Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$18,598.74
2024
Average charge
$118,260.43
Hospital list price
Stays
4,544
256 hospitals
Medicare paid
$84.5M
For these stays
For DRG 085 (traumatic stupor and coma <1 hour with mcc), Medicare paid $18,598.74 per hospital stay on average in 2024. Hospitals charged $118,260.43 on average, and the total payment including the patient's share and other payers was $22,150.18. In 2023 Medicare paid $18,178.62.
4,544 Medicare stays were billed as DRG 085 at 256 hospitals in 2024, and Medicare paid $84.5M for them.
Among states with at least 50 stays, Maryland had the highest average Medicare payment for DRG 085 ($31,165.76) and Kansas the lowest ($15,152.42).
Memorial Hermann - Texas Medical Center in Houston, TX had the most Medicare stays for DRG 085 in 2024: 78, with an average Medicare payment of $20,716.72.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Memorial Hermann - Texas Medical Center Houston, TX · Memorial Hermann Healthcare System | 78 | $106,351.51 | $25,143.32 | $20,716.72 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 66 | $131,102.59 | $16,778.98 | $14,466.64 |
| Orlando Health |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 28 | 565 | $136,877.48 | $15,492.11 |
| California | 23 | 351 | $216,688.73 | $25,064.78 |
| Texas | 15 | 342 | $128,515.45 | $17,222.36 |
| New York | 16 | 278 |
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.
| 45 |
| $143,826.84 |
| $18,164.27 |
| $16,594.87 |
| Saint Francis Hospital, Inc Tulsa, OK · Saint Francis Health System | 43 | $51,926.56 | $16,396.79 | $14,054.84 |
| Inova Fairfax Hospital Falls Church, VA · Inova Health System | 39 | $55,675.67 | $23,363.33 | $16,607.28 |
| Medical City Plano Plano, TX · HCA Healthcare | 39 | $179,769.87 | $15,827.13 | $14,583.13 |
| Jefferson Abington Hospital Abington, PA · Jefferson Health | 38 | $76,799.50 | $18,583.82 | $16,970.58 |
| University Health System, Inc Knoxville, TN · University of Tennessee Medical Center | 38 | $46,127.00 | $18,510.37 | $14,377.53 |
| Texas Health Harris Methodist Fort Worth Fort Worth, TX · Texas Health Resources | 37 | $85,477.03 | $15,920.00 | $14,340.35 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 36 | $182,101.00 | $29,064.42 | $22,993.50 |
| Deaconess Hospital Inc Evansville, IN · Deaconess Health System | 34 | $68,844.82 | $16,634.12 | $15,015.76 |
| Massachusetts General Hospital Boston, MA · Mass General Brigham | 32 | $109,287.16 | $29,136.06 | $23,661.50 |
| Adventhealth Daytona Beach Daytona Beach, FL · AdventHealth | 32 | $76,455.53 | $14,978.63 | $13,780.13 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 32 | $89,229.91 | $14,547.81 | $12,653.28 |
| Cooper University Hospital Camden, NJ · Cooper University Health Care | 31 | $156,878.13 | $29,026.23 | $24,753.06 |
| Grady Memorial Hospital Atlanta, GA · Grady Health System | 31 | $179,374.19 | $39,834.06 | $32,381.94 |
