Inpatient stays / DRG 863
MS-DRG 863 · 148 hospitals · 7,652 stays
DRG 863: Postoperative and Post-Traumatic Infections without MCC
Medicare patients had 7,652 stays in DRG 863 in 2024. Hospitals charged an average of $45,194 per stay and were paid $10,173 — a ratio of 4.4 to 1 — of which Medicare's own share averaged $7,771. Average charges ran from $11,244 at the least expensive hospital to $170,909 at the most; half of hospitals charged between $27,859 and $52,662.
- 1Average charge $45,194
- 2Average paid $10,173
- 3Reporting hospitals 148
- 4Medicare stays 7,652
By state
Average charges for DRG 863 were highest in Nevada ($74,887) and lowest in Maryland ($16,734). Payments vary far less than charges, because Medicare sets them: they range across states from $7,365 to $15,234.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 51 | $74,887 | $9,956 | 7.5× |
| California | 687 | $74,691 | $12,795 | 5.8× |
| New Jersey | 262 | $68,873 | $10,268 | 6.7× |
| New York | 415 | $63,752 | $12,399 | 5.1× |
| Colorado | 110 | $60,599 | $9,485 | 6.4× |
| Alaska | 27 | $58,369 | $13,875 | 4.2× |
| Florida | 778 | $57,879 | $8,783 | 6.6× |
| Texas | 503 | $51,812 | $9,838 | 5.3× |
| Pennsylvania | 338 | $50,508 | $9,590 | 5.3× |
| Arizona | 194 | $47,305 | $9,173 | 5.2× |
| Kansas | 106 | $46,285 | $8,175 | 5.7× |
| Alabama | 101 | $45,236 | $8,950 | 5.1× |
| District of Columbia | 27 | $41,466 | $12,436 | 3.3× |
| Tennessee | 151 | $39,891 | $9,164 | 4.4× |
| Washington | 122 | $39,752 | $10,348 | 3.8× |
| Oklahoma | 102 | $39,707 | $8,383 | 4.7× |
| Georgia | 159 | $39,702 | $11,277 | 3.5× |
| South Carolina | 153 | $39,047 | $9,155 | 4.3× |
| Virginia | 212 | $38,828 | $10,354 | 3.8× |
| Louisiana | 103 | $38,827 | $8,985 | 4.3× |
| Connecticut | 63 | $38,474 | $12,435 | 3.1× |
| Indiana | 161 | $37,627 | $8,729 | 4.3× |
| Illinois | 350 | $36,017 | $11,082 | 3.3× |
| New Hampshire | 58 | $34,605 | $10,338 | 3.3× |
| Iowa | 61 | $33,839 | $8,385 | 4× |
| Utah | 41 | $33,659 | $10,261 | 3.3× |
| South Dakota | 27 | $33,422 | $8,272 | 4× |
| Oregon | 46 | $33,211 | $10,226 | 3.2× |
| Missouri | 135 | $32,914 | $9,042 | 3.6× |
| Hawaii | 11 | $32,832 | $11,204 | 2.9× |
| New Mexico | 24 | $32,284 | $8,435 | 3.8× |
| Mississippi | 63 | $31,709 | $8,408 | 3.8× |
| Wisconsin | 121 | $31,480 | $9,292 | 3.4× |
| Ohio | 330 | $31,371 | $8,909 | 3.5× |
| Wyoming | 14 | $31,126 | $11,037 | 2.8× |
| Kentucky | 108 | $30,974 | $8,267 | 3.7× |
| Maine | 34 | $29,820 | $10,940 | 2.7× |
| North Carolina | 203 | $29,758 | $10,361 | 2.9× |
| Idaho | 28 | $28,852 | $8,235 | 3.5× |
| Minnesota | 129 | $28,048 | $9,462 | 3× |
| Michigan | 250 | $26,981 | $9,475 | 2.8× |
| West Virginia | 49 | $26,920 | $8,019 | 3.4× |
| Arkansas | 65 | $26,277 | $7,365 | 3.6× |
| Rhode Island | 26 | $26,195 | $10,128 | 2.6× |
| Delaware | 44 | $26,028 | $8,966 | 2.9× |
| North Dakota | 38 | $24,239 | $8,471 | 2.9× |
| Massachusetts | 289 | $23,716 | $11,017 | 2.2× |
| Vermont | 15 | $23,705 | $7,883 | 3× |
| Nebraska | 47 | $23,685 | $8,660 | 2.7× |
| Montana | 21 | $19,882 | $8,897 | 2.2× |
| Maryland | 200 | $16,734 | $15,234 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| NYU Langone Hospitals New York, NY · 33 stays | $170,909 | $14,367 |
| Stanford Health Care Stanford, CA · 31 stays | $148,593 | $20,667 |
| Cedars-Sinai Medical Center Los Angeles, CA · 26 stays | $132,501 | $13,340 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 11 stays | $115,308 | $11,204 |
| Delray Medical Center Delray Beach, FL · 12 stays | $115,181 | $7,026 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 18 stays | $112,376 | $11,184 |
| HCA Florida Jfk Hospital Atlantis, FL · 11 stays | $102,980 | $9,725 |
| Robert Wood Johnson University Hospital New Brunswick, NJ · 13 stays | $102,716 | $12,492 |
| West Jersey Hospital Voorhees, NJ · 18 stays | $89,670 | $8,937 |
| Morristown Medical Center Morristown, NJ · 17 stays | $88,899 | $12,279 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Greater Baltimore Medical Center Baltimore, MD · 11 stays | $11,244 | $10,751 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 16 stays | $11,693 | $10,960 |
| Beth Israel Deaconess Hospital - Plymouth Plymouth, MA · 11 stays | $14,111 | $8,330 |
| Beth Israel Deaconess Medical Center Boston, MA · 21 stays | $16,950 | $13,335 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 12 stays | $18,215 | $10,926 |
| Southcoast Hospital Group, Inc Fall River, MA · 13 stays | $19,103 | $8,727 |
| Essentia Health St Mary's Medical Center Duluth, MN · 12 stays | $19,518 | $7,455 |
| Mary Washington Hospital, Inc Fredericksburg, VA · 13 stays | $20,132 | $8,414 |
| Mercy Medical Center Inc Baltimore, MD · 11 stays | $20,163 | $17,506 |
| UT Southwestern University Hospital Dallas, TX · 23 stays | $20,167 | $8,903 |
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.