Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$10,031.65
2024
Average charge
$75,350.73
Hospital list price
Stays
790
51 hospitals
Medicare paid
$7.9M
For these stays
For DRG 355 (hernia procedures except inguinal and femoral without cc/mcc), Medicare paid $10,031.65 per hospital stay on average in 2024. Hospitals charged $75,350.73 on average, and the total payment including the patient's share and other payers was $13,406.87. In 2023 Medicare paid $10,027.58.
790 Medicare stays were billed as DRG 355 at 51 hospitals in 2024, and Medicare paid $7.9M for them.
Among states with at least 50 stays, New York had the highest average Medicare payment for DRG 355 ($12,544.49) and Florida the lowest ($8,254.60).
New York-Presbyterian Hospital in New York, NY had the most Medicare stays for DRG 355 in 2024: 43, with an average Medicare payment of $14,336.77.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 43 | $81,165.33 | $17,910.37 | $14,336.77 |
| Cleveland Clinic Cleveland, OH · Cleveland Clinic | 32 | $60,717.78 | $14,474.69 | $9,357.34 |
| St Francis Hospital - the Heart Center |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| New York | 5 | 122 | $92,031.71 | $12,544.49 |
| Florida | 6 | 81 | $103,712.51 | $8,254.60 |
| Pennsylvania | 4 | 54 | $95,882.44 | $10,119.44 |
| North Carolina | 3 | 47 |
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.
| 29 |
| $79,105.45 |
| $12,778.21 |
| $9,791.72 |
| Beaumont Hospital Royal Oak Royal Oak, MI · Corewell Health | 21 | $56,547.29 | $12,167.19 | $9,568.33 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 20 | $147,032.70 | $13,554.20 | $8,087.15 |
| Carolinas Medical Center/Behav Health Charlotte, NC · Atrium Health | 20 | $81,187.90 | $17,611.30 | $9,418.35 |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · NorthShore Edward-Elmhurst Health | 19 | $59,094.63 | $11,701.21 | $9,931.00 |
| SUNY/Stony Brook University Hospital Stony Brook, NY · Stony Brook Medicine | 19 | $119,471.16 | $20,496.21 | $12,167.68 |
| Mayo Clinic Hospital Phoenix, AZ · Mayo Clinic | 18 | $55,080.11 | $13,851.00 | $10,724.89 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · Luminis Health | 18 | $15,071.44 | $14,034.89 | $11,370.44 |
| Barnes Jewish Hospital Saint Louis, MO · BJC HealthCare | 17 | $49,476.59 | $14,004.24 | $10,892.53 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 17 | $155,296.47 | $17,856.06 | $15,286.24 |
| MUSC Medical Center Charleston, SC · Medical University of South Carolina Medical Center | 17 | $124,357.53 | $16,596.65 | $11,276.71 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 17 | $61,436.82 | $15,814.29 | $12,852.18 |
| Northwestern Memorial Hospital Chicago, IL · Northwestern Medicine | 16 | $83,572.00 | $14,297.63 | $11,688.31 |
| Beebe Medical Center Lewes, DE · Beebe Healthcare | 16 | $35,370.31 | $10,768.94 | $9,080.56 |
| West Jersey Hospital Voorhees, NJ · Virtua Health | 16 | $108,489.38 | $10,915.06 | $9,252.31 |
| Memorial Mission Hospital and Asheville Surgery Ce Asheville, NC · HCA Healthcare | 16 | $95,766.56 | $10,624.56 | $8,888.88 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 15 | $65,446.33 | $10,268.40 | $8,623.27 |
| Massachusetts General Hospital Boston, MA · Mass General Brigham | 15 | $75,163.33 | $16,088.00 | $13,704.00 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · University of Pennsylvania Health System | 15 | $147,734.33 | $17,948.33 | $11,417.07 |
| Indiana University Health Indianapolis, IN · Indiana University Health | 15 | $78,986.87 | $13,910.73 | $11,251.93 |
| Providence Holy Family Hospital Spokane, WA · Providence | 15 | $43,540.87 | $11,951.47 | $8,985.60 |
| UPMC Pinnacle Hospitals Harrisburg, PA · UPMC | 14 | $48,853.07 | $10,574.36 | $8,678.71 |
| University of Alabama Hospital Birmingham, AL · UAB Health System | 14 | $78,329.29 | $17,127.57 | $7,356.07 |
| $77,934.79 |
| $9,280.64 |
| Texas | 4 | 47 | $83,395.62 | $8,220.09 |
| New Jersey | 3 | 42 | $75,323.12 | $10,249.60 |
| Illinois | 2 | 35 | $70,284.29 | $10,734.34 |
| Ohio | 1 | 32 | $60,717.78 | $9,357.34 |
| Arizona | 2 | 30 | $60,008.30 | $9,964.43 |
| South Carolina | 2 | 29 | $92,638.31 | $9,264.38 |
| Alabama | 2 | 27 | $74,701.44 | $6,840.00 |
| Massachusetts | 2 | 26 | $52,918.65 | $13,160.42 |
| Michigan | 1 | 21 | $56,547.29 | $9,568.33 |
| Maryland | 1 | 18 | $15,071.44 | $11,370.44 |
| Minnesota | 1 | 17 | $61,436.82 | $12,852.18 |
| Missouri | 1 | 17 | $49,476.59 | $10,892.53 |
| Delaware | 1 | 16 | $35,370.31 | $9,080.56 |
| Washington | 1 | 15 | $43,540.87 | $8,985.60 |
| Indiana | 1 | 15 | $78,986.87 | $11,251.93 |
| North Dakota | 1 | 13 | $35,081.15 | $9,282.23 |
| Virginia | 1 | 13 | $79,491.15 | $8,316.92 |
| Arkansas | 1 | 13 | $42,681.69 | $7,704.08 |
| Nebraska | 1 | 13 | $48,390.15 | $8,384.23 |
| Kentucky | 1 | 13 | $62,911.31 | $7,654.38 |
| Georgia | 1 | 12 | $64,353.75 | $10,531.50 |
| Kansas | 1 | 11 | $61,229.91 | $9,983.91 |
| Wisconsin | 1 | 11 | $91,554.36 | $11,375.82 |