Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$4,015.02
2024
Average charge
$29,430.46
Hospital list price
Stays
1,837
115 hospitals
Medicare paid
$7.4M
For these stays
For DRG 195 (simple pneumonia and pleurisy without cc/mcc), Medicare paid $4,015.02 per hospital stay on average in 2024. Hospitals charged $29,430.46 on average, and the total payment including the patient's share and other payers was $6,019.23. In 2023 Medicare paid $4,056.92.
1,837 Medicare stays were billed as DRG 195 at 115 hospitals in 2024, and Medicare paid $7.4M for them.
Among states with at least 50 stays, Maryland had the highest average Medicare payment for DRG 195 ($6,487.46) and Kentucky the lowest ($3,074.13).
Luminis Health Anne Arundel Medical Center, Inc in Annapolis, MD had the most Medicare stays for DRG 195 in 2024: 36, with an average Medicare payment of $7,001.19.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · Luminis Health | 36 | $9,157.78 | $8,493.64 | $7,001.19 |
| Boca Raton Regional Hospital Boca Raton, FL · Baptist Health South Florida | 33 | $28,392.70 | $4,870.33 | $3,316.91 |
| South Shore Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 14 | 284 | $36,267.85 | $4,057.54 |
| New York | 12 | 178 | $43,528.69 | $4,871.96 |
| Massachusetts | 8 | 132 | $14,589.03 | $3,712.84 |
| New Jersey | 9 | 125 |
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.
| 30 |
| $13,389.90 |
| $5,246.63 |
| $3,723.43 |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · NorthShore Edward-Elmhurst Health | 30 | $22,312.47 | $5,836.53 | $3,992.87 |
| Christiana Hospital Newark, DE · ChristianaCare | 27 | $19,202.26 | $6,122.26 | $4,088.93 |
| Physicians Regional Medical Center - Pine Ridge Naples, FL · Community Health Systems | 27 | $48,219.56 | $4,299.41 | $2,788.30 |
| Wakemed, Cary Hospital Cary, NC · WakeMed Health and Hospitals | 27 | $24,774.70 | $4,201.74 | $2,691.81 |
| Bethesda Hospital East Boynton Beach, FL · Baptist Health South Florida | 27 | $41,185.07 | $5,621.56 | $3,531.22 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 26 | $45,274.54 | $6,767.92 | $3,569.23 |
| Monroe County Medical Center Tompkinsville, KY | 26 | $14,712.04 | $4,927.58 | $3,603.92 |
| West Jersey Hospital Voorhees, NJ · Virtua Health | 25 | $55,774.32 | $5,830.32 | $3,383.68 |
| Wakemed, Raleigh Campus Raleigh, NC · WakeMed Health and Hospitals | 24 | $20,966.25 | $6,526.29 | $4,550.63 |
| Beebe Medical Center Lewes, DE · Beebe Healthcare | 22 | $26,648.36 | $5,729.23 | $3,419.95 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 22 | $29,518.32 | $5,378.86 | $3,236.14 |
| Frederick Health Hospital Frederick, MD · Frederick Regional Health System | 22 | $9,269.32 | $8,456.59 | $6,972.95 |
| Baptist Health Floyd New Albany, IN · Baptist Healthcare System | 22 | $26,687.45 | $4,435.41 | $2,844.36 |
| St Francis Hospital - the Heart Center Roslyn, NY · Catholic Health | 22 | $36,714.00 | $5,461.55 | $3,840.09 |
| Jackson Health System Miami, FL · Jackson Health System | 21 | $32,685.86 | $14,730.00 | $11,821.67 |
| Methodist Hospital San Antonio, TX · HCA Healthcare | 21 | $50,997.62 | $7,402.43 | $3,539.00 |
| Winchester Medical Center Winchester, VA · Valley Health | 20 | $13,883.20 | $5,478.20 | $3,438.60 |
| Northeast Georgia Medical Center, Inc Gainesville, GA · Northeast Georgia Health System | 20 | $36,948.70 | $6,876.00 | $4,922.35 |
| Naples Community Hospital Naples, FL · NCH Healthcare System | 20 | $36,818.55 | $5,217.80 | $2,883.30 |
| Lakeland Regional Medical Center Lakeland, FL · Lakeland Regional Health | 19 | $29,113.26 | $5,976.32 | $3,998.74 |
| Willis Knighton Medical Center Shreveport, LA · Willis Knighton Health System | 19 | $21,661.37 | $5,760.11 | $2,732.68 |
| Greater Baltimore Medical Center Baltimore, MD · GBMC Healthcare | 19 | $10,833.26 | $9,637.68 | $7,917.68 |
| $49,030.80 |
| $4,144.65 |
| Maryland | 6 | 115 | $8,940.83 | $6,487.46 |
| North Carolina | 5 | 87 | $23,633.70 | $3,570.61 |
| Illinois | 5 | 78 | $24,590.99 | $3,476.64 |
| Kentucky | 5 | 75 | $20,227.17 | $3,074.13 |
| California | 5 | 74 | $46,479.12 | $4,922.70 |
| Arizona | 4 | 65 | $34,988.09 | $4,354.11 |
| Missouri | 5 | 59 | $29,240.32 | $3,482.07 |
| Pennsylvania | 4 | 58 | $27,381.81 | $3,372.98 |
| Delaware | 2 | 49 | $22,545.41 | $3,788.57 |
| Georgia | 3 | 46 | $26,029.87 | $4,404.07 |
| Indiana | 3 | 45 | $21,973.67 | $3,164.18 |
| Texas | 3 | 45 | $36,851.93 | $3,432.56 |
| Ohio | 3 | 38 | $19,018.34 | $3,038.03 |
| Louisiana | 2 | 36 | $23,033.64 | $2,761.64 |
| Alabama | 2 | 31 | $21,922.10 | $3,262.03 |
| Oklahoma | 2 | 25 | $30,560.36 | $3,721.32 |
| Virginia | 1 | 20 | $13,883.20 | $3,438.60 |
| Nebraska | 1 | 19 | $16,823.21 | $3,162.84 |
| South Carolina | 1 | 19 | $31,564.21 | $4,663.89 |
| West Virginia | 1 | 17 | $19,724.47 | $2,841.47 |
| Mississippi | 1 | 17 | $17,663.82 | $2,827.41 |
| Tennessee | 1 | 15 | $30,849.07 | $3,098.07 |
| Connecticut | 1 | 13 | $39,140.23 | $5,471.15 |
| Iowa | 1 | 13 | $15,568.31 | $2,891.62 |
| Michigan | 1 | 13 | $21,701.08 | $2,807.15 |
| Minnesota | 1 | 12 | $22,234.92 | $3,076.08 |
| Rhode Island | 1 | 12 | $21,166.33 | $4,142.25 |
| Wisconsin | 1 | 11 | $25,606.18 | $2,629.55 |
| Kansas | 1 | 11 | $34,417.64 | $2,352.64 |