Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$55,774.71
2024
Average charge
$311,751.76
Hospital list price
Stays
1,759
88 hospitals
Medicare paid
$98.1M
For these stays
For DRG 405 (pancreas, liver and shunt procedures with mcc), Medicare paid $55,774.71 per hospital stay on average in 2024. Hospitals charged $311,751.76 on average, and the total payment including the patient's share and other payers was $68,850.28. In 2023 Medicare paid $53,166.79.
1,759 Medicare stays were billed as DRG 405 at 88 hospitals in 2024, and Medicare paid $98.1M for them.
Among states with at least 50 stays, California had the highest average Medicare payment for DRG 405 ($82,916.49) and Georgia the lowest ($39,873.96).
NYU Langone Hospitals in New York, NY had the most Medicare stays for DRG 405 in 2024: 57, with an average Medicare payment of $79,155.37.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| NYU Langone Hospitals New York, NY · NYU Langone Health | 57 | $572,262.74 | $92,824.96 | $79,155.37 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 50 | $296,714.04 | $69,377.40 | $59,661.00 |
| Indiana University Health |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| California | 9 | 225 | $534,218.48 | $82,916.49 |
| New York | 5 | 155 | $447,081.87 | $70,217.43 |
| Texas | 7 | 126 | $310,659.98 | $45,433.42 |
| Florida | 7 | 122 |
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 |
| $272,959.64 |
| $59,476.36 |
| $51,486.74 |
| Johns Hopkins Hospital, the Baltimore, MD · Johns Hopkins Health System | 44 | $96,082.77 | $84,314.66 | $81,487.82 |
| Massachusetts General Hospital Boston, MA · Mass General Brigham | 39 | $300,624.95 | $74,101.82 | $54,657.79 |
| Stanford Health Care Stanford, CA · Stanford Health Care | 38 | $679,781.87 | $95,291.24 | $81,239.39 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 38 | $157,835.37 | $70,428.00 | $60,155.29 |
| California Pacific Medical Center- Van Ness Campus San Francisco, CA · Sutter Health | 36 | $262,204.08 | $92,176.94 | $72,818.67 |
| Cedars-Sinai Medical Center Los Angeles, CA · Cedars Sinai Health System | 33 | $882,059.73 | $66,615.97 | $61,453.64 |
| Piedmont Hospital, Inc Atlanta, GA · Piedmont Healthcare | 33 | $239,249.67 | $56,176.18 | $32,294.82 |
| UCSF Medical Center San Francisco, CA · University of California San Francisco | 32 | $531,739.66 | $150,787.56 | $101,352.50 |
| Mayo Clinic Jacksonville, FL · Mayo Clinic | 32 | $194,730.75 | $59,738.81 | $45,297.84 |
| Houston Methodist Hospital Houston, TX · Houston Methodist | 30 | $451,284.73 | $65,803.03 | $56,410.07 |
| Medstar Georgetown University Hospital Washington, DC · MedStar Health | 28 | $332,475.64 | $71,532.64 | $59,977.25 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · UPMC | 28 | $470,112.64 | $56,025.14 | $43,113.82 |
| MUSC Medical Center Charleston, SC · Medical University of South Carolina Medical Center | 27 | $235,608.22 | $64,777.33 | $46,337.74 |
| Ronald Reagan UCLA Medical Center Los Angeles, CA · University of California Health | 27 | $339,831.15 | $146,518.11 | $85,699.56 |
| UT of Texas Southwestern University Hospital - William P. Clements Jr. Dallas, TX · The University of Texas System | 25 | $166,801.56 | $52,124.72 | $47,200.84 |
| Barnes Jewish Hospital Saint Louis, MO · BJC HealthCare | 24 | $181,692.79 | $71,521.33 | $40,286.75 |
| Cleveland Clinic Cleveland, OH · Cleveland Clinic | 24 | $211,836.88 | $51,288.58 | $46,100.38 |
| Intermountain Medical Center Murray, UT · Intermountain Health | 24 | $137,422.50 | $45,414.63 | $38,503.67 |
| University of Colorado Hospital Authority Aurora, CO · University of Colorado Health | 22 | $439,763.27 | $66,695.91 | $59,499.41 |
| Keck Hospital of Usc Los Angeles, CA · University of Southern California | 22 | $389,786.91 | $84,686.55 | $69,747.73 |
| Riverside Methodist Hospital Columbus, OH · Ohiohealth | 22 | $227,865.91 | $72,897.95 | $35,393.64 |
| Beth Israel Deaconess Medical Center Boston, MA · Beth Israel Lahey Health | 22 | $121,824.32 | $79,452.91 | $71,450.14 |
| $257,817.24 |
| $40,137.25 |
| Massachusetts | 4 | 96 | $204,057.55 | $57,694.84 |
| Pennsylvania | 5 | 85 | $397,754.84 | $48,052.80 |
| Ohio | 3 | 60 | $229,852.38 | $40,485.37 |
| Indiana | 2 | 58 | $248,233.53 | $48,698.66 |
| Washington | 4 | 56 | $285,049.34 | $55,722.05 |
| Maryland | 2 | 55 | $87,308.84 | $74,233.98 |
| Georgia | 2 | 51 | $255,485.65 | $39,873.96 |
| Minnesota | 2 | 49 | $145,366.61 | $54,770.55 |
| Arizona | 3 | 46 | $241,721.89 | $52,094.57 |
| New Jersey | 3 | 42 | $312,519.93 | $54,428.10 |
| District of Columbia | 2 | 42 | $438,305.93 | $61,906.98 |
| Illinois | 3 | 40 | $215,271.20 | $49,709.43 |
| Missouri | 2 | 36 | $253,838.31 | $46,943.11 |
| North Carolina | 2 | 35 | $172,430.83 | $43,720.97 |
| Oklahoma | 2 | 32 | $409,822.13 | $51,474.06 |
| Virginia | 2 | 31 | $157,907.90 | $48,465.90 |
| Kentucky | 2 | 29 | $201,583.24 | $37,098.21 |
| South Carolina | 1 | 27 | $235,608.22 | $46,337.74 |
| Alabama | 2 | 26 | $498,693.31 | $39,997.58 |
| Utah | 1 | 24 | $137,422.50 | $38,503.67 |
| New Hampshire | 1 | 22 | $190,895.23 | $57,578.91 |
| Tennessee | 1 | 22 | $297,843.27 | $46,361.91 |
| Colorado | 1 | 22 | $439,763.27 | $59,499.41 |
| Wisconsin | 1 | 21 | $200,244.29 | $52,259.57 |
| Kansas | 1 | 20 | $206,267.65 | $40,927.35 |
| Oregon | 1 | 20 | $220,273.95 | $63,618.40 |
| Nebraska | 1 | 20 | $186,476.10 | $50,459.90 |
| Michigan | 1 | 20 | $320,317.80 | $50,136.80 |
| Iowa | 1 | 18 | $255,264.50 | $55,564.72 |
| Connecticut | 1 | 15 | $193,546.73 | $57,865.73 |
| North Dakota | 1 | 11 | $186,998.45 | $50,295.36 |