Diabetes with major complications
What 1,057 hospitals in the U.S. charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$69,906
Hospital list price billed
Average payment
$14,037
Medicare + patient + other payers
Medicare paid
$11,464
Average per stay
Volume
20,859
Medicare hospital stays
Hospitals in the U.S. billed an average of $69,906 for diabetes with major complications, about 5.0 times the average total payment of $14,037.
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 $14,037Billed $69,906
About 20¢ 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
| Delray Medical CenterDelray Beach, FL | $7,303 |
|---|---|
| South Lake HospitalClermont, FL | $8,925 |
| Baptist Hospital EastLouisville, KY | $9,279 |
| Palos Community HospitalPalos Heights, IL | $9,424 |
| Washington Regional Med CenterFayetteville, AR | $9,458 |
| Villages Regional Hospital theLady Lake, FL | $9,500 |
| McLeod Regional Medical CenterFlorence, SC | $9,510 |
| Forrest General HospitalHattiesburg, MS | $9,632 |
| CHI St. Vincent Hospital Hot SpringsHot Springs, AR | $9,682 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $9,726 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $37,388 |
|---|---|
| Jacobi Medical CenterBronx, NY | $35,371 |
| University of California Davis Medical CenterSacramento, CA | $30,625 |
| Barnes Jewish HospitalSt Louis, MO | $30,520 |
| Grady Memorial HospitalAtlanta, GA | $30,088 |
| University HospitalStony Brook, NY | $27,045 |
| Stanford HospitalPalo Alto, CA | $26,262 |
| George Washington Univ HospitalWashington, DC | $25,903 |
| Mount Sinai HospitalNew York, NY | $24,611 |
| Cleveland Clinic - Main CampusCleveland, OH | $24,468 |
Diabetes with major 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 | 15 | $50,375 | $11,575 | $9,256 – $18,193 |
| Alaska | 2 | $96,913 | $15,993 | $14,074 – $18,151 |
| Arizona | 15 | $59,205 | $12,493 | $10,402 – $17,458 |
| Arkansas | 13 | $40,373 | $10,387 | $9,204 – $13,033 |
| California | 119 | $106,870 | $16,938 | $10,336 – $44,483 |
| Colorado | 9 | $107,476 | $12,389 | $10,443 – $20,087 |
| Connecticut | 9 | $64,856 | $17,178 | $13,530 – $21,503 |
| Delaware | 4 | $48,473 | $13,436 | $12,165 – $15,513 |
| Florida | 92 | $82,157 | $12,129 | $7,303 – $21,712 |
| Georgia | 40 | $67,817 | $14,000 | $8,975 – $30,088 |
| Hawaii | 1 | $72,388 | $15,417 | – |
| Idaho | 2 | $44,474 | $12,030 | $11,192 – $12,956 |
| Illinois | 49 | $56,413 | $13,016 | $9,038 – $21,020 |
| Indiana | 21 | $51,189 | $11,409 | $10,138 – $17,197 |
| Iowa | 6 | $47,237 | $11,476 | $9,489 – $14,494 |
| Kansas | 11 | $63,601 | $11,490 | $9,627 – $13,032 |
| Kentucky | 10 | $49,932 | $10,945 | $9,279 – $16,722 |
| Louisiana | 10 | $51,527 | $10,710 | $9,055 – $12,726 |
| Maine | 2 | $64,146 | $18,505 | $12,354 – $21,800 |
| Maryland | 27 | $23,058 | $20,965 | $12,663 – $37,963 |
| Massachusetts | 31 | $36,863 | $14,848 | $10,951 – $30,714 |
| Michigan | 35 | $40,686 | $12,973 | $9,078 – $30,266 |
| Minnesota | 15 | $53,732 | $14,746 | $10,397 – $25,110 |
| Mississippi | 13 | $42,393 | $10,806 | $9,214 – $15,810 |
