Inpatient stays / DRG 919
MS-DRG 919 · 395 hospitals · 14,211 stays
DRG 919: Complications of Treatment with MCC
Medicare patients had 14,211 stays in DRG 919 in 2024. Hospitals charged an average of $88,493 per stay and were paid $19,308 — a ratio of 4.6 to 1 — of which Medicare's own share averaged $15,766. Average charges ran from $15,656 at the least expensive hospital to $456,920 at the most; half of hospitals charged between $52,115 and $108,546.
- 1Average charge $88,493
- 2Average paid $19,308
- 3Reporting hospitals 395
- 4Medicare stays 14,211
By state
Average charges for DRG 919 were highest in District of Columbia ($165,274) and lowest in Maryland ($31,569). Payments vary far less than charges, because Medicare sets them: they range across states from $14,005 to $31,218.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| District of Columbia | 54 | $165,274 | $31,218 | 5.3× |
| Nevada | 152 | $158,563 | $19,314 | 8.2× |
| California | 1,556 | $152,437 | $26,187 | 5.8× |
| New Jersey | 543 | $126,635 | $18,909 | 6.7× |
| New York | 779 | $122,468 | $25,925 | 4.7× |
| Alaska | 33 | $112,038 | $21,929 | 5.1× |
| Colorado | 199 | $105,709 | $17,056 | 6.2× |
| Texas | 1,040 | $104,592 | $17,497 | 6× |
| Pennsylvania | 679 | $100,452 | $17,739 | 5.7× |
| Kansas | 144 | $98,597 | $17,294 | 5.7× |
| Florida | 1,148 | $93,123 | $15,634 | 6× |
| Tennessee | 337 | $86,683 | $17,318 | 5× |
| Alabama | 180 | $79,537 | $15,359 | 5.2× |
| Connecticut | 157 | $77,005 | $23,697 | 3.2× |
| Arizona | 319 | $76,394 | $17,061 | 4.5× |
| Oklahoma | 192 | $74,423 | $15,030 | 5× |
| Georgia | 380 | $74,195 | $18,943 | 3.9× |
| Washington | 278 | $73,193 | $18,827 | 3.9× |
| Illinois | 673 | $73,189 | $19,405 | 3.8× |
| Nebraska | 103 | $68,562 | $18,415 | 3.7× |
| Missouri | 295 | $66,871 | $16,540 | 4× |
| Wisconsin | 247 | $66,659 | $19,274 | 3.5× |
| Minnesota | 257 | $66,016 | $21,458 | 3.1× |
| West Virginia | 77 | $65,831 | $17,925 | 3.7× |
| Kentucky | 141 | $64,950 | $15,624 | 4.2× |
| Louisiana | 142 | $63,950 | $14,005 | 4.6× |
| South Carolina | 183 | $63,134 | $16,652 | 3.8× |
| North Carolina | 369 | $62,502 | $19,212 | 3.3× |
| Virginia | 379 | $62,362 | $17,903 | 3.5× |
| Indiana | 281 | $62,062 | $15,350 | 4× |
| Idaho | 55 | $61,374 | $15,752 | 3.9× |
| Hawaii | 38 | $60,871 | $21,310 | 2.9× |
| South Dakota | 42 | $60,656 | $15,360 | 3.9× |
| Ohio | 533 | $56,969 | $15,742 | 3.6× |
| Rhode Island | 43 | $56,864 | $22,725 | 2.5× |
| New Hampshire | 71 | $56,662 | $18,839 | 3× |
| New Mexico | 58 | $55,997 | $16,965 | 3.3× |
| Massachusetts | 510 | $55,753 | $21,848 | 2.6× |
| Michigan | 381 | $55,112 | $18,082 | 3× |
| Oregon | 156 | $54,482 | $19,017 | 2.9× |
| Iowa | 125 | $52,352 | $14,498 | 3.6× |
| Delaware | 68 | $50,184 | $16,018 | 3.1× |
| Utah | 89 | $49,778 | $16,849 | 3× |
| North Dakota | 56 | $45,691 | $14,494 | 3.2× |
| Mississippi | 129 | $45,427 | $14,087 | 3.2× |
| Arkansas | 130 | $45,068 | $14,042 | 3.2× |
| Maine | 47 | $44,570 | $16,838 | 2.6× |
| Montana | 63 | $39,691 | $15,385 | 2.6× |
| Maryland | 275 | $31,569 | $28,252 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 74 stays | $456,920 | $56,859 |
| Tristar Centennial Medical Center Nashville, TN · 23 stays | $310,173 | $27,289 |
| University of California Davis Medical Center Sacramento, CA · 31 stays | $288,018 | $62,651 |
| Geisinger Medical Center Danville, PA · 15 stays | $283,304 | $30,216 |
| Cedars-Sinai Medical Center Los Angeles, CA · 88 stays | $282,542 | $25,973 |
| Spring Valley Hospital Medical Center Las Vegas, NV · 11 stays | $269,801 | $17,700 |
| Medical City Dallas Dallas, TX · 19 stays | $249,829 | $17,684 |
| Riverside Community Hospital Riverside, CA · 13 stays | $244,545 | $23,548 |
| Medstar Georgetown University Hospital Washington, DC · 19 stays | $224,601 | $49,012 |
| Huntington Hospital Pasadena, CA · 16 stays | $224,490 | $20,159 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Howard County Medical Center Columbia, MD · 14 stays | $15,656 | $14,377 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 13 stays | $21,133 | $19,501 |
| Southcoast Hospital Group, Inc Fall River, MA · 16 stays | $22,744 | $14,945 |
| Frederick Health Hospital Frederick, MD · 13 stays | $22,815 | $20,735 |
| Sentara Martha Jefferson Hospital Charlottesville, VA · 13 stays | $24,345 | $11,368 |
| South Shore Hospital South Weymouth, MA · 20 stays | $25,006 | $14,816 |
| Houston Healthcare Warner Robins, GA · 13 stays | $27,758 | $13,076 |
| University of MD Shore Medical Center at Easton Easton, MD · 12 stays | $27,768 | $24,801 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 13 stays | $28,041 | $26,007 |
| Mercyone Genesis Davenport, IA · 13 stays | $28,497 | $12,308 |
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.