
| HCA Florida North Florida Hospital Gainesville, FL · 13 stays | $325,693 | $21,855 |
| Cedars-Sinai Medical Center Los Angeles, CA · 59 stays | $322,205 | $30,680 |
| Mountainview Hospital Las Vegas, NV · 13 stays | $320,459 | $27,623 |
| HCA Houston Healthcare Clear Lake Webster, TX · 12 stays | $309,984 | $25,665 |
| Temple University Hospital Philadelphia, PA · 27 stays | $303,323 | $30,207 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 39 stays | $22,394 | $20,823 |
| Tidalhealth Nanticoke, Inc. Seaford, DE · 16 stays | $29,959 | $23,637 |
| Suburban Hospital Bethesda, MD · 13 stays | $34,170 | $31,648 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 33 stays | $34,401 | $31,866 |
| Medstar Franklin Square Medical Center Rosedale, MD · 37 stays | $34,726 | $31,164 |
| Mary Washington Hospital, Inc Fredericksburg, VA · 50 stays | $35,605 | $19,020 |
| Johns Hopkins Hospital, the Baltimore, MD · 61 stays | $36,757 | $32,769 |
| South Shore Hospital South Weymouth, MA · 16 stays | $37,102 | $22,133 |
| Sinai Hospital of Baltimore Baltimore, MD · 14 stays | $42,158 | $37,058 |
| Newton-Wellesley Hospital Newton, MA · 24 stays | $42,493 | $23,514 |
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.