Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$29,169.49
2024
Average charge
$179,978.52
Hospital list price
Stays
2,915
171 hospitals
Medicare paid
$85.0M
For these stays
For DRG 264 (other circulatory system o.r. procedures), Medicare paid $29,169.49 per hospital stay on average in 2024. Hospitals charged $179,978.52 on average, and the total payment including the patient's share and other payers was $35,517.69. In 2023 Medicare paid $29,544.33.
2,915 Medicare stays were billed as DRG 264 at 171 hospitals in 2024, and Medicare paid $85.0M for them.
Among states with at least 50 stays, New York had the highest average Medicare payment for DRG 264 ($39,412.89) and Kentucky the lowest ($20,689.52).
New York-Presbyterian Hospital in New York, NY had the most Medicare stays for DRG 264 in 2024: 71, with an average Medicare payment of $53,847.86.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 71 | $360,194.69 | $62,154.30 | $53,847.86 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 49 | $189,491.14 | $25,921.14 | $22,258.43 |
| Massachusetts General Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| New York | 16 | 416 | $267,748.27 | $39,412.89 |
| Florida | 18 | 327 | $183,052.86 | $22,868.84 |
| Texas | 16 | 265 | $196,955.85 | $29,205.05 |
| New Jersey | 11 | 239 |
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.
| 47 |
| $228,729.60 |
| $62,705.23 |
| $39,614.66 |
| Cedars-Sinai Medical Center Los Angeles, CA · Cedars Sinai Health System | 41 | $599,392.10 | $50,060.59 | $41,947.17 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 38 | $304,411.79 | $45,974.87 | $38,715.53 |
| Hackensack University Medical Center Hackensack, NJ · Hackensack Meridian Health | 37 | $299,025.84 | $48,308.19 | $41,730.59 |
| Baptist Health Medical Center - Jacksonville Jacksonville, FL · Baptist Health | 37 | $174,439.41 | $30,180.30 | $21,615.27 |
| Mount Sinai Hospital New York, NY · Mount Sinai Health System | 36 | $175,728.75 | $47,996.36 | $38,125.89 |
| Staten Island University Hospital Staten Island, NY · Northwell Health | 36 | $180,084.81 | $38,914.78 | $35,559.33 |
| Norton Hospitals, Inc Louisville, KY · Norton Healthcare | 34 | $90,452.68 | $23,025.79 | $21,654.79 |
| Valley Hospital Paramus, NJ · Valley Health System | 33 | $221,804.39 | $29,998.52 | $28,207.18 |
| Inspira Medical Center Mullica Hill Elmer, NJ · Inspira Health Network | 32 | $122,734.78 | $30,821.09 | $27,022.28 |
| SUNY/Stony Brook University Hospital Stony Brook, NY · Stony Brook Medicine | 31 | $320,100.68 | $51,862.58 | $43,868.81 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 30 | $136,192.97 | $51,627.70 | $40,814.13 |
| North Shore University Hospital Manhasset, NY · Northwell Health | 28 | $339,541.82 | $48,765.25 | $37,343.29 |
| Duke University Hospital Durham, NC · Duke University Health System | 28 | $138,421.75 | $49,673.43 | $34,425.75 |
| Ns/Lij Hs Southside Hospital Bay Shore, NY · Northwell Health | 28 | $245,242.21 | $34,441.39 | $29,692.75 |
| Houston Methodist Hospital Houston, TX · Houston Methodist | 27 | $254,478.07 | $34,706.70 | $26,814.41 |
| Mississippi Baptist Medical Center Jackson, MS · Baptist Memorial Health Care Corporation | 26 | $68,903.92 | $21,043.58 | $18,737.73 |
| Baptist Medical Center San Antonio, TX · Tenet Healthcare | 26 | $227,418.27 | $23,117.04 | $21,984.38 |
| Community Hospital Munster, IN · Community Foundation of Northwest Indiana | 26 | $71,774.50 | $24,776.69 | $19,739.04 |
| Montefiore Medical Center Bronx, NY · Montefiore Medical Center | 24 | $370,728.58 | $54,721.42 | $44,337.92 |
| UT of Texas Southwestern University Hospital - William P. Clements Jr. Dallas, TX · The University of Texas System | 23 | $425,621.13 | $114,598.61 | $98,983.91 |
| Good Samaritan Hospital Medical Center West Islip, NY · Catholic Health | 23 | $231,622.35 | $29,697.61 | $27,807.17 |
| ECU Health Medical Center Greenville, NC · ECU Health | 22 | $77,617.45 | $27,068.32 | $21,478.27 |
| $202,314.29 |
| $28,268.62 |
| California | 12 | 188 | $291,690.25 | $37,254.61 |
| Pennsylvania | 10 | 141 | $204,298.57 | $30,988.36 |
| Illinois | 9 | 123 | $131,494.32 | $28,670.50 |
| Massachusetts | 6 | 117 | $152,531.79 | $34,877.92 |
| North Carolina | 6 | 104 | $107,506.42 | $25,626.20 |
| Minnesota | 4 | 73 | $107,293.44 | $30,474.07 |
| Indiana | 4 | 66 | $98,338.39 | $22,039.79 |
| Kentucky | 3 | 64 | $93,612.69 | $20,689.52 |
| Ohio | 3 | 51 | $137,050.37 | $25,035.57 |
| Connecticut | 3 | 47 | $176,150.47 | $35,039.19 |
| Tennessee | 3 | 46 | $149,396.33 | $24,628.74 |
| Virginia | 4 | 46 | $132,839.24 | $22,582.78 |
| Georgia | 3 | 45 | $231,933.29 | $24,293.96 |
| Michigan | 4 | 45 | $117,058.60 | $29,971.44 |
| South Carolina | 3 | 42 | $122,140.64 | $23,027.76 |
| Wisconsin | 3 | 41 | $82,603.07 | $25,913.98 |
| Washington | 3 | 33 | $131,053.82 | $30,876.09 |
| Kansas | 2 | 32 | $188,020.94 | $24,280.31 |
| Alabama | 2 | 31 | $104,477.65 | $22,516.58 |
| District of Columbia | 2 | 31 | $209,952.39 | $29,481.45 |
| Louisiana | 2 | 30 | $92,884.80 | $21,759.17 |
| West Virginia | 2 | 26 | $77,412.54 | $22,083.96 |
| Mississippi | 1 | 26 | $68,903.92 | $18,737.73 |
| South Dakota | 2 | 26 | $105,885.27 | $22,978.00 |
| Oklahoma | 2 | 24 | $101,226.25 | $21,156.67 |
| Maryland | 2 | 23 | $29,927.91 | $26,403.09 |
| Missouri | 2 | 22 | $108,868.09 | $26,543.64 |
| Hawaii | 1 | 21 | $89,506.38 | $26,237.48 |
| Delaware | 1 | 18 | $55,473.72 | $25,931.94 |
| Nebraska | 1 | 18 | $111,376.61 | $24,275.56 |
| Nevada | 1 | 15 | $357,652.07 | $24,631.33 |
| Arkansas | 1 | 14 | $130,350.36 | $19,339.86 |
| New Hampshire | 1 | 14 | $135,658.64 | $24,606.14 |
| Arizona | 1 | 14 | $120,076.36 | $25,832.29 |
| New Mexico | 1 | 11 | $56,344.18 | $20,393.18 |