Inpatient stays / DRG 809
MS-DRG 809 · 203 hospitals · 9,404 stays
DRG 809: Major Hematological and Immunological Diagnoses except Sickle Cell Crisis and Coagulatio
Medicare patients had 9,404 stays in DRG 809 in 2024. Hospitals charged an average of $62,801 per stay and were paid $13,282 — a ratio of 4.7 to 1 — of which Medicare's own share averaged $10,157. Average charges ran from $12,893 at the least expensive hospital to $301,717 at the most; half of hospitals charged between $41,249 and $91,115.
- 1Average charge $62,801
- 2Average paid $13,282
- 3Reporting hospitals 203
- 4Medicare stays 9,404
By state
Average charges for DRG 809 were highest in California ($108,563) and lowest in Maryland ($22,885). Payments vary far less than charges, because Medicare sets them: they range across states from $9,511 to $20,643.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 723 | $108,563 | $18,324 | 5.9× |
| Nevada | 72 | $98,289 | $12,774 | 7.7× |
| New Jersey | 411 | $86,540 | $13,224 | 6.5× |
| Colorado | 116 | $86,169 | $11,334 | 7.6× |
| New York | 517 | $80,453 | $16,377 | 4.9× |
| Pennsylvania | 506 | $78,889 | $12,675 | 6.2× |
| Texas | 621 | $73,294 | $12,709 | 5.8× |
| Florida | 768 | $70,706 | $11,451 | 6.2× |
| Kansas | 124 | $68,095 | $11,293 | 6× |
| Georgia | 253 | $64,360 | $12,916 | 5× |
| Tennessee | 226 | $64,194 | $11,298 | 5.7× |
| Arizona | 189 | $63,671 | $13,977 | 4.6× |
| Oklahoma | 128 | $58,441 | $10,944 | 5.3× |
| Missouri | 182 | $57,651 | $14,143 | 4.1× |
| Virginia | 290 | $56,028 | $12,378 | 4.5× |
| South Carolina | 175 | $54,468 | $12,174 | 4.5× |
| Nebraska | 68 | $53,978 | $13,932 | 3.9× |
| Alabama | 107 | $53,631 | $10,282 | 5.2× |
| Indiana | 209 | $52,512 | $11,267 | 4.7× |
| District of Columbia | 38 | $52,320 | $13,514 | 3.9× |
| Hawaii | 31 | $52,185 | $18,827 | 2.8× |
| Kentucky | 144 | $51,624 | $11,427 | 4.5× |
| Washington | 157 | $51,583 | $12,197 | 4.2× |
| New Hampshire | 56 | $51,301 | $11,861 | 4.3× |
| Louisiana | 145 | $50,315 | $9,865 | 5.1× |
| Illinois | 375 | $49,143 | $13,344 | 3.7× |
| Oregon | 88 | $49,127 | $13,917 | 3.5× |
| Minnesota | 178 | $47,744 | $13,266 | 3.6× |
| North Carolina | 306 | $47,282 | $13,828 | 3.4× |
| Ohio | 344 | $46,670 | $12,483 | 3.7× |
| Mississippi | 134 | $46,616 | $10,110 | 4.6× |
| South Dakota | 36 | $46,516 | $10,426 | 4.5× |
| Connecticut | 119 | $46,412 | $14,671 | 3.2× |
| Vermont | 23 | $45,746 | $10,709 | 4.3× |
| Massachusetts | 311 | $43,609 | $14,732 | 3× |
| Idaho | 46 | $43,311 | $10,598 | 4.1× |
| Arkansas | 122 | $42,033 | $9,511 | 4.4× |
| Wisconsin | 140 | $41,140 | $11,397 | 3.6× |
| Rhode Island | 40 | $40,640 | $12,668 | 3.2× |
| New Mexico | 22 | $39,769 | $11,986 | 3.3× |
| North Dakota | 38 | $39,760 | $11,001 | 3.6× |
| West Virginia | 69 | $39,659 | $9,984 | 4× |
| Maine | 29 | $38,244 | $11,243 | 3.4× |
| Michigan | 233 | $37,623 | $11,804 | 3.2× |
| Utah | 35 | $36,545 | $11,232 | 3.3× |
| Delaware | 52 | $34,981 | $11,216 | 3.1× |
| Iowa | 81 | $34,155 | $9,820 | 3.5× |
| Montana | 26 | $30,295 | $9,549 | 3.2× |
| Maryland | 281 | $22,885 | $20,643 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 26 stays | $301,717 | $31,896 |
| UCSF Medical Center San Francisco, CA · 16 stays | $248,179 | $48,446 |
| Medical City Dallas Dallas, TX · 25 stays | $240,244 | $18,457 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 37 stays | $206,041 | $22,618 |
| North Shore University Hospital Manhasset, NY · 16 stays | $203,521 | $23,933 |
| Tristar Centennial Medical Center Nashville, TN · 17 stays | $186,128 | $13,004 |
| Mountainview Hospital Las Vegas, NV · 13 stays | $175,618 | $13,297 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 23 stays | $173,905 | $14,001 |
| Cedars-Sinai Medical Center Los Angeles, CA · 29 stays | $172,217 | $16,145 |
| Montefiore Medical Center Bronx, NY · 18 stays | $170,745 | $20,655 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Meritus Medical Center Hagerstown, MD · 11 stays | $12,893 | $12,283 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 14 stays | $13,848 | $12,717 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 18 stays | $14,146 | $12,999 |
| Frederick Health Hospital Frederick, MD · 17 stays | $14,340 | $12,993 |
| UPMC Washington Washington, PA · 13 stays | $14,688 | $9,923 |
| Carroll Hospital Center Westminster, MD · 14 stays | $15,171 | $13,325 |
| Suburban Hospital Bethesda, MD · 17 stays | $15,501 | $14,076 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 13 stays | $17,881 | $16,142 |
| Ascension St John Medical Center Tulsa, OK · 11 stays | $20,556 | $10,263 |
| St Cloud Hospital Saint Cloud, MN · 12 stays | $21,261 | $11,371 |
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.