Inpatient stays / DRG 638
MS-DRG 638 · 1,193 hospitals · 33,758 stays
DRG 638: Diabetes with CC
Medicare patients had 33,758 stays in DRG 638 in 2024. Hospitals charged an average of $41,674 per stay and were paid $9,138 — a ratio of 4.6 to 1 — of which Medicare's own share averaged $6,925. Average charges ran from $9,515 at the least expensive hospital to $247,534 at the most; half of hospitals charged between $25,430 and $52,708.
- 1Average charge $41,674
- 2Average paid $9,138
- 3Reporting hospitals 1,193
- 4Medicare stays 33,758
By state
Average charges for DRG 638 were highest in Nevada ($84,902) and lowest in Maryland ($13,416). Payments vary far less than charges, because Medicare sets them: they range across states from $6,536 to $12,449.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 317 | $84,902 | $9,068 | 9.4× |
| New Jersey | 1,236 | $73,936 | $9,503 | 7.8× |
| California | 3,082 | $67,160 | $11,221 | 6× |
| Alaska | 65 | $59,074 | $11,185 | 5.3× |
| New York | 2,162 | $56,725 | $12,449 | 4.6× |
| Colorado | 257 | $56,170 | $8,689 | 6.5× |
| Florida | 2,861 | $53,202 | $8,138 | 6.5× |
| District of Columbia | 85 | $50,564 | $12,406 | 4.1× |
| Texas | 2,354 | $48,693 | $9,831 | 5× |
| Arizona | 554 | $44,872 | $9,324 | 4.8× |
| Pennsylvania | 1,548 | $41,843 | $8,220 | 5.1× |
| Washington | 470 | $39,812 | $9,201 | 4.3× |
| Kansas | 291 | $37,598 | $7,830 | 4.8× |
| Georgia | 872 | $37,592 | $9,544 | 3.9× |
| New Mexico | 165 | $35,989 | $9,066 | 4× |
| Illinois | 1,548 | $35,108 | $9,113 | 3.9× |
| Tennessee | 731 | $35,011 | $7,940 | 4.4× |
| Oklahoma | 489 | $34,946 | $7,933 | 4.4× |
| South Carolina | 630 | $34,802 | $8,021 | 4.3× |
| Hawaii | 68 | $34,376 | $11,341 | 3× |
| Maine | 108 | $34,151 | $9,825 | 3.5× |
| Idaho | 116 | $34,141 | $8,407 | 4.1× |
| Connecticut | 345 | $33,856 | $10,074 | 3.4× |
| Wyoming | 66 | $33,520 | $9,496 | 3.5× |
| Missouri | 747 | $33,243 | $8,235 | 4× |
| Indiana | 797 | $32,528 | $7,655 | 4.2× |
| Wisconsin | 427 | $32,273 | $8,177 | 3.9× |
| South Dakota | 103 | $32,081 | $8,420 | 3.8× |
| Kentucky | 515 | $31,921 | $6,981 | 4.6× |
| Virginia | 979 | $31,738 | $7,996 | 4× |
| Alabama | 604 | $31,624 | $7,657 | 4.1× |
| Rhode Island | 119 | $30,953 | $9,917 | 3.1× |
| Louisiana | 446 | $30,867 | $7,629 | 4× |
| Utah | 142 | $30,503 | $8,649 | 3.5× |
| New Hampshire | 156 | $30,219 | $8,278 | 3.7× |
| Ohio | 1,399 | $29,917 | $7,869 | 3.8× |
| Mississippi | 399 | $28,703 | $7,288 | 3.9× |
| Oregon | 243 | $28,411 | $9,521 | 3× |
| Minnesota | 461 | $28,405 | $8,609 | 3.3× |
| Delaware | 176 | $27,556 | $8,543 | 3.2× |
| North Carolina | 1,094 | $26,988 | $8,422 | 3.2× |
| Iowa | 255 | $26,580 | $7,262 | 3.7× |
| Vermont | 63 | $26,076 | $6,536 | 4× |
| Michigan | 1,064 | $25,920 | $8,255 | 3.1× |
| Nebraska | 178 | $25,917 | $8,126 | 3.2× |
| Arkansas | 328 | $25,862 | $7,007 | 3.7× |
| West Virginia | 245 | $25,640 | $7,552 | 3.4× |
| Montana | 90 | $25,083 | $7,882 | 3.2× |
| Massachusetts | 1,290 | $21,746 | $9,183 | 2.4× |
| North Dakota | 84 | $21,513 | $7,557 | 2.8× |
| Maryland | 934 | $13,416 | $12,164 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 14 stays | $247,534 | $11,878 |
| Capital Health Medical Center - Hopewell Pennington, NJ · 18 stays | $232,023 | $11,313 |
| Carepoint Health - Bayonne Medical Center Bayonne, NJ · 16 stays | $212,742 | $10,583 |
| Trinitas Regional Medical Center Elizabeth, NJ · 11 stays | $211,241 | $21,871 |
| Regional Medical Center of San Jose San Jose, CA · 18 stays | $181,704 | $11,322 |
| Centennial Hills Hospital Medical Center Las Vegas, NV · 19 stays | $167,274 | $8,753 |
| Good Samaritan Hospital San Jose, CA · 27 stays | $155,994 | $10,147 |
| Martin Luther King, Jr. Community Hospital Los Angeles, CA · 16 stays | $155,899 | $13,416 |
| Cedars-Sinai Medical Center Los Angeles, CA · 52 stays | $155,016 | $13,400 |
| Westchester Medical Center Valhalla, NY · 23 stays | $152,448 | $11,268 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| UPMC Chautauqua at Wca Jamestown, NY · 12 stays | $9,515 | $7,434 |
| Sturdy Memorial Hospital Attleboro, MA · 18 stays | $9,872 | $7,652 |
| U P M C Western Maryland Cumberland, MD · 23 stays | $10,022 | $8,909 |
| Medstar Good Samaritan Hospital Baltimore, MD · 23 stays | $10,035 | $8,924 |
| Holy Cross Hospital Silver Spring, MD · 13 stays | $10,123 | $9,246 |
| Luminis Health Doctors Community Medical Ctr, Inc Lanham, MD · 33 stays | $10,316 | $9,696 |
| Baystate Noble Hospital Westfield, MA · 18 stays | $10,912 | $6,899 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 70 stays | $10,918 | $10,096 |
| Meritus Medical Center Hagerstown, MD · 35 stays | $11,076 | $10,279 |
| Medstar Harbor Hospital Baltimore, MD · 14 stays | $11,097 | $10,055 |
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.