Inpatient stays / DRG 981
MS-DRG 981 · 680 hospitals · 20,868 stays
DRG 981: Extensive O.R. Procedures Unrelated To Principal Diagnosis with MCC
Medicare patients had 20,868 stays in DRG 981 in 2024. Hospitals charged an average of $216,247 per stay and were paid $44,974 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $39,080. Average charges ran from $32,647 at the least expensive hospital to $1,394,860 at the most; half of hospitals charged between $135,232 and $261,433.
- 1Average charge $216,247
- 2Average paid $44,974
- 3Reporting hospitals 680
- 4Medicare stays 20,868
By state
Average charges for DRG 981 were highest in California ($366,373) and lowest in Maryland ($68,918). Payments vary far less than charges, because Medicare sets them: they range across states from $30,905 to $62,243.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 1,916 | $366,373 | $60,310 | 6.1× |
| Nevada | 233 | $335,043 | $41,030 | 8.2× |
| New Jersey | 809 | $306,422 | $46,961 | 6.5× |
| Alaska | 49 | $295,832 | $58,237 | 5.1× |
| District of Columbia | 95 | $281,001 | $58,337 | 4.8× |
| New York | 1,439 | $277,158 | $59,491 | 4.7× |
| Pennsylvania | 886 | $261,404 | $46,356 | 5.6× |
| Florida | 1,613 | $258,939 | $37,161 | 7× |
| Colorado | 194 | $255,761 | $38,308 | 6.7× |
| Arizona | 391 | $235,630 | $45,506 | 5.2× |
| Texas | 1,444 | $231,768 | $38,773 | 6× |
| Hawaii | 72 | $211,221 | $52,433 | 4× |
| Kansas | 175 | $207,988 | $40,227 | 5.2× |
| Georgia | 539 | $206,130 | $41,871 | 4.9× |
| Washington | 365 | $193,865 | $47,090 | 4.1× |
| Alabama | 343 | $191,261 | $37,113 | 5.2× |
| Louisiana | 245 | $190,089 | $35,905 | 5.3× |
| Illinois | 1,019 | $185,363 | $45,111 | 4.1× |
| Wisconsin | 318 | $178,134 | $43,759 | 4.1× |
| Oklahoma | 327 | $177,506 | $34,091 | 5.2× |
| Kentucky | 332 | $174,310 | $35,410 | 4.9× |
| South Carolina | 316 | $174,298 | $34,935 | 5× |
| Missouri | 403 | $172,309 | $40,570 | 4.2× |
| Virginia | 554 | $170,043 | $40,279 | 4.2× |
| West Virginia | 182 | $167,430 | $38,224 | 4.4× |
| Connecticut | 238 | $166,616 | $50,794 | 3.3× |
| Indiana | 496 | $166,105 | $36,391 | 4.6× |
| New Hampshire | 82 | $164,189 | $47,828 | 3.4× |
| Delaware | 91 | $162,443 | $48,017 | 3.4× |
| Rhode Island | 34 | $161,818 | $52,713 | 3.1× |
| Ohio | 687 | $161,228 | $39,542 | 4.1× |
| Idaho | 88 | $160,794 | $37,661 | 4.3× |
| Minnesota | 367 | $160,730 | $50,003 | 3.2× |
| Tennessee | 459 | $159,999 | $34,859 | 4.6× |
| South Dakota | 125 | $159,834 | $40,967 | 3.9× |
| Nebraska | 169 | $159,409 | $42,965 | 3.7× |
| North Carolina | 617 | $155,265 | $42,500 | 3.7× |
| Mississippi | 262 | $155,114 | $30,905 | 5× |
| Maine | 76 | $154,077 | $42,459 | 3.6× |
| Massachusetts | 615 | $147,661 | $54,874 | 2.7× |
| New Mexico | 71 | $144,853 | $41,604 | 3.5× |
| Wyoming | 31 | $143,964 | $51,473 | 2.8× |
| Vermont | 29 | $143,196 | $35,103 | 4.1× |
| Utah | 125 | $141,139 | $39,509 | 3.6× |
| Iowa | 221 | $139,157 | $36,606 | 3.8× |
| Michigan | 582 | $138,723 | $41,307 | 3.4× |
| Arkansas | 257 | $137,093 | $32,384 | 4.2× |
| North Dakota | 82 | $132,453 | $39,618 | 3.3× |
| Oregon | 257 | $115,381 | $48,576 | 2.4× |
| Montana | 72 | $98,819 | $35,913 | 2.8× |
| Maryland | 476 | $68,918 | $62,243 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 13 stays | $1,394,860 | $61,439 |
| Doctors Medical Center Modesto, CA · 17 stays | $989,908 | $59,553 |
| Stanford Health Care Stanford, CA · 65 stays | $790,784 | $102,982 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 20 stays | $753,399 | $97,864 |
| Westchester Medical Center Valhalla, NY · 27 stays | $750,021 | $91,753 |
| Cedars-Sinai Medical Center Los Angeles, CA · 86 stays | $741,573 | $71,603 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 33 stays | $737,253 | $96,365 |
| Uci Health-Fountain Valley Fountain Valley, CA · 18 stays | $727,893 | $66,778 |
| Ronald Reagan UCLA Medical Center Los Angeles, CA · 24 stays | $627,664 | $158,720 |
| Cjw Medical Center Richmond, VA · 14 stays | $612,597 | $35,410 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Meritus Medical Center Hagerstown, MD · 22 stays | $32,647 | $30,130 |
| Frederick Health Hospital Frederick, MD · 12 stays | $35,406 | $31,738 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 16 stays | $42,469 | $38,883 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 17 stays | $47,505 | $43,608 |
| Southeast Georgia Health System- Brunswick Campus Brunswick, GA · 12 stays | $47,652 | $43,079 |
| Winchester Hospital Winchester, MA · 14 stays | $48,126 | $31,904 |
| University of MD Shore Medical Center at Easton Easton, MD · 14 stays | $49,936 | $44,587 |
| U P M C Western Maryland Cumberland, MD · 23 stays | $51,186 | $45,641 |
| Greater Baltimore Medical Center Baltimore, MD · 19 stays | $52,462 | $46,458 |
| Medstar Franklin Square Medical Center Rosedale, MD · 14 stays | $53,398 | $43,460 |
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.