Inpatient stays / DRG 165
MS-DRG 165 · 208 hospitals · 6,966 stays
DRG 165: Major Chest Procedures without CC/MCC
Medicare patients had 6,966 stays in DRG 165 in 2024. Hospitals charged an average of $103,335 per stay and were paid $19,019 — a ratio of 5.4 to 1 — of which Medicare's own share averaged $14,527. Average charges ran from $16,549 at the least expensive hospital to $318,080 at the most; half of hospitals charged between $61,402 and $116,655.
- 1Average charge $103,335
- 2Average paid $19,019
- 3Reporting hospitals 208
- 4Medicare stays 6,966
By state
Average charges for DRG 165 were highest in Alaska ($193,260) and lowest in Maryland ($29,077). Payments vary far less than charges, because Medicare sets them: they range across states from $13,576 to $28,394.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 18 | $193,260 | $21,879 | 8.8× |
| California | 520 | $171,085 | $25,160 | 6.8× |
| Nevada | 29 | $163,369 | $17,319 | 9.4× |
| Florida | 424 | $147,977 | $16,644 | 8.9× |
| Arizona | 151 | $128,502 | $17,474 | 7.4× |
| Texas | 285 | $128,291 | $16,612 | 7.7× |
| Oklahoma | 66 | $128,225 | $15,603 | 8.2× |
| South Carolina | 141 | $124,888 | $18,449 | 6.8× |
| Pennsylvania | 392 | $118,721 | $19,164 | 6.2× |
| Idaho | 29 | $117,881 | $17,635 | 6.7× |
| Indiana | 170 | $116,115 | $16,195 | 7.2× |
| Colorado | 85 | $110,295 | $16,720 | 6.6× |
| Alabama | 84 | $108,014 | $14,636 | 7.4× |
| Washington | 197 | $107,057 | $19,529 | 5.5× |
| Georgia | 188 | $106,437 | $18,232 | 5.8× |
| New York | 531 | $105,207 | $22,131 | 4.8× |
| Louisiana | 81 | $101,927 | $15,652 | 6.5× |
| Virginia | 223 | $100,653 | $17,582 | 5.7× |
| Illinois | 386 | $99,881 | $19,687 | 5.1× |
| New Jersey | 273 | $97,011 | $18,962 | 5.1× |
| Kansas | 60 | $96,769 | $14,946 | 6.5× |
| Kentucky | 114 | $96,580 | $15,187 | 6.4× |
| Hawaii | 24 | $93,046 | $28,394 | 3.3× |
| Nebraska | 29 | $91,811 | $16,670 | 5.5× |
| New Hampshire | 55 | $90,248 | $19,316 | 4.7× |
| Tennessee | 195 | $88,279 | $15,322 | 5.8× |
| Ohio | 214 | $86,436 | $18,164 | 4.8× |
| West Virginia | 56 | $85,058 | $16,657 | 5.1× |
| Utah | 47 | $84,296 | $20,591 | 4.1× |
| District of Columbia | 51 | $83,280 | $19,798 | 4.2× |
| North Carolina | 263 | $82,529 | $17,363 | 4.8× |
| Missouri | 140 | $78,139 | $16,414 | 4.8× |
| Wisconsin | 88 | $75,233 | $17,031 | 4.4× |
| Maine | 20 | $75,186 | $17,517 | 4.3× |
| Arkansas | 48 | $72,206 | $14,357 | 5× |
| Iowa | 54 | $70,410 | $15,161 | 4.6× |
| South Dakota | 19 | $70,185 | $13,576 | 5.2× |
| Michigan | 199 | $67,749 | $18,593 | 3.6× |
| North Dakota | 15 | $67,299 | $17,126 | 3.9× |
| Connecticut | 73 | $66,640 | $23,137 | 2.9× |
| Massachusetts | 335 | $66,321 | $20,791 | 3.2× |
| Mississippi | 46 | $62,683 | $14,251 | 4.4× |
| Oregon | 115 | $61,766 | $20,118 | 3.1× |
| Minnesota | 136 | $61,441 | $19,021 | 3.2× |
| Delaware | 37 | $57,373 | $18,060 | 3.2× |
| Montana | 40 | $55,596 | $15,191 | 3.7× |
| Rhode Island | 31 | $43,079 | $21,553 | 2× |
| Maryland | 171 | $29,077 | $26,423 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Northwest Health- Porter Valparaiso, IN · 12 stays | $318,080 | $19,683 |
| Stanford Health Care Stanford, CA · 34 stays | $271,709 | $30,254 |
| Grand Strand Regional Medical Center Myrtle Beach, SC · 14 stays | $265,492 | $19,242 |
| Cedars-Sinai Medical Center Los Angeles, CA · 68 stays | $251,817 | $22,607 |
| University of California Davis Medical Center Sacramento, CA · 25 stays | $249,404 | $29,855 |
| Lehigh Valley Hospital Allentown, PA · 16 stays | $241,368 | $16,262 |
| Loma Linda University Medical Center Loma Linda, CA · 11 stays | $237,621 | $28,182 |
| OU Health University of Oklahoma Medical Center Oklahoma City, OK · 14 stays | $222,551 | $20,700 |
| West Jersey Hospital Voorhees, NJ · 14 stays | $204,698 | $17,265 |
| Orlando Health Orlando Regional Medical Center Orlando, FL · 58 stays | $204,467 | $16,500 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 23 stays | $16,549 | $15,423 |
| Suburban Hospital Bethesda, MD · 11 stays | $18,097 | $17,294 |
| Mary Washington Hospital, Inc Fredericksburg, VA · 14 stays | $26,439 | $13,936 |
| Silver Cross Hospital and Medical Centers New Lenox, IL · 12 stays | $28,399 | $15,288 |
| Medstar Franklin Square Medical Center Rosedale, MD · 21 stays | $28,787 | $26,230 |
| Johns Hopkins Hospital, the Baltimore, MD · 29 stays | $28,798 | $26,878 |
| Tidalhealth Nanticoke, Inc. Seaford, DE · 12 stays | $29,103 | $18,464 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 17 stays | $30,959 | $19,328 |
| University of Maryland Medical Center Baltimore, MD · 11 stays | $32,101 | $29,619 |
| Rhode Island Hospital Providence, RI · 23 stays | $33,290 | $22,841 |
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.