Diabetes with complications
What 1,193 hospitals in the U.S. charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$43,062
Hospital list price billed
Average payment
$9,215
Medicare + patient + other payers
Medicare paid
$6,926
Average per stay
Volume
26,317
Medicare hospital stays
Hospitals in the U.S. billed an average of $43,062 for diabetes with complications, about 4.7 times the average total payment of $9,215.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $9,215Billed $43,062
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Lafayette General Medical CenterLafayette, LA | $5,823 |
|---|---|
| Saint Luke's East Lee's Summit HospitalLee's Summit, MO | $5,825 |
| Villages Regional Hospital theLady Lake, FL | $5,986 |
| Fletcher Allen Hospital of VermontBurlington, VT | $6,015 |
| Fawcett Memorial HospitalPort Charlotte, FL | $6,036 |
| Mississippi Baptist Medical CenterJackson, MS | $6,057 |
| Martin Memorial Health SystemsStuart, FL | $6,060 |
| Cleveland Clinic Avon HospitalAvon, OH | $6,069 |
| St Bernards Medical CenterJonesboro, AR | $6,077 |
| Delray Medical CenterDelray Beach, FL | $6,085 |
Highest
| Parkland Health and Hospital SystemDallas, TX | $47,233 |
|---|---|
| Kings County Hospital CenterBrooklyn, NY | $42,482 |
| Grady Memorial HospitalAtlanta, GA | $22,872 |
| Lac/Harbor-UCLA Med CenterTorrance, CA | $22,041 |
| Sinai Hospital of BaltimoreBaltimore, MD | $21,358 |
| San Francisco General HospitalSan Francisco, CA | $19,924 |
| Montefiore Medical CenterBronx, NY | $19,779 |
| University of California San Diego Medical CenterSan Diego, CA | $19,474 |
| The Johns Hopkins HospitalBaltimore, MD | $19,091 |
| University of Maryland Medical CenterBaltimore, MD | $19,071 |
Diabetes with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 19 | $32,603 | $7,795 | $6,380 – $13,953 |
| Alaska | 2 | $60,898 | $10,558 | $8,988 – $11,539 |
| Arizona | 21 | $44,692 | $8,728 | $6,666 – $14,677 |
| Arkansas | 14 | $24,721 | $7,060 | $6,077 – $10,080 |
| California | 114 | $70,434 | $11,262 | $8,505 – $22,144 |
| Colorado | 5 | $59,040 | $8,587 | $7,172 – $11,041 |
| Connecticut | 14 | $34,083 | $10,029 | $7,327 – $12,292 |
| Delaware | 3 | $28,816 | $8,549 | $7,335 – $8,941 |
| Florida | 100 | $52,832 | $8,132 | $5,986 – $16,285 |
| Georgia | 36 | $39,774 | $9,886 | $6,618 – $22,872 |
| Hawaii | 2 | $34,851 | $10,664 | $10,350 – $11,436 |
| Idaho | 4 | $30,393 | $7,953 | $7,550 – $8,821 |
| Illinois | 55 | $35,389 | $8,823 | $6,522 – $16,425 |
| Indiana | 27 | $33,963 | $7,481 | $6,245 – $11,073 |
| Iowa | 9 | $29,403 | $7,037 | $6,172 – $10,497 |
| Kansas | 10 | $41,462 | $7,706 | $6,272 – $9,153 |
| Kentucky | 14 | $31,530 | $6,906 | $6,108 – $9,273 |
| Louisiana | 15 | $34,707 | $7,553 | $5,823 – $13,712 |
| Maine | 3 | $40,382 | $10,840 | $8,241 – $14,777 |
| Maryland | 34 | $13,378 | $12,104 | $8,909 – $21,358 |
| Massachusetts | 38 | $21,819 | $9,171 | $6,899 – $18,380 |
| Michigan | 40 | $26,339 | $8,254 | $6,136 – $12,376 |
| Minnesota | 15 | $30,703 | $8,764 | $6,945 – $13,107 |
| Mississippi | 14 | $27,280 | $7,165 | $6,057 – $11,363 |
