Inpatient stays / DRG 920
MS-DRG 920 · 282 hospitals · 11,294 stays
DRG 920: Complications of Treatment with CC
Medicare patients had 11,294 stays in DRG 920 in 2024. Hospitals charged an average of $49,578 per stay and were paid $10,653 — a ratio of 4.7 to 1 — of which Medicare's own share averaged $8,240. Average charges ran from $7,870 at the least expensive hospital to $195,272 at the most; half of hospitals charged between $31,764 and $62,624.
- 1Average charge $49,578
- 2Average paid $10,653
- 3Reporting hospitals 282
- 4Medicare stays 11,294
By state
Average charges for DRG 920 were highest in Nevada ($105,168) and lowest in Maryland ($15,622). Payments vary far less than charges, because Medicare sets them: they range across states from $8,008 to $16,878.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 95 | $105,168 | $10,424 | 10.1× |
| California | 934 | $82,073 | $13,336 | 6.2× |
| District of Columbia | 59 | $71,152 | $16,878 | 4.2× |
| New Jersey | 416 | $69,722 | $10,540 | 6.6× |
| Colorado | 138 | $65,759 | $10,054 | 6.5× |
| New York | 697 | $65,375 | $12,979 | 5× |
| Alaska | 27 | $64,679 | $12,150 | 5.3× |
| Texas | 725 | $58,438 | $10,427 | 5.6× |
| Pennsylvania | 601 | $56,980 | $9,688 | 5.9× |
| Florida | 1,130 | $55,209 | $9,386 | 5.9× |
| Arizona | 280 | $51,686 | $10,823 | 4.8× |
| South Carolina | 180 | $47,130 | $9,979 | 4.7× |
| Kansas | 130 | $44,558 | $8,795 | 5.1× |
| Alabama | 120 | $44,275 | $9,197 | 4.8× |
| New Mexico | 35 | $44,079 | $9,819 | 4.5× |
| Idaho | 37 | $43,869 | $8,693 | 5× |
| Washington | 201 | $43,274 | $10,688 | 4× |
| Virginia | 288 | $42,364 | $9,778 | 4.3× |
| Oklahoma | 147 | $41,898 | $9,443 | 4.4× |
| Nebraska | 89 | $41,653 | $11,473 | 3.6× |
| Tennessee | 270 | $41,238 | $10,316 | 4× |
| Connecticut | 118 | $40,896 | $12,049 | 3.4× |
| Illinois | 512 | $40,741 | $10,658 | 3.8× |
| Missouri | 224 | $40,238 | $9,964 | 4× |
| Louisiana | 145 | $40,075 | $8,712 | 4.6× |
| New Hampshire | 59 | $39,743 | $9,934 | 4× |
| Georgia | 276 | $39,649 | $10,945 | 3.6× |
| Wisconsin | 216 | $39,633 | $10,886 | 3.6× |
| Vermont | 20 | $39,352 | $13,306 | 3× |
| Indiana | 247 | $38,844 | $8,822 | 4.4× |
| Hawaii | 19 | $37,806 | $13,803 | 2.7× |
| North Carolina | 295 | $37,647 | $11,269 | 3.3× |
| Minnesota | 191 | $36,867 | $11,093 | 3.3× |
| South Dakota | 67 | $36,643 | $9,303 | 3.9× |
| Mississippi | 104 | $36,611 | $8,202 | 4.5× |
| Kentucky | 165 | $35,605 | $8,332 | 4.3× |
| Arkansas | 93 | $34,963 | $8,267 | 4.2× |
| Ohio | 449 | $33,954 | $9,260 | 3.7× |
| Oregon | 97 | $33,551 | $11,325 | 3× |
| Delaware | 60 | $32,801 | $10,589 | 3.1× |
| Rhode Island | 38 | $32,479 | $11,036 | 2.9× |
| Michigan | 349 | $32,454 | $10,248 | 3.2× |
| Iowa | 91 | $31,892 | $8,680 | 3.7× |
| Utah | 55 | $31,726 | $10,097 | 3.1× |
| West Virginia | 86 | $30,247 | $9,086 | 3.3× |
| Massachusetts | 406 | $29,680 | $11,807 | 2.5× |
| Maine | 38 | $28,480 | $10,298 | 2.8× |
| North Dakota | 30 | $27,236 | $9,635 | 2.8× |
| Montana | 33 | $26,971 | $8,008 | 3.4× |
| Wyoming | 14 | $25,998 | $10,455 | 2.5× |
| Maryland | 198 | $15,622 | $14,344 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 42 stays | $195,272 | $14,981 |
| Stanford Health Care Stanford, CA · 45 stays | $182,593 | $21,016 |
| Cjw Medical Center Richmond, VA · 11 stays | $142,086 | $7,343 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 11 stays | $139,418 | $9,591 |
| Medical City Dallas Dallas, TX · 12 stays | $137,810 | $9,848 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 14 stays | $137,480 | $10,832 |
| Geisinger Medical Center Danville, PA · 16 stays | $126,854 | $14,474 |
| Robert Wood Johnson University Hospital New Brunswick, NJ · 19 stays | $118,776 | $12,452 |
| Mountainview Hospital Las Vegas, NV · 11 stays | $117,977 | $11,518 |
| Temple University Hospital Philadelphia, PA · 13 stays | $116,384 | $13,850 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Howard County Medical Center Columbia, MD · 11 stays | $7,870 | $7,221 |
| Frederick Health Hospital Frederick, MD · 11 stays | $12,213 | $11,098 |
| South Shore Hospital South Weymouth, MA · 17 stays | $15,593 | $8,332 |
| Methodist Hospital Omaha, NE · 11 stays | $18,721 | $7,959 |
| Silver Cross Hospital and Medical Centers New Lenox, IL · 15 stays | $19,005 | $7,758 |
| Baystate Medical Center Springfield, MA · 22 stays | $19,484 | $11,768 |
| Johns Hopkins Hospital, the Baltimore, MD · 27 stays | $19,840 | $20,544 |
| Rex Hospital Raleigh, NC · 17 stays | $20,690 | $7,338 |
| Bethesda North Cincinnati, OH · 13 stays | $20,725 | $8,612 |
| Parkview Regional Medical Center Fort Wayne, IN · 13 stays | $21,116 | $8,315 |
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.