Inpatient stays / DRG 355
MS-DRG 355 · 51 hospitals · 4,347 stays
DRG 355: Hernia Procedures except Inguinal and Femoral without CC/MCC
Medicare patients had 4,347 stays in DRG 355 in 2024. Hospitals charged an average of $72,213 per stay and were paid $13,071 — a ratio of 5.5 to 1 — of which Medicare's own share averaged $9,892. Average charges ran from $15,071 at the least expensive hospital to $155,296 at the most; half of hospitals charged between $48,853 and $91,554.
- 1Average charge $72,213
- 2Average paid $13,071
- 3Reporting hospitals 51
- 4Medicare stays 4,347
By state
Average charges for DRG 355 were highest in Nevada ($144,112) and lowest in Maryland ($22,617). Payments vary far less than charges, because Medicare sets them: they range across states from $9,753 to $20,543.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 17 | $144,112 | $13,889 | 10.4× |
| Colorado | 59 | $110,144 | $12,778 | 8.6× |
| Florida | 360 | $107,057 | $11,735 | 9.1× |
| California | 301 | $104,650 | $16,978 | 6.2× |
| Alaska | 13 | $103,319 | $14,512 | 7.1× |
| Idaho | 27 | $94,517 | $18,274 | 5.2× |
| Texas | 336 | $94,301 | $12,171 | 7.7× |
| District of Columbia | 13 | $83,609 | $18,762 | 4.5× |
| South Carolina | 106 | $82,438 | $11,826 | 7× |
| Arizona | 120 | $79,963 | $11,877 | 6.7× |
| Alabama | 97 | $78,543 | $12,139 | 6.5× |
| Pennsylvania | 165 | $78,279 | $12,910 | 6.1× |
| New Jersey | 132 | $78,251 | $13,563 | 5.8× |
| New Mexico | 16 | $75,751 | $12,537 | 6× |
| Indiana | 90 | $74,549 | $11,419 | 6.5× |
| New York | 263 | $72,750 | $16,360 | 4.4× |
| Virginia | 157 | $72,268 | $12,094 | 6× |
| Washington | 103 | $72,181 | $13,731 | 5.3× |
| Kentucky | 65 | $66,514 | $10,977 | 6.1× |
| Georgia | 132 | $65,237 | $11,848 | 5.5× |
| Wisconsin | 72 | $63,328 | $13,680 | 4.6× |
| Louisiana | 60 | $60,952 | $10,064 | 6.1× |
| Tennessee | 109 | $59,628 | $10,844 | 5.5× |
| Ohio | 180 | $58,226 | $12,010 | 4.8× |
| Illinois | 164 | $57,885 | $14,234 | 4.1× |
| Connecticut | 44 | $55,688 | $14,912 | 3.7× |
| Oklahoma | 50 | $55,327 | $11,316 | 4.9× |
| Kansas | 47 | $55,227 | $11,978 | 4.6× |
| North Carolina | 135 | $54,543 | $12,613 | 4.3× |
| Oregon | 48 | $53,992 | $14,266 | 3.8× |
| West Virginia | 14 | $53,924 | $13,551 | 4× |
| South Dakota | 13 | $53,653 | $12,440 | 4.3× |
| Missouri | 100 | $52,836 | $11,168 | 4.7× |
| Nebraska | 44 | $52,370 | $11,622 | 4.5× |
| Minnesota | 57 | $50,364 | $13,160 | 3.8× |
| Wyoming | 13 | $50,066 | $16,070 | 3.1× |
| Utah | 32 | $49,486 | $11,349 | 4.4× |
| Michigan | 111 | $49,321 | $12,126 | 4.1× |
| New Hampshire | 22 | $46,417 | $11,830 | 3.9× |
| Mississippi | 42 | $44,578 | $10,515 | 4.2× |
| Arkansas | 58 | $41,814 | $9,753 | 4.3× |
| Delaware | 30 | $41,436 | $11,400 | 3.6× |
| Iowa | 38 | $40,809 | $10,404 | 3.9× |
| Montana | 32 | $39,705 | $11,181 | 3.6× |
| Massachusetts | 122 | $39,102 | $14,281 | 2.7× |
| North Dakota | 21 | $38,297 | $10,947 | 3.5× |
| Rhode Island | 14 | $24,843 | $13,261 | 1.9× |
| Maryland | 82 | $22,617 | $20,543 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| NYU Langone Hospitals New York, NY · 17 stays | $155,296 | $17,856 |
| Orlando Health Orlando Regional Medical Center Orlando, FL · 12 stays | $152,646 | $14,933 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 15 stays | $147,734 | $17,948 |
| Adventhealth Orlando Orlando, FL · 20 stays | $147,033 | $13,554 |
| Houston Methodist Willowbrook Hospital Houston, TX · 11 stays | $131,675 | $10,861 |
| MUSC Medical Center Charleston, SC · 17 stays | $124,358 | $16,597 |
| Stony Brook University Hospital Stony Brook, NY · 19 stays | $119,471 | $20,496 |
| Physicians Regional Medical Center - Pine Ridge Naples, FL · 12 stays | $112,361 | $9,686 |
| West Jersey Hospital Voorhees, NJ · 16 stays | $108,489 | $10,915 |
| Penn Presbyterian Medical Center Philadelphia, PA · 12 stays | $107,997 | $15,303 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 18 stays | $15,071 | $14,035 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 11 stays | $22,585 | $14,316 |
| Shannon Medical Center San Angelo, TX · 11 stays | $34,669 | $10,007 |
| Sanford Fargo, ND · 13 stays | $35,081 | $11,194 |
| Beebe Medical Center Lewes, DE · 16 stays | $35,370 | $10,769 |
| St Peter's Hospital Albany, NY · 14 stays | $38,122 | $11,600 |
| Baptist Health Medical Center-Little Rock Little Rock, AR · 13 stays | $42,682 | $9,385 |
| Valley Hospital Paramus, NJ · 12 stays | $42,891 | $11,683 |
| Providence Holy Family Hospital Spokane, WA · 15 stays | $43,541 | $11,951 |
| Novant Health New Hanover Regional Medical Center Wilmington, NC · 11 stays | $46,083 | $11,411 |
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.