Inpatient stays / DRG 281
MS-DRG 281 · 1,239 hospitals · 36,210 stays
DRG 281: Acute Myocardial Infarction, Discharged Alive with CC
Medicare patients had 36,210 stays in DRG 281 in 2024. Hospitals charged an average of $50,494 per stay and were paid $8,869 — a ratio of 5.7 to 1 — of which Medicare's own share averaged $6,718. Average charges ran from $7,786 at the least expensive hospital to $215,412 at the most; half of hospitals charged between $32,978 and $63,170.
- 1Average charge $50,494
- 2Average paid $8,869
- 3Reporting hospitals 1,239
- 4Medicare stays 36,210
By state
Average charges for DRG 281 were highest in Nevada ($88,625) and lowest in Maryland ($13,075). Payments vary far less than charges, because Medicare sets them: they range across states from $6,785 to $12,376.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 306 | $88,625 | $9,023 | 9.8× |
| California | 2,973 | $81,725 | $11,184 | 7.3× |
| Alaska | 87 | $77,472 | $11,570 | 6.7× |
| New Jersey | 1,157 | $70,455 | $9,352 | 7.5× |
| Colorado | 327 | $70,230 | $8,951 | 7.8× |
| Florida | 3,452 | $67,562 | $8,050 | 8.4× |
| Texas | 2,348 | $65,330 | $8,699 | 7.5× |
| Arizona | 760 | $59,502 | $8,377 | 7.1× |
| New York | 1,969 | $58,133 | $12,376 | 4.7× |
| New Mexico | 169 | $54,141 | $8,189 | 6.6× |
| Kansas | 366 | $51,324 | $7,393 | 6.9× |
| District of Columbia | 86 | $50,858 | $11,082 | 4.6× |
| Pennsylvania | 1,374 | $50,848 | $8,242 | 6.2× |
| Alabama | 536 | $50,082 | $7,705 | 6.5× |
| Georgia | 1,022 | $49,883 | $8,766 | 5.7× |
| South Carolina | 656 | $47,310 | $8,271 | 5.7× |
| New Hampshire | 265 | $46,875 | $8,908 | 5.3× |
| Oklahoma | 484 | $44,458 | $7,708 | 5.8× |
| Washington | 890 | $44,381 | $8,709 | 5.1× |
| Tennessee | 938 | $44,203 | $7,742 | 5.7× |
| Illinois | 1,335 | $44,153 | $9,132 | 4.8× |
| Idaho | 178 | $43,885 | $8,224 | 5.3× |
| Mississippi | 280 | $43,655 | $7,083 | 6.2× |
| Missouri | 553 | $43,553 | $7,841 | 5.6× |
| Virginia | 1,349 | $41,989 | $7,916 | 5.3× |
| Indiana | 751 | $41,661 | $7,766 | 5.4× |
| Hawaii | 132 | $41,125 | $10,921 | 3.8× |
| Connecticut | 335 | $41,036 | $10,333 | 4× |
| Kentucky | 565 | $40,947 | $7,074 | 5.8× |
| Wyoming | 56 | $39,970 | $9,988 | 4× |
| Nebraska | 226 | $39,895 | $8,009 | 5× |
| Ohio | 1,353 | $39,340 | $7,826 | 5× |
| Utah | 159 | $38,584 | $8,505 | 4.5× |
| Louisiana | 544 | $37,597 | $7,031 | 5.3× |
| South Dakota | 172 | $37,281 | $7,768 | 4.8× |
| Delaware | 126 | $37,178 | $8,927 | 4.2× |
| Wisconsin | 597 | $36,866 | $8,163 | 4.5× |
| North Carolina | 968 | $36,196 | $8,689 | 4.2× |
| Oregon | 488 | $33,614 | $9,638 | 3.5× |
| Maine | 266 | $33,596 | $8,892 | 3.8× |
| Minnesota | 480 | $33,203 | $8,509 | 3.9× |
| Iowa | 418 | $32,979 | $7,149 | 4.6× |
| Arkansas | 450 | $32,289 | $6,785 | 4.8× |
| West Virginia | 488 | $32,058 | $7,546 | 4.2× |
| Michigan | 1,152 | $31,240 | $8,335 | 3.7× |
| Rhode Island | 157 | $30,736 | $9,536 | 3.2× |
| North Dakota | 216 | $28,930 | $7,647 | 3.8× |
| Massachusetts | 1,128 | $28,501 | $9,284 | 3.1× |
| Montana | 166 | $26,181 | $7,314 | 3.6× |
| Vermont | 103 | $22,814 | $7,172 | 3.2× |
| Maryland | 854 | $13,075 | $11,842 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Summerlin Hospital Medical Center Las Vegas, NV · 12 stays | $215,412 | $8,348 |
| San Ramon Regional Medical Center San Ramon, CA · 14 stays | $208,782 | $9,809 |
| Doctors Medical Center Modesto, CA · 19 stays | $185,254 | $9,774 |
| Good Samaritan Hospital San Jose, CA · 27 stays | $180,142 | $14,015 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 16 stays | $169,562 | $14,777 |
| UCLA West Valley Medical Center West Hills, CA · 11 stays | $169,443 | $8,870 |
| Stanford Health Care Stanford, CA · 37 stays | $165,316 | $15,879 |
| HCA Florida Orange Park Hospital Orange Park, FL · 22 stays | $163,343 | $11,401 |
| Emanuel Medical Center Turlock, CA · 26 stays | $159,344 | $9,543 |
| Montefiore Medical Center Bronx, NY · 35 stays | $153,136 | $18,851 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medstar Montgomery Medical Center Olney, MD · 11 stays | $7,786 | $6,931 |
| Union Hospital of Cecil County Elkton, MD · 16 stays | $9,476 | $8,458 |
| Medstar Harbor Hospital Baltimore, MD · 21 stays | $9,845 | $8,879 |
| Meritus Medical Center Hagerstown, MD · 41 stays | $10,164 | $9,364 |
| Suburban Hospital Bethesda, MD · 24 stays | $10,243 | $9,184 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 20 stays | $10,303 | $9,915 |
| Carroll Hospital Center Westminster, MD · 25 stays | $10,424 | $9,200 |
| Northwestern Medical Center Inc Saint Albans, VT · 23 stays | $10,585 | $10,455 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 41 stays | $10,661 | $9,515 |
| Medstar Good Samaritan Hospital Baltimore, MD · 20 stays | $10,964 | $9,921 |
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.