| Christiana Hospital Newark, DE · ChristianaCare | 31 | $58,931.84 | $19,281.61 | $16,885.65 |
| UMass Memorial Medical Center/University Campus Worcester, MA · UMass Memorial Health Care | 31 | $90,569.32 | $28,158.32 | $24,528.77 |
| Holmes Regional Medical Center Melbourne, FL · Health First | 30 | $93,966.73 | $16,540.37 | $15,048.90 |
| Mainehealth Maine Medical Center Portland, ME · MaineHealth | 30 | $58,382.43 | $18,388.70 | $16,222.10 |
| Vanderbilt University Medical Center Nashville, TN · Vanderbilt Health | 30 | $100,628.50 | $26,869.83 | $18,434.30 |
| Wesley Medical Center Wichita, KS · HCA Healthcare | 29 | $227,642.07 | $17,214.03 | $15,164.14 |
| Jersey Shore University Medical Center Neptune, NJ · Hackensack Meridian Health | 29 | $141,394.62 | $22,778.28 | $18,547.90 |
| Reading Hospital West Reading, PA · Tower Health | 29 | $67,565.10 | $17,926.76 | $16,347.10 |
| Miami Valley Hospital Dayton, OH · Premier Health | 28 | $84,300.96 | $18,424.00 | $14,915.50 |
| $155,987.54 |
| $23,523.74 |
| Pennsylvania | 15 | 265 | $121,435.79 | $16,974.57 |
| Illinois | 15 | 207 | $83,942.93 | $16,686.56 |
| New Jersey | 11 | 207 | $150,950.71 | $20,980.35 |
| Arizona | 11 | 195 | $115,746.48 | $18,283.49 |
| Virginia | 11 | 183 | $94,584.89 | $16,489.11 |
| Massachusetts | 8 | 175 | $71,879.39 | $23,135.63 |
| Tennessee | 8 | 171 | $95,624.38 | $16,903.40 |
| Missouri | 7 | 103 | $105,126.56 | $18,503.23 |
| Georgia | 5 | 100 | $131,843.31 | $21,443.01 |
| Oklahoma | 5 | 100 | $103,998.39 | $17,010.88 |
| Ohio | 5 | 92 | $83,014.27 | $16,667.08 |
| North Carolina | 6 | 90 | $61,368.52 | $16,396.03 |
| Kansas | 4 | 89 | $131,847.45 | $15,152.42 |
| Indiana | 4 | 87 | $67,013.11 | $16,016.52 |
| Minnesota | 6 | 85 | $67,796.65 | $18,020.06 |
| South Carolina | 5 | 83 | $111,603.45 | $15,768.42 |
| Washington | 5 | 74 | $89,726.59 | $18,134.11 |
| Maryland | 4 | 68 | $38,383.46 | $31,165.76 |
| Wisconsin | 4 | 68 | $85,489.65 | $18,583.56 |
| Connecticut | 3 | 56 | $85,614.13 | $21,294.45 |
| Michigan | 4 | 50 | $51,131.66 | $15,325.76 |
| Nebraska | 3 | 48 | $72,293.04 | $19,327.40 |
| Nevada | 3 | 47 | $175,456.70 | $18,832.26 |
| Arkansas | 2 | 40 | $62,783.00 | $13,569.43 |
| Kentucky | 2 | 38 | $85,878.74 | $14,567.34 |
| Colorado | 2 | 32 | $177,496.19 | $14,176.22 |
| Delaware | 1 | 31 | $58,931.84 | $16,885.65 |
| Maine | 1 | 30 | $58,382.43 | $16,222.10 |
| Alabama | 2 | 25 | $99,192.00 | $14,253.80 |
| Hawaii | 1 | 24 | $135,055.58 | $22,413.46 |
| Louisiana | 2 | 23 | $130,125.04 | $14,235.74 |
| Rhode Island | 1 | 21 | $45,890.24 | $18,323.81 |
| Oregon | 1 | 17 | $85,380.82 | $22,440.12 |
| District of Columbia | 1 | 13 | $79,899.46 | $22,516.85 |
| Idaho | 1 | 12 | $99,035.25 | $14,966.83 |
| Vermont | 1 | 12 | $65,135.58 | $11,998.92 |
| West Virginia | 1 | 12 | $61,285.83 | $16,945.25 |
| New Hampshire | 1 | 12 | $103,213.83 | $16,008.08 |
| Mississippi | 1 | 12 | $81,648.00 | $14,009.75 |
| Iowa | 1 | 11 | $57,543.73 | $13,437.55 |