| Missouri | 24 | $35,319 | $8,112 | $5,662 – $11,983 |
| Montana | 4 | $25,100 | $7,994 | $6,973 – $9,596 |
| Nebraska | 6 | $23,447 | $8,166 | $6,472 – $9,957 |
| Nevada | 13 | $87,340 | $9,042 | $7,542 – $12,443 |
| New Hampshire | 7 | $30,222 | $8,299 | $6,860 – $12,565 |
| New Jersey | 45 | $73,720 | $9,470 | $6,978 – $21,871 |
| New Mexico | 6 | $28,174 | $8,922 | $7,204 – $11,378 |
| New York | 76 | $59,923 | $12,304 | $7,302 – $42,482 |
| North Carolina | 37 | $26,992 | $8,562 | $5,923 – $14,296 |
| North Dakota | 2 | $23,154 | $7,531 | $7,401 – $7,651 |
| Ohio | 56 | $31,614 | $7,869 | $5,681 – $10,807 |
| Oklahoma | 18 | $40,075 | $8,043 | $6,186 – $12,131 |
| Oregon | 9 | $27,966 | $9,458 | $8,559 – $11,989 |
| Pennsylvania | 61 | $44,135 | $8,433 | $5,964 – $13,803 |
| Rhode Island | 3 | $29,361 | $10,631 | $9,046 – $12,495 |
| South Carolina | 23 | $36,264 | $8,083 | $5,587 – $12,170 |
| South Dakota | 3 | $35,784 | $8,432 | $7,540 – $9,171 |
| Tennessee | 26 | $35,348 | $7,830 | $6,056 – $13,178 |
| Texas | 82 | $48,545 | $10,213 | $6,128 – $127,285 |
| Utah | 5 | $30,807 | $9,022 | $7,141 – $11,133 |
| Vermont | 3 | $27,717 | $6,128 | $5,747 – $6,665 |
| Virginia | 30 | $33,064 | $8,076 | $6,485 – $14,651 |
| Washington | 17 | $42,228 | $9,196 | $7,076 – $13,448 |
| West Virginia | 10 | $26,105 | $7,707 | $6,053 – $9,352 |
| Wisconsin | 11 | $36,003 | $8,784 | $6,209 – $11,629 |
| Wyoming | 3 | $35,251 | $9,132 | $8,380 – $9,884 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 150 | $57,934 | $8,892 |
| New York-Presbyterian HospitalNew York, NY | 133 | $113,812 | $14,375 |
| Lehigh Valley HospitalAllentown, PA | 104 | $49,437 | $8,308 |
| Christiana Care Health Services, INC.Newark, DE | 100 | $29,151 | $8,941 |
| NYU Hospitals CenterNew York, NY | 93 | $89,976 | $13,483 |
| South Shore HospitalSouth Weymouth, MA | 91 | $14,450 | $7,442 |
| Methodist HospitalSan Antonio, TX | 84 | $55,797 | $7,717 |
| Huntsville HospitalHuntsville, AL | 80 | $34,084 | $7,567 |
| Baptist Medical CenterJacksonville, FL | 80 | $53,013 | $7,587 |
| Jefferson Stratford HospitalCherry Hill, NJ | 79 | $60,309 | $9,025 |
| Sarasota Memorial HospitalSarasota, FL | 73 | $34,176 | $7,059 |
| Baystate Medical CenterSpringfield, MA | 71 | $15,215 | $10,316 |
| Virtua West Jersey HospitalVoorhees, NJ | 71 | $85,665 | $7,508 |
| ECU Health Medical CenterGreenville, NC | 71 | $24,342 | $10,110 |
| Mem Hermann Southwest HospHouston, TX | 71 | $40,811 | $9,712 |
Questions
How much does diabetes with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 1,193 hospitals in the U.S. was billed at $43,062 on average, while the average total payment was $9,215, of which Medicare paid $6,926. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for diabetes with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($12,304), Maryland ($12,104), California ($11,262) and lowest in Vermont ($6,128), Kentucky ($6,906), Iowa ($7,037).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 4.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.