Inpatient stays / DRG 864
MS-DRG 864 · 51 hospitals · 4,312 stays
DRG 864: Fever and Inflammatory Conditions
Medicare patients had 4,312 stays in DRG 864 in 2024. Hospitals charged an average of $46,536 per stay and were paid $8,985 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $6,794. Average charges ran from $12,848 at the least expensive hospital to $135,126 at the most; half of hospitals charged between $34,232 and $67,270.
- 1Average charge $46,536
- 2Average paid $8,985
- 3Reporting hospitals 51
- 4Medicare stays 4,312
By state
Average charges for DRG 864 were highest in Colorado ($94,469) and lowest in Maryland ($12,885). Payments vary far less than charges, because Medicare sets them: they range across states from $4,756 to $11,688.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Colorado | 39 | $94,469 | $9,898 | 9.5× |
| California | 340 | $77,904 | $11,564 | 6.7× |
| Nevada | 17 | $66,167 | $10,065 | 6.6× |
| New York | 285 | $64,084 | $11,179 | 5.7× |
| New Jersey | 252 | $62,888 | $9,365 | 6.7× |
| Pennsylvania | 314 | $57,314 | $8,592 | 6.7× |
| Texas | 264 | $55,793 | $8,780 | 6.4× |
| Florida | 388 | $53,713 | $7,928 | 6.8× |
| Georgia | 78 | $48,013 | $8,467 | 5.7× |
| Washington | 43 | $44,190 | $8,498 | 5.2× |
| South Dakota | 17 | $43,359 | $7,644 | 5.7× |
| Arizona | 84 | $42,064 | $8,449 | 5× |
| Kansas | 46 | $41,701 | $6,982 | 6× |
| Maine | 15 | $41,373 | $9,066 | 4.6× |
| Oklahoma | 39 | $40,075 | $8,215 | 4.9× |
| Illinois | 167 | $39,089 | $9,398 | 4.2× |
| Missouri | 89 | $37,412 | $7,628 | 4.9× |
| Wisconsin | 77 | $36,215 | $7,950 | 4.6× |
| Virginia | 136 | $36,059 | $8,788 | 4.1× |
| Tennessee | 67 | $35,775 | $8,136 | 4.4× |
| North Carolina | 193 | $35,543 | $9,320 | 3.8× |
| Alabama | 55 | $35,304 | $7,182 | 4.9× |
| Indiana | 111 | $34,887 | $7,850 | 4.4× |
| South Carolina | 88 | $34,833 | $8,122 | 4.3× |
| Louisiana | 64 | $34,159 | $7,237 | 4.7× |
| Oregon | 37 | $33,784 | $10,259 | 3.3× |
| Nebraska | 24 | $33,503 | $9,085 | 3.7× |
| Arkansas | 35 | $32,587 | $6,814 | 4.8× |
| Connecticut | 61 | $32,053 | $10,113 | 3.2× |
| Kentucky | 62 | $31,969 | $7,190 | 4.4× |
| New Hampshire | 25 | $31,965 | $8,467 | 3.8× |
| Idaho | 13 | $31,795 | $8,156 | 3.9× |
| Michigan | 124 | $31,771 | $8,639 | 3.7× |
| Iowa | 38 | $30,995 | $7,491 | 4.1× |
| Utah | 24 | $30,816 | $8,164 | 3.8× |
| Rhode Island | 13 | $30,662 | $9,648 | 3.2× |
| Delaware | 26 | $30,230 | $7,826 | 3.9× |
| Ohio | 127 | $30,180 | $7,868 | 3.8× |
| Hawaii | 12 | $29,922 | $11,655 | 2.6× |
| Minnesota | 66 | $29,693 | $9,309 | 3.2× |
| Mississippi | 41 | $27,005 | $6,827 | 4× |
| Massachusetts | 172 | $25,091 | $9,205 | 2.7× |
| Vermont | 12 | $24,734 | $4,756 | 5.2× |
| West Virginia | 16 | $21,780 | $7,353 | 3× |
| Maryland | 76 | $12,885 | $11,688 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| NYU Langone Hospitals New York, NY · 26 stays | $135,126 | $16,045 |
| UCSF Medical Center San Francisco, CA · 13 stays | $91,089 | $21,321 |
| Stony Brook University Hospital Stony Brook, NY · 16 stays | $90,352 | $12,269 |
| Ocean University Medical Center Brick, NJ · 15 stays | $82,675 | $8,746 |
| Houston Methodist Hospital Houston, TX · 14 stays | $80,368 | $10,694 |
| New York-Presbyterian Hospital New York, NY · 16 stays | $76,450 | $12,214 |
| Morristown Medical Center Morristown, NJ · 25 stays | $76,129 | $9,836 |
| Adventhealth Orlando Orlando, FL · 11 stays | $74,981 | $9,673 |
| Jersey Shore University Medical Center Neptune, NJ · 12 stays | $72,648 | $8,375 |
| Memorial Hospital West Pembroke Pines, FL · 20 stays | $72,646 | $9,241 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 11 stays | $12,848 | $11,752 |
| Southcoast Hospital Group, Inc Fall River, MA · 12 stays | $19,861 | $8,140 |
| Christianacare Newark, DE · 13 stays | $24,106 | $8,279 |
| Mayo Clinic Hospital Phoenix, AZ · 16 stays | $25,258 | $11,269 |
| Mayo Clinic Hospital Rochester Rochester, MN · 11 stays | $26,616 | $11,618 |
| Northshore University Healthsystem Evanston Hosp Evanston, IL · 14 stays | $27,004 | $8,159 |
| UT Southwestern University Hospital Dallas, TX · 12 stays | $32,127 | $7,946 |
| Beebe Medical Center Lewes, DE · 12 stays | $32,931 | $7,325 |
| Valley Hospital Paramus, NJ · 13 stays | $32,971 | $7,597 |
| Baylor University Medical Center Dallas, TX · 12 stays | $33,021 | $10,339 |
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.