Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$69,386.82
2024
Average charge
$393,301.64
Hospital list price
Stays
12,333
350 hospitals
Medicare paid
$855.7M
For these stays
For DRG 219 (cardiac valve and other major cardiothoracic procedures without cardiac catheterization), Medicare paid $69,386.82 per hospital stay on average in 2024. Hospitals charged $393,301.64 on average, and the total payment including the patient's share and other payers was $83,705.29. In 2023 Medicare paid $70,520.13.
12,333 Medicare stays were billed as DRG 219 at 350 hospitals in 2024, and Medicare paid $855.7M for them.
Among states with at least 50 stays, Maryland had the highest average Medicare payment for DRG 219 ($124,644.01) and Oklahoma the lowest ($49,703.32).
Cleveland Clinic in Cleveland, OH had the most Medicare stays for DRG 219 in 2024: 405, with an average Medicare payment of $61,324.59.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Cleveland Clinic Cleveland, OH · Cleveland Clinic | 405 | $289,833.76 | $85,389.45 | $61,324.59 |
| Massachusetts General Hospital Boston, MA · Mass General Brigham | 263 | $337,937.15 | $95,850.07 | $80,982.85 |
| New York-Presbyterian Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| California | 30 | 1,058 | $722,532.48 | $98,097.59 |
| Texas | 25 | 949 | $435,899.08 | $61,414.81 |
| New York | 18 | 866 | $421,826.20 | $82,401.53 |
| Ohio | 12 | 789 |
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.
| 213 |
| $492,117.35 |
| $115,986.72 |
| $88,125.47 |
| Northwestern Memorial Hospital Chicago, IL · Northwestern Medicine | 201 | $431,071.55 | $87,940.83 | $71,449.95 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 199 | $239,476.47 | $99,610.63 | $79,841.59 |
| Baylor Scott & White the Heart Hospital Plano Plano, TX · Baylor Scott & White Health | 183 | $215,029.34 | $66,417.14 | $49,504.89 |
| Brigham and Women's Hospital Boston, MA · Mass General Brigham | 158 | $327,057.36 | $93,787.60 | $78,855.99 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 152 | $518,840.86 | $110,246.22 | $89,702.72 |
| Cedars-Sinai Medical Center Los Angeles, CA · Cedars Sinai Health System | 139 | $898,892.16 | $91,466.23 | $86,987.02 |
| St Vincent Heart Center Carmel, IN · Ascension | 135 | $257,229.70 | $53,762.49 | $52,411.81 |
| Inova Fairfax Hospital Falls Church, VA · Inova Health System | 134 | $281,707.34 | $94,075.49 | $77,017.13 |
| Stanford Health Care Stanford, CA · Stanford Health Care | 131 | $1,337,745.89 | $165,641.89 | $142,912.21 |
| Medstar Washington Hospital Center Washington, DC · MedStar Health | 131 | $308,596.79 | $94,090.53 | $74,401.33 |
| Mount Sinai Hospital New York, NY · Mount Sinai Health System | 121 | $381,852.16 | $114,360.55 | $93,210.88 |
| University of Michigan Health System Ann Arbor, MI · University of Michigan Health System | 117 | $281,127.45 | $97,883.50 | $77,729.30 |
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 113 | $474,353.65 | $68,427.02 | $58,542.28 |
| Barnes Jewish Hospital Saint Louis, MO · BJC HealthCare | 108 | $354,558.21 | $90,395.44 | $75,698.21 |
