Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$34,971.47
2024
Average charge
$216,204.18
Hospital list price
Stays
175
12 hospitals
Medicare paid
$6.1M
For these stays
For DRG 221 (cardiac valve and other major cardiothoracic procedures without cardiac catheterization), Medicare paid $34,971.47 per hospital stay on average in 2024. Hospitals charged $216,204.18 on average, and the total payment including the patient's share and other payers was $42,892.18. In 2023 Medicare paid $37,378.35.
175 Medicare stays were billed as DRG 221 at 12 hospitals in 2024, and Medicare paid $6.1M for them.
Hospital of Univ of Pennsylvania in Philadelphia, PA had the most Medicare stays for DRG 221 in 2024: 30, with an average Medicare payment of $43,543.63.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Hospital of Univ of Pennsylvania Philadelphia, PA · University of Pennsylvania Health System | 30 | $358,562.80 | $54,905.10 | $43,543.63 |
| UPMC Pinnacle Hospitals Harrisburg, PA · UPMC | 19 | $150,045.63 | $36,936.37 | $34,659.84 |
| Johns Hopkins Hospital, the |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Pennsylvania | 2 | 49 | $277,709.20 | $40,098.90 |
| Kentucky | 2 | 23 | $319,176.35 | $28,391.43 |
| Maryland | 1 | 16 | $56,695.13 | $44,843.00 |
| Arkansas | 1 | 15 |
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.
| 16 |
| $56,695.13 |
| $49,927.38 |
| $44,843.00 |
| Arkansas Heart Hospital, LLC Little Rock, AR | 15 | $96,213.07 | $28,662.00 | $27,030.00 |
| Mercyone Des Moines Medical Center Des Moines, IA · Trinity Health | 13 | $163,142.31 | $32,570.15 | $30,733.54 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 13 | $296,669.85 | $40,541.54 | $29,703.54 |
| Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ · HonorHealth | 12 | $345,968.42 | $50,263.42 | $21,847.75 |
| Sanford Medical Center Fargo Fargo, ND · Sanford Health | 12 | $102,442.75 | $41,070.58 | $28,978.33 |
| Baptist Health Paducah Paducah, KY · Baptist Healthcare System | 12 | $355,703.08 | $36,977.83 | $29,835.67 |
| Mary Hitchcock Memorial Hospital Lebanon, NH · Dartmouth-Hitchcock | 11 | $109,364.91 | $49,644.55 | $46,612.55 |
| ECU Health Medical Center Greenville, NC · ECU Health | 11 | $179,554.55 | $46,344.91 | $42,808.00 |
| Baptist Health Louisville Louisville, KY · Baptist Healthcare System | 11 | $279,329.00 | $34,758.36 | $26,815.91 |
| $96,213.07 |
| $27,030.00 |
| Florida | 1 | 13 | $296,669.85 | $29,703.54 |
| Iowa | 1 | 13 | $163,142.31 | $30,733.54 |
| Arizona | 1 | 12 | $345,968.42 | $21,847.75 |
| North Dakota | 1 | 12 | $102,442.75 | $28,978.33 |
| North Carolina | 1 | 11 | $179,554.55 | $42,808.00 |
| New Hampshire | 1 | 11 | $109,364.91 | $46,612.55 |