Inpatient stays / DRG 637
MS-DRG 637 · 1,057 hospitals · 27,980 stays
DRG 637: Diabetes with MCC
Medicare patients had 27,980 stays in DRG 637 in 2024. Hospitals charged an average of $66,501 per stay and were paid $13,857 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $11,408. Average charges ran from $14,042 at the least expensive hospital to $367,270 at the most; half of hospitals charged between $41,606 and $84,781.
- 1Average charge $66,501
- 2Average paid $13,857
- 3Reporting hospitals 1,057
- 4Medicare stays 27,980
By state
Average charges for DRG 637 were highest in Nevada ($126,983) and lowest in Maryland ($23,394). Payments vary far less than charges, because Medicare sets them: they range across states from $10,469 to $21,194.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 331 | $126,983 | $13,232 | 9.6× |
| District of Columbia | 93 | $113,983 | $21,162 | 5.4× |
| California | 2,901 | $103,060 | $16,965 | 6.1× |
| New Jersey | 944 | $101,567 | $14,630 | 6.9× |
| Colorado | 292 | $93,177 | $12,510 | 7.4× |
| New York | 1,756 | $88,689 | $19,736 | 4.5× |
| Alaska | 59 | $85,725 | $17,736 | 4.8× |
| Florida | 2,372 | $80,903 | $12,041 | 6.7× |
| Texas | 2,184 | $77,807 | $12,797 | 6.1× |
| Pennsylvania | 1,138 | $66,569 | $12,709 | 5.2× |
| Arizona | 428 | $65,227 | $13,005 | 5× |
| Georgia | 890 | $63,061 | $13,623 | 4.6× |
| Washington | 460 | $62,975 | $14,487 | 4.3× |
| New Mexico | 138 | $62,249 | $13,322 | 4.7× |
| Connecticut | 310 | $61,752 | $16,563 | 3.7× |
| South Carolina | 522 | $60,154 | $11,904 | 5.1× |
| Hawaii | 62 | $59,909 | $17,777 | 3.4× |
| Kansas | 239 | $58,005 | $11,208 | 5.2× |
| Oklahoma | 441 | $55,612 | $11,355 | 4.9× |
| Illinois | 1,221 | $54,514 | $13,429 | 4.1× |
| Missouri | 619 | $53,781 | $12,524 | 4.3× |
| Maine | 84 | $53,244 | $16,594 | 3.2× |
| Wisconsin | 362 | $53,126 | $12,639 | 4.2× |
| Virginia | 813 | $52,600 | $12,731 | 4.1× |
| Idaho | 93 | $52,229 | $12,227 | 4.3× |
| Alabama | 421 | $51,715 | $11,122 | 4.6× |
| Louisiana | 358 | $51,653 | $11,169 | 4.6× |
| Ohio | 999 | $51,276 | $12,372 | 4.1× |
| Minnesota | 367 | $49,622 | $14,161 | 3.5× |
| Wyoming | 41 | $49,600 | $15,072 | 3.3× |
| Mississippi | 375 | $48,909 | $10,941 | 4.5× |
| Indiana | 571 | $48,708 | $11,769 | 4.1× |
| Tennessee | 678 | $48,027 | $11,357 | 4.2× |
| South Dakota | 77 | $47,921 | $12,386 | 3.9× |
| Oregon | 234 | $47,375 | $15,138 | 3.1× |
| Delaware | 132 | $47,242 | $13,472 | 3.5× |
| Kentucky | 353 | $46,498 | $10,857 | 4.3× |
| Utah | 135 | $46,407 | $12,540 | 3.7× |
| Rhode Island | 79 | $46,247 | $15,212 | 3× |
| New Hampshire | 142 | $46,012 | $12,999 | 3.5× |
| West Virginia | 182 | $43,589 | $11,480 | 3.8× |
| North Carolina | 842 | $41,530 | $12,648 | 3.3× |
| Iowa | 207 | $41,506 | $11,448 | 3.6× |
| Arkansas | 324 | $41,013 | $10,469 | 3.9× |
| Nebraska | 136 | $40,474 | $11,846 | 3.4× |
| Michigan | 856 | $40,231 | $12,813 | 3.1× |
| Vermont | 41 | $38,990 | $11,293 | 3.5× |
| North Dakota | 52 | $37,773 | $11,970 | 3.2× |
| Massachusetts | 935 | $35,272 | $14,675 | 2.4× |
| Montana | 72 | $29,414 | $11,661 | 2.5× |
| Maryland | 619 | $23,394 | $21,194 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 13 stays | $367,270 | $15,126 |
| Valley Hospital Medical Center Las Vegas, NV · 18 stays | $315,375 | $14,349 |
| Stanford Health Care Stanford, CA · 33 stays | $262,411 | $26,262 |
| Regional Medical Center of San Jose San Jose, CA · 11 stays | $243,900 | $16,284 |
| Cedars-Sinai Medical Center Los Angeles, CA · 27 stays | $240,518 | $20,571 |
| Martin Luther King, Jr. Community Hospital Los Angeles, CA · 17 stays | $227,188 | $17,550 |
| Westchester Medical Center Valhalla, NY · 12 stays | $222,156 | $18,906 |
| Good Samaritan Hospital San Jose, CA · 12 stays | $222,144 | $16,019 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 19 stays | $216,641 | $22,216 |
| Adventist Health Lodi Memorial Lodi, CA · 13 stays | $208,456 | $15,277 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 21 stays | $14,042 | $12,663 |
| University of MD St Joseph Medical Center Towson, MD · 11 stays | $15,783 | $14,241 |
| Carroll Hospital Center Westminster, MD · 17 stays | $16,815 | $14,894 |
| Decatur Morgan Hospital-Decatur Campus Decatur, AL · 13 stays | $17,182 | $11,939 |
| Medstar Southern Maryland Hospital Center Clinton, MD · 22 stays | $17,339 | $15,941 |
| Good Samaritan Medical Center Brockton, MA · 35 stays | $17,571 | $11,014 |
| Sturdy Memorial Hospital Attleboro, MA · 15 stays | $17,785 | $11,223 |
| Beth Israel Deaconess Hospital-Milton Inc Milton, MA · 17 stays | $18,033 | $10,951 |
| University of MD Charles Regional Medical Center La Plata, MD · 20 stays | $18,305 | $21,688 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 33 stays | $18,353 | $16,962 |
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.