| Houston Methodist Hospital Houston, TX · Houston Methodist | 107 | $604,691.10 | $79,435.63 | $73,986.72 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 96 | $493,914.41 | $76,578.32 | $55,014.11 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · University of Pennsylvania Health System | 95 | $751,389.97 | $110,251.40 | $94,987.53 |
| Uf Health Shands Hospital Gainesville, FL · UF Health | 94 | $342,284.44 | $76,988.57 | $69,223.91 |
| UT of Texas Southwestern University Hospital - William P. Clements Jr. Dallas, TX · The University of Texas System | 92 | $287,676.95 | $86,018.41 | $75,018.90 |
| Penn Presbyterian Medical Center Philadelphia, PA · University of Pennsylvania Health System | 87 | $523,823.17 | $83,243.93 | $71,131.01 |
| Sentara Norfolk General Hospital Norfolk, VA · Sentara Healthcare | 85 | $307,867.02 | $73,550.04 | $62,187.39 |
| University of Kansas Hospital Kansas City, KS · The University of Kansas Health System | 83 | $352,835.83 | $66,925.99 | $58,298.12 |
| $291,742.98 |
| $57,998.50 |
| Pennsylvania | 20 | 742 | $486,264.38 | $67,219.59 |
| Florida | 24 | 694 | $448,384.38 | $58,187.51 |
| Massachusetts | 10 | 662 | $279,271.59 | $79,488.01 |
| Illinois | 15 | 546 | $379,507.62 | $66,688.76 |
| Minnesota | 10 | 432 | $269,961.19 | $71,905.49 |
| Virginia | 8 | 392 | $424,429.88 | $72,194.28 |
| New Jersey | 10 | 317 | $438,135.27 | $69,550.70 |
| Missouri | 9 | 301 | $323,097.30 | $63,564.26 |
| North Carolina | 12 | 287 | $285,619.98 | $58,432.51 |
| Georgia | 9 | 274 | $383,795.04 | $62,260.86 |
| Michigan | 8 | 265 | $260,841.11 | $68,203.36 |
| Washington | 7 | 263 | $396,501.39 | $69,794.89 |
| Tennessee | 9 | 247 | $390,216.28 | $56,421.60 |
| Arizona | 10 | 247 | $441,914.97 | $68,871.61 |
| Wisconsin | 7 | 235 | $267,986.91 | $59,368.44 |
| Indiana | 5 | 209 | $338,073.90 | $58,021.73 |
| Colorado | 8 | 201 | $462,112.41 | $65,067.55 |
| Oregon | 5 | 191 | $294,139.06 | $71,785.28 |
| Connecticut | 5 | 172 | $222,391.33 | $69,556.30 |
| Iowa | 3 | 140 | $281,138.59 | $58,000.47 |
| Arkansas | 4 | 139 | $255,196.74 | $52,728.51 |
| Maryland | 4 | 136 | $148,700.33 | $124,644.01 |
| District of Columbia | 1 | 131 | $308,596.79 | $74,401.33 |
| Alabama | 3 | 131 | $398,662.79 | $65,606.05 |
| Kentucky | 6 | 130 | $318,758.54 | $56,358.87 |
| Kansas | 3 | 123 | $405,316.34 | $57,825.85 |
| South Carolina | 5 | 122 | $368,749.31 | $67,044.23 |
| Nebraska | 4 | 117 | $239,884.74 | $56,803.89 |
| Oklahoma | 4 | 104 | $325,929.44 | $49,703.32 |
| Montana | 2 | 76 | $165,838.92 | $60,176.41 |
| New Hampshire | 3 | 75 | $391,843.55 | $66,724.81 |
| Nevada | 5 | 70 | $657,234.34 | $66,223.94 |
| Utah | 2 | 61 | $299,776.64 | $72,641.31 |
| Mississippi | 4 | 60 | $230,061.82 | $55,764.43 |
| West Virginia | 2 | 56 | $338,876.59 | $61,168.77 |
| Maine | 2 | 53 | $256,973.92 | $57,189.45 |
| Idaho | 3 | 42 | $282,726.05 | $63,495.10 |
| North Dakota | 3 | 35 | $212,574.69 | $54,877.49 |
| South Dakota | 2 | 34 | $257,069.74 | $50,121.85 |
| Rhode Island | 1 | 32 | $196,989.69 | $69,187.41 |
| Hawaii | 2 | 32 | $314,572.87 | $72,560.81 |
| Delaware | 1 | 26 | $341,223.96 | $86,191.27 |
| New Mexico | 2 | 24 | $199,852.58 | $69,369.29 |
| Louisiana | 2 | 23 | $228,380.22 | $55,454.87 |
| Vermont | 1 | 22 | $217,038.55 | $47,791.64 |