Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$5,880.23
2024
Average charge
$38,636.37
Hospital list price
Stays
41,948
1,522 hospitals
Medicare paid
$246.7M
For these stays
For DRG 194 (simple pneumonia and pleurisy with cc), Medicare paid $5,880.23 per hospital stay on average in 2024. Hospitals charged $38,636.37 on average, and the total payment including the patient's share and other payers was $7,941.49. In 2023 Medicare paid $5,732.92.
41,948 Medicare stays were billed as DRG 194 at 1,522 hospitals in 2024, and Medicare paid $246.7M for them.
Among states with at least 50 stays, Maryland had the highest average Medicare payment for DRG 194 ($9,464.61) and Kentucky the lowest ($4,468.99).
Luminis Health Anne Arundel Medical Center, Inc in Annapolis, MD had the most Medicare stays for DRG 194 in 2024: 192, with an average Medicare payment of $7,981.13.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · Luminis Health | 192 | $10,205.94 | $9,416.20 | $7,981.13 |
| Christiana Hospital Newark, DE · ChristianaCare | 173 | $28,387.06 | $8,379.05 | $5,942.09 |
| New York-Presbyterian Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 119 | 4,008 | $51,290.69 | $5,540.81 |
| New York | 92 | 2,807 | $49,323.80 | $7,291.82 |
| California | 106 | 2,606 | $71,951.05 | $7,651.75 |
| Texas | 94 | 2,194 |
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.
| 172 |
| $74,386.12 |
| $12,038.10 |
| $8,318.81 |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · NorthShore Edward-Elmhurst Health | 149 | $28,150.60 | $7,743.74 | $5,663.89 |
| Southcoast Hospitals Group Fall River, MA · Southcoast Health System | 147 | $19,761.01 | $7,196.93 | $5,584.71 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 144 | $36,055.63 | $6,530.65 | $5,049.92 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 143 | $86,943.24 | $12,449.91 | $8,976.13 |
| Cleveland Clinic Martin North Hospital Stuart, FL · Cleveland Clinic | 141 | $30,251.89 | $5,584.38 | $4,231.20 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 140 | $53,788.06 | $7,975.42 | $5,112.46 |
| South Shore Hospital South Weymouth, MA · South Shore Health System | 129 | $13,444.94 | $6,966.50 | $5,263.01 |
| West Jersey Hospital Voorhees, NJ · Virtua Health | 123 | $76,851.36 | $7,020.66 | $5,189.05 |
| Morristown Medical Center Morristown, NJ · Atlantic Health System | 118 | $63,303.64 | $8,597.24 | $6,093.25 |
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 118 | $47,429.08 | $7,644.97 | $5,722.37 |
| St Francis Hospital - the Heart Center Roslyn, NY · Catholic Health | 117 | $49,887.32 | $7,931.65 | $5,366.95 |
| SUNY/Stony Brook University Hospital Stony Brook, NY · Stony Brook Medicine | 111 | $72,715.05 | $11,709.92 | $8,681.15 |
| Boca Raton Regional Hospital Boca Raton, FL · Baptist Health South Florida | 111 | $35,585.71 | $6,397.50 | $4,677.44 |
| Naples Community Hospital Naples, FL · NCH Healthcare System | 111 | $38,939.05 | $6,563.40 | $4,705.23 |
| Baptist Health Medical Center - Jacksonville Jacksonville, FL · Baptist Health | 106 | $49,225.12 | $7,225.55 | $5,602.83 |
