Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$33,026.34
2024
Average charge
$186,701.34
Hospital list price
Stays
119
7 hospitals
Medicare paid
$3.9M
For these stays
For DRG 458 (spinal fusion except cervical with spinal curvature, malignancy, infection or extensive), Medicare paid $33,026.34 per hospital stay on average in 2024. Hospitals charged $186,701.34 on average, and the total payment including the patient's share and other payers was $41,354.82. In 2023 Medicare paid $33,549.46.
119 Medicare stays were billed as DRG 458 at 7 hospitals in 2024, and Medicare paid $3.9M for them.
Hospital for Special Surgery in New York, NY had the most Medicare stays for DRG 458 in 2024: 31, with an average Medicare payment of $42,597.61.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Hospital for Special Surgery New York, NY | 31 | $217,614.97 | $59,819.58 | $42,597.61 |
| Oklahoma Spine Hospital Oklahoma City, OK · Medical Facilities USA Holdings | 23 | $160,445.39 | $32,014.96 | $22,582.09 |
| Medstar Georgetown University Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| New York | 1 | 31 | $217,614.97 | $42,597.61 |
| Oklahoma | 1 | 23 | $160,445.39 | $22,582.09 |
| District of Columbia | 1 | 17 | $187,312.12 | $42,784.29 |
| Indiana | 1 | 13 |
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.
| 17 |
| $187,312.12 |
| $52,517.88 |
| $42,784.29 |
| Orthoindy Hospital Indianapolis, IN | 13 | $77,523.92 | $30,076.62 | $28,821.23 |
| Crystal Clinic Orthopaedic Center Akron, OH | 12 | $118,106.75 | $28,015.67 | $26,386.33 |
| Naples Community Hospital Naples, FL · NCH Healthcare System | 12 | $100,705.25 | $32,140.50 | $30,423.50 |
| Grandview Medical Center Birmingham, AL · Community Health Systems | 11 | $451,208.27 | $29,527.09 | $27,863.00 |
| $77,523.92 |
| $28,821.23 |
| Ohio | 1 | 12 | $118,106.75 | $26,386.33 |
| Florida | 1 | 12 | $100,705.25 | $30,423.50 |
| Alabama | 1 | 11 | $451,208.27 | $27,863.00 |