Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$36,256.23
2024
Average charge
$207,105.84
Hospital list price
Stays
2,937
164 hospitals
Medicare paid
$106.5M
For these stays
For DRG 166 (other respiratory system o.r. procedures with mcc), Medicare paid $36,256.23 per hospital stay on average in 2024. Hospitals charged $207,105.84 on average, and the total payment including the patient's share and other payers was $44,318.39. In 2023 Medicare paid $32,606.05.
2,937 Medicare stays were billed as DRG 166 at 164 hospitals in 2024, and Medicare paid $106.5M for them.
Among states with at least 50 stays, California had the highest average Medicare payment for DRG 166 ($63,603.90) and Mississippi the lowest ($24,101.69).
Stanford Health Care in Stanford, CA had the most Medicare stays for DRG 166 in 2024: 66, with an average Medicare payment of $106,588.47.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Stanford Health Care Stanford, CA · Stanford Health Care | 66 | $988,297.73 | $120,227.98 | $106,588.47 |
| Cedars-Sinai Medical Center Los Angeles, CA · Cedars Sinai Health System | 54 | $478,787.80 | $50,597.33 | $44,715.44 |
| UT of Texas Southwestern University Hospital - William P. Clements Jr. |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| California | 13 | 303 | $492,104.18 | $63,603.90 |
| New York | 13 | 270 | $295,232.54 | $45,406.57 |
| Texas | 11 | 243 | $203,586.19 | $30,028.57 |
| Florida | 14 | 225 |
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.
| 53 |
| $165,399.57 |
| $47,667.51 |
| $36,375.51 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 50 | $325,405.54 | $62,522.36 | $54,045.12 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 43 | $276,809.09 | $37,469.12 | $29,301.19 |
| Cleveland Clinic Cleveland, OH · Cleveland Clinic | 42 | $227,224.00 | $57,937.29 | $39,241.98 |
| University of Wi Hospitals & Clinics Authority Madison, WI · UW Health | 42 | $260,861.33 | $66,949.52 | $50,263.67 |
| Houston Methodist Hospital Houston, TX · Houston Methodist | 41 | $365,364.10 | $51,824.41 | $41,129.02 |
| Christiana Hospital Newark, DE · ChristianaCare | 41 | $130,807.78 | $40,256.76 | $34,025.07 |
| Long Island Jewish Medical Center New Hyde Park, NY · Northwell Health | 40 | $310,842.40 | $48,634.68 | $43,362.80 |
| Mississippi Baptist Medical Center Jackson, MS · Baptist Memorial Health Care Corporation | 34 | $112,056.00 | $26,172.68 | $25,029.62 |
| Beth Israel Deaconess Medical Center Boston, MA · Beth Israel Lahey Health | 32 | $91,668.63 | $53,908.69 | $44,874.03 |
| University of Kentucky Hospital Lexington, KY · University of Kentucky Healthcare | 31 | $145,399.65 | $45,349.45 | $32,733.77 |
| Uf Health Shands Hospital Gainesville, FL · UF Health | 29 | $203,612.55 | $48,249.59 | $41,201.86 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 28 | $328,288.18 | $61,355.32 | $44,425.93 |
| Palos Community Hospital Palos Heights, IL · Northwestern Medicine | 28 | $124,431.43 | $28,178.79 | $27,129.61 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 27 | $142,063.63 | $56,424.44 | $44,588.56 |
| Inova Fairfax Hospital Falls Church, VA · Inova Health System | 26 | $79,601.92 | $44,921.50 | $25,547.42 |
| Baylor University Medical Center Dallas, TX · Baylor Scott & White Health | 26 | $145,667.77 | $39,465.15 | $29,293.38 |
| UC San Diego Health Hillcrest - Hillcrest Med Ctr San Diego, CA · University of California Health | 25 | $228,648.76 | $64,153.56 | $51,606.76 |
| UCSF Medical Center San Francisco, CA · University of California San Francisco | 25 | $405,908.00 | $88,772.68 | $74,224.04 |
| St Josephs Hospital and Medical Center Phoenix, AZ · CommonSpirit Health | 25 | $192,259.00 | $44,894.96 | $35,480.16 |
| Mount Sinai Hospital New York, NY · Mount Sinai Health System | 24 | $377,769.33 | $83,755.38 | $55,311.33 |
| Baptist Memorial Hospital Memphis, TN · Baptist Memorial Health Care Corporation | 24 | $120,402.38 | $32,254.54 | $22,159.33 |
| Memorial Healthcare System, Inc Chattanooga, TN · CommonSpirit Health | 24 | $126,036.83 | $26,389.42 | $22,768.96 |
| $184,720.39 |
| $28,618.74 |
| Pennsylvania | 10 | 157 | $246,720.76 | $34,483.61 |
| Illinois | 7 | 132 | $150,044.77 | $34,034.91 |
| Massachusetts | 7 | 121 | $110,922.13 | $38,123.23 |
| North Carolina | 6 | 111 | $128,239.48 | $31,505.05 |
| Ohio | 6 | 108 | $175,539.94 | $33,977.02 |
| Tennessee | 5 | 101 | $126,731.57 | $25,302.30 |
| Kentucky | 5 | 96 | $116,743.90 | $26,912.79 |
| New Jersey | 5 | 84 | $221,201.70 | $38,330.44 |
| Michigan | 6 | 81 | $100,544.48 | $30,013.52 |
| Arizona | 4 | 68 | $157,091.81 | $34,677.13 |
| Indiana | 5 | 66 | $127,816.74 | $28,350.47 |
| Wisconsin | 2 | 64 | $221,997.56 | $45,611.05 |
| Missouri | 4 | 59 | $141,450.29 | $34,224.69 |
| Mississippi | 2 | 51 | $99,416.61 | $24,101.69 |
| Virginia | 3 | 49 | $161,214.41 | $25,609.92 |
| Oklahoma | 3 | 48 | $209,558.71 | $29,902.19 |
| Arkansas | 4 | 44 | $89,614.09 | $25,136.09 |
| South Carolina | 3 | 42 | $108,953.33 | $29,097.07 |
| Delaware | 1 | 41 | $130,807.78 | $34,025.07 |
| Kansas | 3 | 40 | $190,501.78 | $30,340.38 |
| Georgia | 3 | 38 | $159,343.92 | $29,792.39 |
| West Virginia | 2 | 32 | $141,032.22 | $29,525.25 |
| Connecticut | 2 | 32 | $112,707.06 | $38,163.16 |
| Utah | 2 | 32 | $88,630.66 | $29,423.72 |
| Minnesota | 1 | 27 | $142,063.63 | $44,588.56 |
| Nebraska | 2 | 27 | $83,032.44 | $28,204.74 |
| District of Columbia | 2 | 26 | $219,793.19 | $33,842.27 |
| Nevada | 1 | 17 | $314,831.94 | $28,527.24 |
| Colorado | 1 | 16 | $218,379.81 | $31,589.13 |
| Maryland | 1 | 16 | $62,516.81 | $46,173.31 |
| Washington | 1 | 16 | $123,333.38 | $34,387.00 |
| Hawaii | 1 | 15 | $122,379.07 | $27,499.53 |
| Alabama | 1 | 14 | $105,737.29 | $26,308.71 |
| Louisiana | 1 | 13 | $73,706.92 | $19,345.46 |
| Iowa | 1 | 12 | $119,046.58 | $26,691.67 |