Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$90,312.76
2024
Average charge
$501,083.95
Hospital list price
Stays
2,577
124 hospitals
Medicare paid
$232.7M
For these stays
For DRG 216 (cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit), Medicare paid $90,312.76 per hospital stay on average in 2024. Hospitals charged $501,083.95 on average, and the total payment including the patient's share and other payers was $107,633.90. In 2023 Medicare paid $89,622.19.
2,577 Medicare stays were billed as DRG 216 at 124 hospitals in 2024, and Medicare paid $232.7M for them.
Among states with at least 50 stays, California had the highest average Medicare payment for DRG 216 ($138,685.43) and Tennessee the lowest ($69,942.12).
Cleveland Clinic in Cleveland, OH had the most Medicare stays for DRG 216 in 2024: 180, with an average Medicare payment of $85,169.57.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Cleveland Clinic Cleveland, OH · Cleveland Clinic | 180 | $372,233.11 | $101,633.81 | $85,169.57 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 154 | $600,446.12 | $143,802.66 | $115,740.07 |
| Mayo Clinic Hospital Rochester |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| New York | 8 | 360 | $530,307.28 | $107,555.29 |
| Ohio | 4 | 222 | $366,349.34 | $82,244.43 |
| Texas | 10 | 171 | $665,738.63 | $77,287.57 |
| California | 9 | 159 |
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.
| 60 |
| $292,436.03 |
| $127,215.42 |
| $96,789.15 |
| Mount Sinai Hospital New York, NY · Mount Sinai Health System | 58 | $458,103.83 | $138,417.79 | $122,121.57 |
| Morristown Medical Center Morristown, NJ · Atlantic Health System | 53 | $554,573.15 | $116,196.25 | $76,346.15 |
| Medstar Washington Hospital Center Washington, DC · MedStar Health | 50 | $385,274.70 | $117,706.94 | $93,259.56 |
| Beth Israel Deaconess Medical Center Boston, MA · Beth Israel Lahey Health | 46 | $142,972.83 | $107,845.67 | $99,937.30 |
| Sentara Norfolk General Hospital Norfolk, VA · Sentara Healthcare | 43 | $366,090.86 | $81,516.09 | $74,875.53 |
| Keck Hospital of Usc Los Angeles, CA · University of Southern California | 42 | $827,375.40 | $195,877.21 | $163,007.52 |
| St Francis Hospital - the Heart Center Roslyn, NY · Catholic Health | 40 | $475,237.68 | $91,486.88 | $81,745.53 |
| Abbott Northwestern Hospital Minneapolis, MN · Allina Health | 33 | $413,809.97 | $92,643.67 | $89,658.27 |
| Lenox Hill Hospital New York, NY · Northwell Health | 31 | $494,874.55 | $107,074.03 | $101,499.23 |
| Aurora St Lukes Medical Center Milwaukee, WI · Advocate Health Care | 30 | $386,693.33 | $115,852.40 | $67,686.77 |
| Baylor Scott & White the Heart Hospital Plano Plano, TX · Baylor Scott & White Health | 30 | $318,194.40 | $85,434.40 | $69,217.67 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 29 | $612,826.66 | $95,714.21 | $67,797.69 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 28 | $626,353.43 | $126,545.82 | $108,693.36 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · University of Pennsylvania Health System | 28 | $1,010,580.86 | $141,317.32 | $127,936.96 |
| Duke University Hospital Durham, NC · Duke University Health System | 28 | $298,142.50 | $95,183.29 | $77,641.32 |
| Abrazo Arrowhead Hospital Glendale, AZ · Tenet Healthcare | 27 | $758,119.44 | $79,855.15 | $78,104.19 |
| Brigham and Women's Hospital Boston, MA · Mass General Brigham | 26 | $455,017.04 | $116,733.15 | $110,719.65 |
| North Shore University Hospital Manhasset, NY · Northwell Health | 26 | $571,736.15 | $107,290.77 | $100,176.27 |
| Massachusetts General Hospital Boston, MA · Mass General Brigham | 26 | $525,944.62 | $131,680.77 | $111,325.31 |
| St Vincent Heart Center Carmel, IN · Ascension | 25 | $401,855.92 | $71,969.56 | $70,990.36 |
| Memorial Mission Hospital and Asheville Surgery Ce Asheville, NC · HCA Healthcare | 24 | $451,550.67 | $78,397.13 | $67,060.58 |
| University of Alabama Hospital Birmingham, AL · UAB Health System | 24 | $459,515.67 | $92,767.13 | $72,771.63 |
| $905,821.26 |
| $138,685.43 |
| Florida | 7 | 113 | $609,706.15 | $74,299.22 |
| New Jersey | 5 | 109 | $521,266.71 | $82,852.61 |
| Massachusetts | 4 | 109 | $319,931.89 | $104,677.38 |
| Minnesota | 3 | 104 | $337,751.27 | $92,772.00 |
| Pennsylvania | 5 | 88 | $824,515.47 | $100,532.05 |
| Tennessee | 4 | 80 | $510,921.70 | $69,942.12 |
| Arizona | 5 | 79 | $547,928.63 | $82,677.70 |
| North Carolina | 4 | 77 | $379,006.12 | $72,453.03 |
| Virginia | 3 | 76 | $479,900.97 | $79,388.92 |
| Michigan | 4 | 66 | $387,075.58 | $92,284.56 |
| Maryland | 4 | 60 | $175,594.95 | $138,682.50 |
| Illinois | 4 | 54 | $438,597.19 | $88,366.48 |
| District of Columbia | 1 | 50 | $385,274.70 | $93,259.56 |
| Missouri | 3 | 47 | $394,945.32 | $73,456.38 |
| Georgia | 3 | 43 | $524,738.84 | $74,403.28 |
| Wisconsin | 2 | 41 | $403,730.29 | $77,807.71 |
| New Mexico | 3 | 38 | $414,198.05 | $62,372.47 |
| Arkansas | 3 | 37 | $317,270.57 | $61,525.41 |
| Alabama | 2 | 35 | $396,712.77 | $69,299.43 |
| Kentucky | 2 | 35 | $419,281.03 | $69,959.31 |
| Washington | 2 | 34 | $477,406.18 | $89,220.88 |
| Oregon | 2 | 30 | $332,884.63 | $101,756.23 |
| Connecticut | 2 | 28 | $336,253.93 | $91,099.71 |
| South Carolina | 2 | 27 | $452,625.33 | $78,179.89 |
| Nevada | 2 | 26 | $1,273,700.08 | $87,092.96 |
| Maine | 2 | 26 | $324,232.35 | $71,573.31 |
| Indiana | 1 | 25 | $401,855.92 | $70,990.36 |
| Kansas | 2 | 23 | $672,477.09 | $77,501.74 |
| Wyoming | 1 | 20 | $398,142.05 | $87,667.10 |
| New Hampshire | 1 | 17 | $270,121.53 | $83,000.35 |
| Oklahoma | 1 | 15 | $310,490.73 | $56,458.67 |
| Nebraska | 1 | 14 | $354,777.57 | $80,945.93 |
| Vermont | 1 | 14 | $355,747.86 | $74,665.29 |
| West Virginia | 1 | 14 | $333,624.79 | $72,757.93 |
| Iowa | 1 | 11 | $327,895.45 | $51,973.27 |