Inpatient stays / DRG 191
MS-DRG 191 · 583 hospitals · 19,442 stays
DRG 191: Chronic Obstructive Pulmonary Disease with CC
Medicare patients had 19,442 stays in DRG 191 in 2024. Hospitals charged an average of $39,617 per stay and were paid $8,274 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $6,414. Average charges ran from $9,154 at the least expensive hospital to $165,624 at the most; half of hospitals charged between $24,333 and $49,514.
- 1Average charge $39,617
- 2Average paid $8,274
- 3Reporting hospitals 583
- 4Medicare stays 19,442
By state
Average charges for DRG 191 were highest in Nevada ($85,996) and lowest in Maryland ($13,286). Payments vary far less than charges, because Medicare sets them: they range across states from $6,346 to $12,185.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 90 | $85,996 | $8,319 | 10.3× |
| California | 1,349 | $70,834 | $10,490 | 6.8× |
| New Jersey | 855 | $69,376 | $8,510 | 8.2× |
| Colorado | 65 | $66,093 | $9,099 | 7.3× |
| Florida | 1,802 | $54,194 | $7,706 | 7× |
| Texas | 895 | $48,959 | $8,191 | 6× |
| New York | 1,256 | $48,034 | $10,991 | 4.4× |
| Arizona | 256 | $44,485 | $7,596 | 5.9× |
| Alaska | 34 | $44,128 | $12,185 | 3.6× |
| Pennsylvania | 1,090 | $44,094 | $7,684 | 5.7× |
| Hawaii | 32 | $44,063 | $11,168 | 3.9× |
| Washington | 132 | $38,548 | $8,344 | 4.6× |
| District of Columbia | 38 | $36,686 | $10,726 | 3.4× |
| Georgia | 438 | $36,315 | $8,854 | 4.1× |
| Connecticut | 196 | $35,908 | $9,171 | 3.9× |
| Oklahoma | 292 | $35,676 | $7,149 | 5× |
| Illinois | 1,077 | $34,497 | $8,080 | 4.3× |
| South Carolina | 370 | $34,473 | $7,451 | 4.6× |
| New Mexico | 43 | $34,400 | $8,117 | 4.2× |
| Missouri | 536 | $33,883 | $7,365 | 4.6× |
| Kansas | 103 | $33,849 | $6,702 | 5.1× |
| Tennessee | 346 | $33,454 | $7,102 | 4.7× |
| Alabama | 413 | $33,083 | $7,345 | 4.5× |
| Idaho | 33 | $32,900 | $7,240 | 4.5× |
| Louisiana | 319 | $32,533 | $6,608 | 4.9× |
| Mississippi | 233 | $32,341 | $6,788 | 4.8× |
| Indiana | 511 | $30,425 | $7,136 | 4.3× |
| Ohio | 828 | $30,167 | $7,189 | 4.2× |
| Kentucky | 442 | $29,883 | $6,381 | 4.7× |
| Utah | 24 | $29,814 | $9,279 | 3.2× |
| Virginia | 485 | $29,541 | $7,387 | 4× |
| Wisconsin | 220 | $28,746 | $7,224 | 4× |
| South Dakota | 57 | $27,946 | $7,917 | 3.5× |
| Oregon | 80 | $27,467 | $8,733 | 3.1× |
| North Carolina | 833 | $27,398 | $8,062 | 3.4× |
| Nebraska | 99 | $27,361 | $7,424 | 3.7× |
| Delaware | 125 | $27,196 | $7,972 | 3.4× |
| West Virginia | 179 | $26,835 | $6,772 | 4× |
| Maine | 66 | $26,754 | $7,886 | 3.4× |
| New Hampshire | 117 | $26,487 | $7,090 | 3.7× |
| Iowa | 125 | $26,123 | $6,799 | 3.8× |
| Michigan | 759 | $25,403 | $7,698 | 3.3× |
| Arkansas | 218 | $24,629 | $6,346 | 3.9× |
| Rhode Island | 63 | $24,426 | $8,166 | 3× |
| Minnesota | 214 | $24,202 | $8,193 | 3× |
| Wyoming | 31 | $24,190 | $9,310 | 2.6× |
| Vermont | 23 | $23,747 | $7,548 | 3.1× |
| Montana | 24 | $20,596 | $7,337 | 2.8× |
| North Dakota | 46 | $19,897 | $7,235 | 2.8× |
| Massachusetts | 960 | $19,759 | $8,484 | 2.3× |
| Maryland | 620 | $13,286 | $11,966 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 24 stays | $165,624 | $9,593 |
| Stanford Health Care Stanford, CA · 12 stays | $151,386 | $16,088 |
| Cedars-Sinai Medical Center Los Angeles, CA · 26 stays | $148,283 | $11,976 |
| Valley Hospital Medical Center Las Vegas, NV · 16 stays | $122,738 | $9,235 |
| Dominican Hospital Santa Cruz, CA · 13 stays | $120,714 | $9,096 |
| Saint Peter's University Hospital New Brunswick, NJ · 18 stays | $119,774 | $10,178 |
| Henderson Hospital Henderson, NV · 14 stays | $111,909 | $7,738 |
| Uci Health-Fountain Valley Fountain Valley, CA · 12 stays | $108,910 | $9,312 |
| Memorial Hospital West Pembroke Pines, FL · 25 stays | $107,874 | $8,867 |
| Alliancehealth Durant Durant, OK · 16 stays | $107,287 | $6,373 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| University of MD Shore Medical Center at Easton Easton, MD · 11 stays | $9,154 | $8,209 |
| Meritus Medical Center Hagerstown, MD · 51 stays | $9,345 | $8,691 |
| Frederick Health Hospital Frederick, MD · 33 stays | $9,706 | $8,988 |
| Brown University Health Morton Hospital Taunton, MA · 12 stays | $10,273 | $7,207 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 32 stays | $10,335 | $9,571 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 37 stays | $10,891 | $9,889 |
| Wooster Community Hospital Wooster, OH · 12 stays | $11,126 | $6,010 |
| Baxter Health Mountain Home, AR · 23 stays | $11,246 | $5,451 |
| Carroll Hospital Center Westminster, MD · 29 stays | $11,319 | $10,067 |
| Luminis Health Doctors Community Medical Ctr, Inc Lanham, MD · 13 stays | $11,586 | $10,728 |
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.