Inpatient stays / DRG 621
MS-DRG 621 · 74 hospitals · 4,100 stays
DRG 621: O.R. Procedures for Obesity without CC/MCC
Medicare patients had 4,100 stays in DRG 621 in 2024. Hospitals charged an average of $74,857 per stay and were paid $14,603 — a ratio of 5.1 to 1 — of which Medicare's own share averaged $10,413. Average charges ran from $17,114 at the least expensive hospital to $239,932 at the most; half of hospitals charged between $43,614 and $95,806.
- 1Average charge $74,857
- 2Average paid $14,603
- 3Reporting hospitals 74
- 4Medicare stays 4,100
By state
Average charges for DRG 621 were highest in Florida ($123,267) and lowest in Maryland ($21,837). Payments vary far less than charges, because Medicare sets them: they range across states from $10,278 to $19,805.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Florida | 266 | $123,267 | $14,441 | 8.5× |
| Colorado | 73 | $104,981 | $13,950 | 7.5× |
| South Carolina | 91 | $102,860 | $12,764 | 8.1× |
| Texas | 332 | $102,611 | $13,384 | 7.7× |
| California | 339 | $97,569 | $18,160 | 5.4× |
| Georgia | 105 | $97,409 | $14,371 | 6.8× |
| Nevada | 41 | $86,724 | $15,073 | 5.8× |
| Kansas | 67 | $85,795 | $12,665 | 6.8× |
| Washington | 90 | $85,229 | $17,242 | 4.9× |
| Indiana | 79 | $80,628 | $12,843 | 6.3× |
| Oklahoma | 66 | $80,303 | $13,515 | 5.9× |
| Arizona | 79 | $80,042 | $13,867 | 5.8× |
| Alabama | 48 | $79,987 | $11,128 | 7.2× |
| New Mexico | 14 | $76,413 | $11,409 | 6.7× |
| Idaho | 42 | $74,893 | $16,900 | 4.4× |
| Pennsylvania | 137 | $72,956 | $14,053 | 5.2× |
| West Virginia | 32 | $72,493 | $17,232 | 4.2× |
| Louisiana | 55 | $71,503 | $11,461 | 6.2× |
| Illinois | 149 | $70,894 | $16,069 | 4.4× |
| Virginia | 90 | $70,013 | $15,850 | 4.4× |
| Tennessee | 82 | $68,784 | $13,284 | 5.2× |
| New Jersey | 134 | $68,252 | $15,238 | 4.5× |
| Ohio | 142 | $65,609 | $13,469 | 4.9× |
| Kentucky | 76 | $64,065 | $11,257 | 5.7× |
| New York | 205 | $63,709 | $17,897 | 3.6× |
| Utah | 37 | $63,135 | $15,176 | 4.2× |
| New Hampshire | 46 | $58,480 | $13,640 | 4.3× |
| North Carolina | 116 | $57,608 | $13,170 | 4.4× |
| Iowa | 20 | $57,171 | $12,268 | 4.7× |
| Nebraska | 41 | $56,563 | $12,930 | 4.4× |
| Wisconsin | 71 | $55,865 | $13,633 | 4.1× |
| South Dakota | 25 | $55,419 | $12,582 | 4.4× |
| Missouri | 124 | $54,670 | $12,791 | 4.3× |
| Mississippi | 68 | $51,259 | $11,491 | 4.5× |
| Oregon | 65 | $50,016 | $16,095 | 3.1× |
| Delaware | 34 | $49,528 | $13,610 | 3.6× |
| Michigan | 118 | $49,078 | $14,038 | 3.5× |
| Minnesota | 30 | $48,677 | $15,037 | 3.2× |
| Montana | 25 | $47,476 | $11,645 | 4.1× |
| Maine | 21 | $46,673 | $13,866 | 3.4× |
| Arkansas | 113 | $46,572 | $10,278 | 4.5× |
| Connecticut | 31 | $41,847 | $18,483 | 2.3× |
| Massachusetts | 136 | $36,612 | $15,339 | 2.4× |
| Rhode Island | 12 | $29,459 | $15,037 | 2× |
| Maryland | 94 | $21,837 | $19,805 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Grand Strand Regional Medical Center Myrtle Beach, SC · 15 stays | $239,932 | $12,290 |
| HCA Florida Memorial Hospital Jacksonville, FL · 13 stays | $193,804 | $14,231 |
| NYU Langone Hospitals New York, NY · 16 stays | $188,423 | $21,998 |
| HCA Healthone Rose Denver, CO · 11 stays | $181,897 | $15,865 |
| John Muir Medical Center - Concord Campus Concord, CA · 15 stays | $174,737 | $18,915 |
| St David's Medical Center Austin, TX · 12 stays | $154,564 | $15,606 |
| Adventhealth Orlando Orlando, FL · 11 stays | $150,551 | $15,796 |
| Saint Rose Dominican Hospitals - San Martin Campus Las Vegas, NV · 11 stays | $120,209 | $15,744 |
| Alta Bates Summit Medical Center Oakland, CA · 16 stays | $111,064 | $17,662 |
| CHRISTUS Shreveport-Bossier Health System Shreveport, LA · 11 stays | $110,629 | $9,984 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medstar Franklin Square Medical Center Rosedale, MD · 12 stays | $17,114 | $15,213 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 13 stays | $20,683 | $19,311 |
| Mercy Medical Center Inc Baltimore, MD · 11 stays | $21,251 | $18,732 |
| Saint Agnes Hospital Baltimore, MD · 11 stays | $21,266 | $18,828 |
| Emerson Hospital - W Concord, MA · 16 stays | $28,488 | $12,955 |
| Crouse Hospital Syracuse, NY · 12 stays | $28,992 | $14,680 |
| North Kansas City Hospital North Kansas City, MO · 14 stays | $29,024 | $11,523 |
| Mercy Medical Ctr Springfield, MA · 11 stays | $29,483 | $13,107 |
| North Mississippi Medical Center Tupelo, MS · 14 stays | $30,557 | $10,248 |
| Mercy Hospital South Saint Louis, MO · 11 stays | $31,888 | $11,256 |
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.