| Missouri | 23 | $55,688 | $12,672 | $8,932 – $30,520 |
| Montana | 3 | $27,976 | $11,321 | $10,842 – $11,867 |
| Nebraska | 5 | $39,264 | $12,603 | $10,622 – $14,681 |
| Nevada | 13 | $129,820 | $13,117 | $11,556 – $14,773 |
| New Hampshire | 6 | $46,288 | $13,372 | $10,432 – $21,514 |
| New Jersey | 40 | $98,288 | $14,432 | $10,398 – $26,716 |
| New Mexico | 6 | $63,294 | $13,779 | $10,280 – $19,210 |
| New York | 61 | $95,572 | $19,844 | $11,101 – $60,186 |
| North Carolina | 28 | $43,632 | $12,903 | $9,678 – $20,533 |
| North Dakota | 1 | $52,497 | $12,795 | – |
| Ohio | 39 | $56,133 | $12,772 | $7,163 – $24,468 |
| Oklahoma | 14 | $64,636 | $11,469 | $9,605 – $17,474 |
| Oregon | 8 | $47,237 | $15,238 | $13,391 – $18,326 |
| Pennsylvania | 40 | $71,421 | $13,208 | $8,798 – $18,896 |
| Rhode Island | 3 | $47,185 | $16,217 | $15,388 – $16,868 |
| South Carolina | 18 | $64,342 | $12,173 | $8,590 – $18,177 |
| South Dakota | 3 | $55,170 | $12,583 | $11,649 – $13,425 |
| Tennessee | 25 | $47,630 | $11,516 | $9,769 – $17,988 |
| Texas | 85 | $80,116 | $12,396 | $9,552 – $28,765 |
| Utah | 5 | $46,345 | $13,675 | $11,770 – $16,459 |
| Vermont | 2 | $45,338 | $11,641 | $11,240 – $11,908 |
| Virginia | 32 | $56,220 | $13,061 | $9,181 – $37,388 |
| Washington | 20 | $62,121 | $14,352 | $11,785 – $25,223 |
| West Virginia | 10 | $43,247 | $11,699 | $9,136 – $17,156 |
| Wisconsin | 11 | $61,477 | $13,564 | $9,972 – $18,136 |
| Wyoming | 1 | $49,342 | $15,261 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 164 | $88,246 | $12,324 |
| NYU Hospitals CenterNew York, NY | 96 | $131,252 | $22,704 |
| New York-Presbyterian HospitalNew York, NY | 85 | $137,200 | $20,310 |
| Methodist HospitalSan Antonio, TX | 73 | $84,808 | $11,141 |
| Montefiore Medical CenterBronx, NY | 71 | $158,480 | $22,674 |
| Christiana Care Health Services, INC.Newark, DE | 64 | $49,945 | $13,182 |
| Lehigh Valley HospitalAllentown, PA | 64 | $86,278 | $12,827 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 63 | $117,781 | $20,211 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | 62 | $59,607 | $14,957 |
| Methodist Healthcare-MemphisMemphis, TN | 62 | $46,216 | $13,556 |
| ECU Health Medical CenterGreenville, NC | 56 | $38,016 | $14,187 |
| Community Medical CenterToms River, NJ | 55 | $104,501 | $14,624 |
| Baptist Memorial HospitalMemphis, TN | 54 | $52,982 | $10,694 |
| Mem Hermann Southwest HospHouston, TX | 54 | $63,735 | $13,397 |
| South Shore HospitalSouth Weymouth, MA | 53 | $20,710 | $11,828 |
Questions
How much does diabetes with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 1,057 hospitals in the U.S. was billed at $69,906 on average, while the average total payment was $14,037, of which Medicare paid $11,464. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for diabetes with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($20,965), New York ($19,844), Connecticut ($17,178) and lowest in Arkansas ($10,387), Louisiana ($10,710), Mississippi ($10,806).
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 5.0 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.