Inpatient stays / DRG 196
MS-DRG 196 · 217 hospitals · 9,541 stays
DRG 196: Interstitial Lung Disease with MCC
Medicare patients had 9,541 stays in DRG 196 in 2024. Hospitals charged an average of $86,178 per stay and were paid $18,762 — a ratio of 4.6 to 1 — of which Medicare's own share averaged $15,391. Average charges ran from $11,691 at the least expensive hospital to $1,094,250 at the most; half of hospitals charged between $53,310 and $117,112.
- 1Average charge $86,178
- 2Average paid $18,762
- 3Reporting hospitals 217
- 4Medicare stays 9,541
By state
Average charges for DRG 196 were highest in Nevada ($172,504) and lowest in Maryland ($29,061). Payments vary far less than charges, because Medicare sets them: they range across states from $13,111 to $26,437.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 80 | $172,504 | $17,501 | 9.9× |
| California | 936 | $167,262 | $26,437 | 6.3× |
| New York | 596 | $115,223 | $23,206 | 5× |
| New Jersey | 434 | $114,190 | $17,649 | 6.5× |
| Texas | 639 | $99,374 | $16,727 | 5.9× |
| District of Columbia | 25 | $98,153 | $22,467 | 4.4× |
| Alabama | 149 | $96,063 | $19,280 | 5× |
| Colorado | 133 | $94,080 | $16,405 | 5.7× |
| Alaska | 27 | $92,080 | $23,655 | 3.9× |
| Florida | 728 | $91,603 | $15,325 | 6× |
| Kansas | 97 | $85,996 | $14,853 | 5.8× |
| Georgia | 250 | $84,185 | $17,113 | 4.9× |
| Pennsylvania | 421 | $82,687 | $17,218 | 4.8× |
| Missouri | 180 | $81,827 | $20,251 | 4× |
| Tennessee | 230 | $77,157 | $16,717 | 4.6× |
| Indiana | 155 | $75,981 | $18,762 | 4× |
| Arizona | 202 | $75,712 | $18,347 | 4.1× |
| Illinois | 421 | $72,528 | $18,475 | 3.9× |
| Idaho | 38 | $71,817 | $17,163 | 4.2× |
| Oklahoma | 104 | $71,241 | $14,785 | 4.8× |
| Connecticut | 118 | $71,083 | $20,014 | 3.6× |
| Washington | 198 | $70,633 | $18,382 | 3.8× |
| Vermont | 20 | $69,278 | $17,609 | 3.9× |
| Minnesota | 135 | $68,730 | $19,663 | 3.5× |
| Wisconsin | 162 | $65,086 | $20,187 | 3.2× |
| Wyoming | 15 | $63,225 | $20,545 | 3.1× |
| South Carolina | 149 | $62,798 | $15,346 | 4.1× |
| Maine | 43 | $62,391 | $19,625 | 3.2× |
| Kentucky | 105 | $61,878 | $14,215 | 4.4× |
| New Mexico | 57 | $61,640 | $17,232 | 3.6× |
| Ohio | 311 | $61,321 | $17,160 | 3.6× |
| Louisiana | 112 | $59,585 | $14,185 | 4.2× |
| Nebraska | 65 | $59,431 | $17,229 | 3.4× |
| New Hampshire | 75 | $59,414 | $17,616 | 3.4× |
| South Dakota | 43 | $59,362 | $16,390 | 3.6× |
| Virginia | 355 | $58,496 | $16,724 | 3.5× |
| Oregon | 88 | $57,546 | $19,362 | 3× |
| Delaware | 60 | $56,731 | $17,086 | 3.3× |
| North Carolina | 271 | $55,519 | $18,146 | 3.1× |
| Hawaii | 36 | $55,394 | $21,281 | 2.6× |
| Arkansas | 84 | $51,952 | $13,763 | 3.8× |
| North Dakota | 25 | $51,706 | $15,938 | 3.2× |
| Iowa | 75 | $50,729 | $14,248 | 3.6× |
| Utah | 34 | $49,861 | $16,677 | 3× |
| Massachusetts | 392 | $49,827 | $19,818 | 2.5× |
| Mississippi | 109 | $49,577 | $13,111 | 3.8× |
| Michigan | 222 | $46,287 | $16,615 | 2.8× |
| West Virginia | 49 | $46,287 | $14,498 | 3.2× |
| Rhode Island | 31 | $43,974 | $17,875 | 2.5× |
| Montana | 36 | $38,276 | $14,466 | 2.6× |
| Maryland | 221 | $29,061 | $26,040 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 26 stays | $1,094,250 | $130,835 |
| Good Samaritan Hospital San Jose, CA · 14 stays | $373,753 | $25,234 |
| Cedars-Sinai Medical Center Los Angeles, CA · 32 stays | $293,166 | $27,034 |
| Montefiore Medical Center Bronx, NY · 26 stays | $240,508 | $30,293 |
| UCLA West Valley Medical Center West Hills, CA · 11 stays | $237,165 | $17,271 |
| El Camino Hospital Mountain View, CA · 14 stays | $232,232 | $21,613 |
| North Shore University Hospital Manhasset, NY · 28 stays | $216,072 | $26,569 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 21 stays | $208,333 | $20,721 |
| Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Santa Monica, CA · 17 stays | $206,593 | $40,333 |
| Temple University Hospital Philadelphia, PA · 27 stays | $195,339 | $24,072 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Suburban Hospital Bethesda, MD · 11 stays | $11,691 | $10,620 |
| Beth Israel Deaconess Hospital - Plymouth Plymouth, MA · 13 stays | $15,740 | $13,586 |
| South Shore Hospital South Weymouth, MA · 24 stays | $18,372 | $13,869 |
| Mary Washington Hospital, Inc Fredericksburg, VA · 12 stays | $18,502 | $13,648 |
| Beverly Hospital Corporation Beverly, MA · 16 stays | $22,044 | $14,205 |
| University of MD St Joseph Medical Center Towson, MD · 12 stays | $22,606 | $20,218 |
| Medstar Franklin Square Medical Center Rosedale, MD · 11 stays | $23,105 | $20,920 |
| St Cloud Hospital Saint Cloud, MN · 11 stays | $27,850 | $18,135 |
| North Mississippi Medical Center Tupelo, MS · 15 stays | $29,291 | $13,816 |
| Brigham and Women's Faulkner Hospital Boston, MA · 11 stays | $29,622 | $17,767 |
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.