Inpatient stays / DRG 838
MS-DRG 838 · 30 hospitals · 1,240 stays
DRG 838: Chemotherapy with Acute Leukemia As Secondary Diagnosis with CC or High Dose Chemotherap
Medicare patients had 1,240 stays in DRG 838 in 2024. Hospitals charged an average of $100,434 per stay and were paid $26,127 — a ratio of 3.8 to 1 — of which Medicare's own share averaged $19,742. Average charges ran from $37,563 at the least expensive hospital to $248,039 at the most; half of hospitals charged between $54,773 and $100,274.
- 1Average charge $100,434
- 2Average paid $26,127
- 3Reporting hospitals 30
- 4Medicare stays 1,240
By state
Average charges for DRG 838 were highest in California ($186,183) and lowest in Washington ($52,070). Payments vary far less than charges, because Medicare sets them: they range across states from $17,916 to $50,674.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 105 | $186,183 | $37,254 | 5× |
| Texas | 68 | $159,857 | $22,073 | 7.2× |
| New York | 60 | $146,856 | $33,054 | 4.4× |
| Colorado | 16 | $143,817 | $18,809 | 7.6× |
| Indiana | 24 | $136,684 | $21,060 | 6.5× |
| Alabama | 17 | $129,074 | $25,610 | 5× |
| Oklahoma | 18 | $126,942 | $23,970 | 5.3× |
| Oregon | 20 | $124,601 | $41,817 | 3× |
| New Jersey | 14 | $116,930 | $19,507 | 6× |
| Pennsylvania | 77 | $113,192 | $22,198 | 5.1× |
| Ohio | 33 | $111,367 | $30,499 | 3.7× |
| Florida | 54 | $109,118 | $18,025 | 6.1× |
| Arizona | 17 | $98,043 | $21,825 | 4.5× |
| Nebraska | 32 | $95,573 | $20,614 | 4.6× |
| South Carolina | 27 | $93,468 | $21,596 | 4.3× |
| Missouri | 44 | $88,337 | $22,419 | 3.9× |
| Illinois | 58 | $81,359 | $29,476 | 2.8× |
| Wisconsin | 34 | $79,685 | $23,301 | 3.4× |
| Connecticut | 19 | $78,744 | $29,156 | 2.7× |
| Massachusetts | 36 | $75,844 | $26,328 | 2.9× |
| Iowa | 27 | $70,487 | $21,079 | 3.3× |
| Mississippi | 20 | $69,589 | $19,881 | 3.5× |
| Virginia | 23 | $68,584 | $24,733 | 2.8× |
| Georgia | 38 | $67,977 | $22,065 | 3.1× |
| North Carolina | 41 | $66,472 | $30,294 | 2.2× |
| Utah | 11 | $66,009 | $29,870 | 2.2× |
| Louisiana | 16 | $60,555 | $21,128 | 2.9× |
| Minnesota | 30 | $59,151 | $21,159 | 2.8× |
| Tennessee | 43 | $59,003 | $17,916 | 3.3× |
| North Dakota | 13 | $58,963 | $17,937 | 3.3× |
| Michigan | 47 | $57,442 | $20,316 | 2.8× |
| Maryland | 55 | $56,705 | $50,674 | 1.1× |
| Washington | 33 | $52,070 | $23,593 | 2.2× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medical City Dallas Dallas, TX · 18 stays | $248,039 | $16,926 |
| University of California Davis Medical Center Sacramento, CA · 11 stays | $174,160 | $30,356 |
| The University of Chicago Medical Center Chicago, IL · 16 stays | $138,838 | $46,638 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 17 stays | $125,539 | $19,894 |
| New York-Presbyterian Hospital New York, NY · 17 stays | $112,737 | $29,527 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 30 stays | $108,165 | $25,430 |
| University of Alabama Hospital Birmingham, AL · 13 stays | $106,270 | $23,740 |
| Froedtert Memorial Lutheran Hospital Milwaukee, WI · 14 stays | $98,275 | $26,709 |
| The Nebraska Medical Center Omaha, NE · 31 stays | $94,379 | $20,789 |
| Barnes Jewish Hospital Saint Louis, MO · 35 stays | $92,333 | $23,013 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Mayo Clinic Jacksonville, FL · 13 stays | $37,563 | $20,658 |
| Vanderbilt University Medical Center Nashville, TN · 13 stays | $39,144 | $22,054 |
| UNC Hospitals Chapel Hill, NC · 17 stays | $39,310 | $23,665 |
| Northwestern Memorial Hospital Chicago, IL · 11 stays | $42,899 | $22,829 |
| University of Washington Medical Ctr Seattle, WA · 24 stays | $42,972 | $23,405 |
| MUSC Medical Center Charleston, SC · 15 stays | $49,589 | $23,221 |
| Sanford Fargo, ND · 12 stays | $50,183 | $16,751 |
| University of Maryland Medical Center Baltimore, MD · 20 stays | $56,303 | $51,834 |
| Uci Health-Orange Orange, CA · 11 stays | $58,872 | $31,173 |
| Johns Hopkins Hospital, the Baltimore, MD · 33 stays | $59,373 | $52,156 |
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.