| Wakemed, Raleigh Campus Raleigh, NC · WakeMed Health and Hospitals | 100 | $27,610.63 | $8,335.94 | $6,410.70 |
| Norton Hospitals, Inc Louisville, KY · Norton Healthcare | 98 | $34,539.40 | $6,119.83 | $4,483.21 |
| Frederick Health Hospital Frederick, MD · Frederick Regional Health System | 98 | $9,955.64 | $9,111.45 | $7,673.88 |
| Baptist Health Louisville Louisville, KY · Baptist Healthcare System | 97 | $30,604.15 | $5,461.11 | $3,953.76 |
| Spartanburg Medical Center Spartanburg, SC · Spartanburg Regional Healthcare System | 96 | $31,334.10 | $8,235.34 | $5,834.43 |
| Hoag Memorial Hospital Presbyterian Newport Beach, CA · Hoag Memorial Hospital Presbyterian | 94 | $45,356.89 | $8,370.29 | $6,533.57 |
| Greater Baltimore Medical Center Baltimore, MD · GBMC Healthcare | 93 | $14,060.63 | $12,154.84 | $10,603.75 |
| $46,277.70 |
| $6,090.75 |
| Pennsylvania | 79 | 2,172 | $40,639.50 | $5,251.37 |
| Illinois | 67 | 1,960 | $32,937.73 | $5,261.55 |
| New Jersey | 49 | 1,869 | $65,964.69 | $5,907.09 |
| North Carolina | 48 | 1,786 | $29,361.71 | $5,701.70 |
| Massachusetts | 45 | 1,779 | $19,505.87 | $6,101.36 |
| Ohio | 70 | 1,624 | $28,673.35 | $4,963.41 |
| Maryland | 37 | 1,592 | $12,232.98 | $9,464.61 |
| Indiana | 47 | 1,177 | $29,829.15 | $5,286.36 |
| Missouri | 37 | 1,148 | $31,164.29 | $5,237.48 |
| Michigan | 42 | 1,066 | $24,207.35 | $5,296.49 |
| Georgia | 45 | 989 | $36,486.65 | $6,158.63 |
| Virginia | 42 | 949 | $29,522.44 | $5,309.80 |
| Kentucky | 27 | 874 | $30,006.24 | $4,468.99 |
| Alabama | 35 | 859 | $28,100.64 | $4,973.81 |
| South Carolina | 33 | 826 | $34,432.43 | $5,341.33 |
| Louisiana | 32 | 806 | $30,773.23 | $4,659.47 |
| Oklahoma | 30 | 774 | $36,728.99 | $5,517.30 |
| Arizona | 26 | 733 | $38,811.72 | $5,616.29 |
| Tennessee | 33 | 732 | $33,301.47 | $5,025.40 |
| Mississippi | 24 | 520 | $34,624.57 | $5,023.15 |
| Connecticut | 18 | 510 | $32,376.59 | $6,753.94 |
| Minnesota | 25 | 508 | $23,661.60 | $5,583.26 |
| Arkansas | 23 | 499 | $27,135.58 | $4,608.86 |
| West Virginia | 17 | 453 | $27,799.12 | $4,650.15 |
| Wisconsin | 23 | 444 | $28,162.74 | $5,116.35 |
| Iowa | 15 | 421 | $24,032.88 | $4,662.27 |
| Delaware | 5 | 358 | $27,979.00 | $5,750.58 |
| Kansas | 14 | 329 | $36,838.95 | $4,662.02 |
| Washington | 14 | 289 | $35,450.87 | $5,870.74 |
| Nebraska | 7 | 232 | $27,160.86 | $5,228.18 |
| Nevada | 11 | 204 | $77,820.51 | $5,951.30 |
| New Hampshire | 9 | 191 | $26,188.84 | $5,498.37 |
| Colorado | 9 | 187 | $54,759.16 | $5,421.68 |
| Rhode Island | 7 | 183 | $24,321.80 | $5,911.34 |
| Oregon | 8 | 148 | $27,584.22 | $6,497.58 |
| Maine | 7 | 142 | $23,765.08 | $5,918.02 |
| North Dakota | 4 | 113 | $20,210.43 | $4,856.97 |
| South Dakota | 4 | 110 | $32,898.02 | $5,437.64 |
| Wyoming | 5 | 89 | $24,706.57 | $7,575.00 |
| New Mexico | 4 | 88 | $31,101.19 | $6,412.44 |
| Hawaii | 3 | 81 | $44,158.41 | $7,012.00 |
| Vermont | 3 | 51 | $25,524.55 | $4,861.00 |
| Utah | 2 | 48 | $25,956.17 | $5,427.69 |
| Alaska | 3 | 40 | $35,746.80 | $12,937.05 |
| District of Columbia | 2 | 39 | $34,926.00 | $5,656.79 |
| Idaho | 1 | 26 | $23,231.92 | $5,008.85 |
| Montana | 2 | 26 | $19,467.92 | $5,146.31 |