Diabetes without complications
What 12 hospitals in the U.S. charged and were paid for a Medicare hospital stay for diabetes without complications (DRG 639), from 2024 Medicare claims.
Average charge
$34,689
Hospital list price billed
Average payment
$7,422
Medicare + patient + other payers
Medicare paid
$5,173
Average per stay
Volume
158
Medicare hospital stays
Hospitals in the U.S. billed an average of $34,689 for diabetes without complications, about 4.7 times the average total payment of $7,422.
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 $7,422Billed $34,689
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:
Diabetes without 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 |
|---|---|---|---|---|
| California | 1 | $94,493 | $14,422 | – |
| Delaware | 1 | $19,536 | $6,913 | – |
| Florida | 1 | $38,889 | $6,914 | – |
| Kentucky | 1 | $17,970 | $4,740 | – |
| Massachusetts | 1 | $12,031 | $5,133 | – |
| New York | 2 | $39,900 | $10,634 | $9,093 – $11,558 |
| North Carolina | 1 | $20,835 | $6,092 | – |
| Pennsylvania | 1 | $25,057 | $6,137 | – |
| Texas | 3 | $36,472 | $5,694 | $5,042 – $6,073 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| St John's Episcopal Hospital at South ShoreFar Rockaway, NY | 20 | $28,437 | $11,558 |
| United Regional Hlth Care SystWichita Falls, TX | 16 | $26,802 | $6,073 |
| Methodist HospitalSan Antonio, TX | 15 | $47,768 | $5,854 |
| South Shore HospitalSouth Weymouth, MA | 13 | $12,031 | $5,133 |
| Methodist Sugar Land HospitalSugar Land, TX | 13 | $35,339 | $5,042 |
| Christiana Care Health Services, INC.Newark, DE | 12 | $19,536 | $6,913 |
| Norton Healthcare PavilionLouisville, KY | 12 | $17,970 | $4,740 |
| New York-Presbyterian HospitalNew York, NY | 12 | $59,005 | $9,093 |
| Wakemed, Raleigh CampusRaleigh, NC | 12 | $20,835 | $6,092 |
| San Francisco General HospitalSan Francisco, CA | 11 | $94,493 | $14,422 |
| Adventhealth OrlandoOrlando, FL | 11 | $38,889 | $6,914 |
| UPMC Pinnacle HospitalsHarrisburg, PA | 11 | $25,057 | $6,137 |
Questions
How much does diabetes without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for diabetes without complications (DRG 639) at 12 hospitals in the U.S. was billed at $34,689 on average, while the average total payment was $7,422, of which Medicare paid $5,173. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for diabetes without complications?
Among states with at least three hospitals reporting, the average total payment was highest in Texas ($5,694) and lowest in Texas ($5,694).
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.