Inpatient stays / DRG 190
MS-DRG 190 · 1,595 hospitals · 55,536 stays
DRG 190: Chronic Obstructive Pulmonary Disease with MCC
Medicare patients had 55,536 stays in DRG 190 in 2024. Hospitals charged an average of $50,592 per stay and were paid $10,597 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $8,496. Average charges ran from $11,158 at the least expensive hospital to $314,888 at the most; half of hospitals charged between $30,254 and $60,525.
- 1Average charge $50,592
- 2Average paid $10,597
- 3Reporting hospitals 1,595
- 4Medicare stays 55,536
By state
Average charges for DRG 190 were highest in California ($92,899) and lowest in Maryland ($16,726). Payments vary far less than charges, because Medicare sets them: they range across states from $7,523 to $16,866.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 4,808 | $92,899 | $13,475 | 6.9× |
| New Jersey | 2,150 | $91,089 | $10,893 | 8.4× |
| Nevada | 435 | $87,885 | $11,194 | 7.9× |
| District of Columbia | 115 | $66,702 | $14,080 | 4.7× |
| Colorado | 438 | $66,436 | $10,455 | 6.4× |
| Alaska | 114 | $64,743 | $16,866 | 3.8× |
| New York | 3,258 | $64,680 | $14,203 | 4.6× |
| Florida | 4,702 | $61,419 | $9,352 | 6.6× |
| Texas | 2,885 | $54,757 | $10,898 | 5× |
| Arizona | 1,023 | $53,545 | $9,955 | 5.4× |
| Pennsylvania | 2,339 | $52,604 | $9,797 | 5.4× |
| New Mexico | 245 | $52,457 | $9,880 | 5.3× |
| Washington | 485 | $49,620 | $11,099 | 4.5× |
| Georgia | 1,754 | $48,732 | $10,544 | 4.6× |
| Oklahoma | 787 | $48,597 | $8,951 | 5.4× |
| Hawaii | 134 | $47,017 | $13,032 | 3.6× |
| Missouri | 1,134 | $46,858 | $9,442 | 5× |
| Connecticut | 602 | $46,575 | $12,189 | 3.8× |
| Mississippi | 821 | $46,086 | $8,178 | 5.6× |
| Alabama | 1,125 | $44,848 | $8,793 | 5.1× |
| Kansas | 425 | $44,318 | $8,963 | 4.9× |
| Illinois | 2,391 | $44,134 | $10,405 | 4.2× |
| Louisiana | 788 | $42,735 | $8,433 | 5.1× |
| South Carolina | 848 | $42,547 | $9,486 | 4.5× |
| Tennessee | 1,186 | $41,368 | $9,062 | 4.6× |
| Idaho | 121 | $40,142 | $9,604 | 4.2× |
| West Virginia | 660 | $40,101 | $8,824 | 4.5× |
| Indiana | 1,443 | $40,043 | $8,934 | 4.5× |
| Ohio | 2,246 | $39,257 | $9,145 | 4.3× |
| Nebraska | 274 | $38,864 | $9,383 | 4.1× |
| Kentucky | 1,276 | $37,165 | $8,277 | 4.5× |
| South Dakota | 140 | $37,121 | $9,683 | 3.8× |
| Minnesota | 652 | $35,671 | $10,707 | 3.3× |
| Rhode Island | 247 | $35,260 | $11,827 | 3× |
| Utah | 130 | $34,983 | $10,639 | 3.3× |
| Delaware | 321 | $34,854 | $10,403 | 3.4× |
| Virginia | 1,528 | $34,775 | $9,373 | 3.7× |
| Arkansas | 686 | $34,589 | $8,203 | 4.2× |
| North Carolina | 2,010 | $34,302 | $9,699 | 3.5× |
| Wisconsin | 569 | $34,245 | $9,483 | 3.6× |
| Michigan | 1,850 | $33,310 | $9,803 | 3.4× |
| Iowa | 440 | $32,925 | $8,542 | 3.9× |
| Oregon | 403 | $32,580 | $11,392 | 2.9× |
| Maine | 222 | $31,807 | $10,078 | 3.2× |
| New Hampshire | 189 | $30,816 | $9,534 | 3.2× |
| Wyoming | 212 | $29,486 | $12,356 | 2.4× |
| North Dakota | 143 | $28,563 | $9,385 | 3× |
| Vermont | 103 | $28,499 | $7,523 | 3.8× |
| Montana | 262 | $27,806 | $8,949 | 3.1× |
| Massachusetts | 2,466 | $24,763 | $11,047 | 2.2× |
| Maryland | 1,951 | $16,726 | $15,086 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Carepoint Health - Bayonne Medical Center Bayonne, NJ · 28 stays | $314,888 | $13,552 |
| Capital Health Regional Medical Center Trenton, NJ · 26 stays | $306,039 | $13,782 |
| Stanford Health Care Stanford, CA · 53 stays | $276,390 | $26,055 |
| Capital Health Medical Center - Hopewell Pennington, NJ · 29 stays | $276,311 | $11,249 |
| San Antonio Regional Hospital Upland, CA · 24 stays | $269,841 | $31,978 |
| Cedars-Sinai Medical Center Los Angeles, CA · 88 stays | $232,733 | $17,715 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 13 stays | $230,353 | $12,341 |
| Westchester Medical Center Valhalla, NY · 27 stays | $209,302 | $18,833 |
| Doctors Medical Center Modesto, CA · 25 stays | $205,870 | $11,922 |
| UCLA West Valley Medical Center West Hills, CA · 17 stays | $202,535 | $11,276 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Meritus Medical Center Hagerstown, MD · 134 stays | $11,158 | $10,290 |
| Baystate Noble Hospital Westfield, MA · 17 stays | $11,266 | $8,416 |
| Nashoba Valley Medical Center Ayer, MA · 15 stays | $11,711 | $8,709 |
| Holyoke Medical Center Holyoke, MA · 61 stays | $11,760 | $10,280 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 52 stays | $12,399 | $11,266 |
| Arkansas Heart Hospital-Encore Bryant, AR · 11 stays | $12,407 | $6,817 |
| Evergreen Medical Center Evergreen, AL · 15 stays | $12,881 | $9,024 |
| Holy Cross Germantown Hospital Germantown, MD · 32 stays | $12,946 | $11,738 |
| UPMC Washington Washington, PA · 17 stays | $13,064 | $8,086 |
| Calverthealth Medical Center Prince Frederick, MD · 39 stays | $13,114 | $11,827 |
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.