Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$4,584.00
2024
Average charge
$39,627.83
Hospital list price
Stays
517
38 hospitals
Medicare paid
$2.4M
For these stays
For DRG 395 (other digestive system diagnoses without cc/mcc), Medicare paid $4,584.00 per hospital stay on average in 2024. Hospitals charged $39,627.83 on average, and the total payment including the patient's share and other payers was $7,116.82. In 2023 Medicare paid $4,338.33.
517 Medicare stays were billed as DRG 395 at 38 hospitals in 2024, and Medicare paid $2.4M for them.
Among states with at least 50 stays, New York had the highest average Medicare payment for DRG 395 ($5,694.30) and Florida the lowest ($4,418.15).
Orlando Health in Orlando, FL had the most Medicare stays for DRG 395 in 2024: 24, with an average Medicare payment of $4,936.79.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Orlando Health Orlando, FL · Orlando Health | 24 | $74,247.08 | $8,356.13 | $4,936.79 |
| Long Island Jewish Medical Center New Hyde Park, NY · Northwell Health | 21 | $54,216.24 | $9,091.71 | $5,924.14 |
| Adventhealth Orlando |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 10 | 148 | $51,239.41 | $4,418.15 |
| New York | 6 | 87 | $49,184.45 | $5,694.30 |
| Massachusetts | 5 | 68 | $19,111.13 | $5,013.74 |
| Pennsylvania | 3 | 34 |
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.
| 20 |
| $36,204.60 |
| $6,431.75 |
| $4,055.40 |
| Methodist Hospital San Antonio, TX · HCA Healthcare | 19 | $46,402.95 | $5,959.79 | $3,753.89 |
| Massachusetts General Hospital Boston, MA · Mass General Brigham | 17 | $30,019.12 | $9,130.41 | $6,302.94 |
| St Josephs Hospital Tampa, FL · Baycare Health System | 17 | $37,503.06 | $6,161.65 | $4,690.24 |
| HCA Florida JFK Hospital Atlantis, FL · HCA Healthcare | 17 | $85,071.06 | $6,274.29 | $4,841.76 |
| South Shore Hospital South Weymouth, MA · South Shore Health System | 15 | $12,114.27 | $5,312.00 | $3,826.73 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 15 | $48,265.40 | $15,183.20 | $5,700.73 |
| Englewood Hospital and Medical Center Englewood, NJ · Englewood Health | 15 | $40,317.27 | $7,232.53 | $5,915.00 |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · NorthShore Edward-Elmhurst Health | 14 | $18,668.71 | $7,363.00 | $4,243.93 |
| Good Samaritan Hospital Medical Center West Islip, NY · Catholic Health | 14 | $35,960.79 | $6,342.36 | $5,016.36 |
| HCA Houston Healthcare Kingwood Kingwood, TX · HCA Healthcare | 14 | $68,866.43 | $6,693.36 | $4,954.93 |
| Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ · HonorHealth | 13 | $40,406.85 | $4,764.23 | $3,119.15 |
| Baptist Health Medical Center - Jacksonville Jacksonville, FL · Baptist Health | 13 | $35,540.92 | $5,455.23 | $4,041.54 |
| Norton Hospitals, Inc Louisville, KY · Norton Healthcare | 13 | $21,513.46 | $4,567.08 | $3,335.31 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · Beth Israel Lahey Health | 13 | $11,428.38 | $6,981.31 | $5,006.69 |
| Sunrise Hospital and Medical Center Las Vegas, NV · HCA Healthcare | 13 | $59,098.08 | $6,602.54 | $4,949.31 |
| St Francis Hospital - the Heart Center Roslyn, NY · Catholic Health | 13 | $37,185.15 | $5,621.85 | $4,303.23 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 13 | $67,820.38 | $10,559.46 | $6,594.54 |
| Marion Communtiy Hospital Ocala, FL · HCA Healthcare | 12 | $51,674.42 | $5,735.67 | $4,509.67 |
| UPMC Pinnacle Hospitals Harrisburg, PA · UPMC | 12 | $31,807.17 | $6,520.08 | $3,104.75 |
| Northeast Hospital Corporation Beverly, MA · Beth Israel Lahey Health | 12 | $17,447.50 | $5,545.33 | $4,049.33 |
| West Virginia University Hospitals, Inc Morgantown, WV · WVU Medicine | 12 | $20,715.00 | $8,284.75 | $3,644.08 |
| HCA Florida West Hospital Pensacola, FL · HCA Healthcare | 12 | $66,681.92 | $5,402.75 | $3,940.25 |
| $37,301.82 |
| $3,888.74 |
| Texas | 2 | 33 | $55,932.91 | $4,263.42 |
| New Jersey | 2 | 26 | $46,279.69 | $4,981.88 |
| Illinois | 2 | 26 | $17,356.85 | $3,926.00 |
| North Carolina | 2 | 22 | $20,540.86 | $4,424.86 |
| Arizona | 1 | 13 | $40,406.85 | $3,119.15 |
| Kentucky | 1 | 13 | $21,513.46 | $3,335.31 |
| Nevada | 1 | 13 | $59,098.08 | $4,949.31 |
| West Virginia | 1 | 12 | $20,715.00 | $3,644.08 |
| Maryland | 1 | 11 | $5,830.27 | $3,607.82 |
| Delaware | 1 | 11 | $19,918.45 | $4,198.18 |