Inpatient stays / DRG 854
MS-DRG 854 · 720 hospitals · 20,758 stays
DRG 854: Infectious and Parasitic Diseases with O.R. Procedures with CC
Medicare patients had 20,758 stays in DRG 854 in 2024. Hospitals charged an average of $98,272 per stay and were paid $19,069 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $15,119. Average charges ran from $16,908 at the least expensive hospital to $456,584 at the most; half of hospitals charged between $59,488 and $122,230.
- 1Average charge $98,272
- 2Average paid $19,069
- 3Reporting hospitals 720
- 4Medicare stays 20,758
By state
Average charges for DRG 854 were highest in Nevada ($221,865) and lowest in Maryland ($28,251). Payments vary far less than charges, because Medicare sets them: they range across states from $14,651 to $39,979.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 165 | $221,865 | $21,559 | 10.3× |
| California | 2,196 | $153,811 | $24,655 | 6.2× |
| Florida | 1,514 | $149,921 | $17,341 | 8.6× |
| District of Columbia | 55 | $135,880 | $25,720 | 5.3× |
| New Jersey | 651 | $134,229 | $20,627 | 6.5× |
| Alaska | 73 | $128,586 | $23,093 | 5.6× |
| Texas | 1,509 | $126,914 | $18,136 | 7× |
| Colorado | 272 | $122,742 | $17,520 | 7× |
| New York | 950 | $115,086 | $24,332 | 4.7× |
| Arizona | 486 | $105,553 | $18,485 | 5.7× |
| Pennsylvania | 976 | $96,308 | $18,071 | 5.3× |
| South Carolina | 359 | $96,244 | $16,464 | 5.8× |
| Georgia | 552 | $95,367 | $19,076 | 5× |
| Alabama | 273 | $93,079 | $15,436 | 6× |
| Washington | 389 | $89,282 | $20,119 | 4.4× |
| Kansas | 274 | $88,516 | $15,931 | 5.6× |
| New Hampshire | 96 | $85,647 | $18,718 | 4.6× |
| Virginia | 781 | $84,043 | $16,883 | 5× |
| New Mexico | 134 | $82,654 | $17,957 | 4.6× |
| Illinois | 878 | $82,382 | $19,240 | 4.3× |
| Louisiana | 298 | $82,222 | $16,031 | 5.1× |
| Connecticut | 153 | $79,479 | $21,457 | 3.7× |
| West Virginia | 174 | $79,025 | $17,981 | 4.4× |
| Indiana | 462 | $77,557 | $16,435 | 4.7× |
| Missouri | 472 | $77,117 | $15,853 | 4.9× |
| Maine | 56 | $75,951 | $19,669 | 3.9× |
| South Dakota | 69 | $75,420 | $18,365 | 4.1× |
| Wyoming | 33 | $75,116 | $23,864 | 3.1× |
| Hawaii | 67 | $74,469 | $39,979 | 1.9× |
| Tennessee | 542 | $73,570 | $16,746 | 4.4× |
| Oklahoma | 296 | $70,870 | $15,756 | 4.5× |
| Ohio | 681 | $70,089 | $16,669 | 4.2× |
| North Carolina | 505 | $68,209 | $17,087 | 4× |
| Mississippi | 256 | $67,392 | $14,724 | 4.6× |
| Nebraska | 124 | $67,121 | $17,906 | 3.7× |
| Kentucky | 360 | $65,738 | $15,309 | 4.3× |
| Arkansas | 233 | $65,356 | $14,783 | 4.4× |
| Oregon | 237 | $65,254 | $21,738 | 3× |
| Wisconsin | 367 | $65,212 | $17,044 | 3.8× |
| Idaho | 100 | $65,166 | $18,511 | 3.5× |
| Delaware | 83 | $64,687 | $18,852 | 3.4× |
| Utah | 133 | $61,318 | $16,770 | 3.7× |
| Minnesota | 320 | $58,771 | $17,849 | 3.3× |
| Michigan | 570 | $58,597 | $17,673 | 3.3× |
| Vermont | 47 | $57,045 | $14,651 | 3.9× |
| Iowa | 272 | $54,713 | $15,127 | 3.6× |
| North Dakota | 87 | $51,344 | $16,561 | 3.1× |
| Rhode Island | 44 | $48,476 | $17,976 | 2.7× |
| Montana | 124 | $48,066 | $16,147 | 3× |
| Massachusetts | 463 | $46,787 | $20,737 | 2.3× |
| Maryland | 547 | $28,251 | $25,788 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Sunrise Hospital and Medical Center Las Vegas, NV · 32 stays | $456,584 | $25,029 |
| Good Samaritan Hospital San Jose, CA · 13 stays | $410,560 | $25,642 |
| HCA Florida Orange Park Hospital Orange Park, FL · 14 stays | $391,467 | $16,588 |
| Martin Luther King, Jr. Community Hospital Los Angeles, CA · 11 stays | $389,734 | $26,039 |
| Stanford Health Care Stanford, CA · 19 stays | $372,782 | $36,534 |
| Doctors Medical Center Modesto, CA · 13 stays | $345,570 | $21,495 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 13 stays | $339,319 | $23,001 |
| HCA Florida Trinity Hospital Trinity, FL · 14 stays | $335,009 | $22,745 |
| Cedars-Sinai Medical Center Los Angeles, CA · 49 stays | $329,289 | $26,032 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 11 stays | $327,893 | $20,375 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medstar Saint Mary's Hospital Leonardtown, MD · 19 stays | $16,908 | $16,227 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 17 stays | $18,214 | $17,441 |
| Parkwest Medical Center Knoxville, TN · 18 stays | $18,443 | $12,408 |
| University of MD Shore Medical Center at Easton Easton, MD · 12 stays | $18,693 | $16,728 |
| Medstar Southern Maryland Hospital Center Clinton, MD · 11 stays | $18,967 | $18,535 |
| Meritus Medical Center Hagerstown, MD · 27 stays | $21,012 | $19,500 |
| Frederick Health Hospital Frederick, MD · 30 stays | $21,413 | $19,457 |
| Beth Israel Deaconess Hospital-Milton Inc Milton, MA · 15 stays | $23,131 | $16,297 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 37 stays | $24,193 | $21,721 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 28 stays | $24,650 | $23,137 |
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.