Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$13,754.89
2024
Average charge
$75,803.93
Hospital list price
Stays
74
6 hospitals
Medicare paid
$1.0M
For these stays
For DRG 042 (peripheral, cranial nerve and other nervous system procedures without cc/mcc), Medicare paid $13,754.89 per hospital stay on average in 2024. Hospitals charged $75,803.93 on average, and the total payment including the patient's share and other payers was $17,558.82. In 2023 Medicare paid $14,502.84.
74 Medicare stays were billed as DRG 042 at 6 hospitals in 2024, and Medicare paid $1.0M for them.
Lancaster General Hospital in Lancaster, PA had the most Medicare stays for DRG 042 in 2024: 15, with an average Medicare payment of $11,928.60.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Lancaster General Hospital Lancaster, PA · University of Pennsylvania Health System | 15 | $65,627.53 | $13,528.67 | $11,928.60 |
| Crouse Hospital Syracuse, NY · Crouse Health System | 13 | $30,263.85 | $15,903.85 | $11,879.85 |
| Mayo Clinic Hospital Rochester |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| New York | 2 | 24 | $71,387.75 | $14,349.42 |
| Pennsylvania | 1 | 15 | $65,627.53 | $11,928.60 |
| Minnesota | 1 | 12 | $81,127.92 | $17,392.50 |
| Tennessee | 1 | 12 |
All diagnosis groups: Medicare hospital stays by DRG.
Official US government data on Original Medicare hospital stays, published once a year. Hospitals with fewer than 11 stays in this group are not published. Total payment adds the patient's share and payments by other insurers to the Medicare payment.
| 12 |
| $81,127.92 |
| $19,832.67 |
| $17,392.50 |
| Vanderbilt University Medical Center Nashville, TN · Vanderbilt Health | 12 | $98,172.17 | $17,702.00 | $13,856.92 |
| SUNY/Stony Brook University Hospital Stony Brook, NY · Stony Brook Medicine | 11 | $119,988.73 | $22,816.09 | $17,268.00 |
| West Virginia University Hospitals, Inc Morgantown, WV · WVU Medicine | 11 | $69,106.45 | $17,116.36 | $10,868.55 |
| $98,172.17 |
| $13,856.92 |
| West Virginia | 1 | 11 | $69,106.45 | $10,868.55 |