Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$22,967.97
2024
Average charge
$123,097.46
Hospital list price
Stays
590
25 hospitals
Medicare paid
$13.6M
For these stays
For DRG 462 (bilateral or multiple major joint procedures of lower extremity without mcc), Medicare paid $22,967.97 per hospital stay on average in 2024. Hospitals charged $123,097.46 on average, and the total payment including the patient's share and other payers was $29,054.75. In 2023 Medicare paid $22,018.89.
590 Medicare stays were billed as DRG 462 at 25 hospitals in 2024, and Medicare paid $13.6M for them.
Among states with at least 50 stays, California had the highest average Medicare payment for DRG 462 ($29,620.66) and Pennsylvania the lowest ($18,896.65).
Scripps Green Hospital in La Jolla, CA had the most Medicare stays for DRG 462 in 2024: 71, with an average Medicare payment of $29,661.65.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Scripps Green Hospital La Jolla, CA · Scripps Health | 71 | $191,396.25 | $32,337.87 | $29,661.65 |
| Jefferson Health- Northeast Philadelphia, PA · Jefferson Health | 62 | $65,634.52 | $24,745.95 | $19,792.56 |
| Hospital for Special Surgery |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| California | 4 | 131 | $187,167.66 | $29,620.66 |
| New York | 4 | 105 | $153,119.19 | $24,638.54 |
| Pennsylvania | 4 | 100 | $80,496.10 | $18,896.65 |
| Texas | 2 | 45 |
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.
| 46 |
| $189,583.20 |
| $45,772.91 |
| $27,060.93 |
| Glendale Adventist Medical Center Glendale, CA · Adventist Health | 35 | $192,522.69 | $30,873.23 | $29,252.91 |
| Henry County Memorial Hospital New Castle, IN · Henry Community Health | 33 | $99,271.45 | $25,893.12 | $24,261.12 |
| Montefiore New Rochelle Hospital New Rochelle, NY · Montefiore Medical Center | 31 | $130,786.84 | $39,180.00 | $25,285.87 |
| Texas Health Harris Methodist Hospital Southlake Southlake, TX · Texas Health Resources | 30 | $103,671.87 | $18,949.30 | $17,371.70 |
| Ascension Saint Thomas Hospital Nashville, TN · Ascension | 26 | $122,359.54 | $21,026.46 | $18,936.96 |
| Naples Community Hospital Naples, FL · NCH Healthcare System | 21 | $120,907.90 | $21,798.62 | $18,088.67 |
| Morristown Medical Center Morristown, NJ · Atlantic Health System | 20 | $110,338.50 | $31,711.05 | $22,872.80 |
| Pratt Regional Medical Center Pratt, KS | 19 | $55,805.37 | $29,670.58 | $26,090.53 |
| Erlanger Medical Center Chattanooga, TN · Erlanger Health System | 18 | $59,311.22 | $23,656.89 | $20,316.28 |
| St Francis Hospital - the Heart Center Roslyn, NY · Catholic Health | 17 | $122,310.12 | $32,650.24 | $20,001.53 |
| Straub Clinic and Hospital Honolulu, HI · Hawaii Pacific Health | 17 | $90,082.59 | $35,644.00 | $21,393.76 |
| Sacred Heart Medical Center - Riverbend Springfield, OR · Peacehealth | 16 | $97,652.31 | $23,822.75 | $22,183.56 |
| North Central Surgical Center LLP Dallas, TX · Tenet Healthcare | 15 | $63,472.47 | $21,276.53 | $15,945.60 |
| Memorial Mission Hospital and Asheville Surgery Ce Asheville, NC · HCA Healthcare | 15 | $147,033.20 | $24,817.60 | $19,240.40 |
| Surgical Institute of Reading Wyomissing, PA · Tenet Healthcare | 15 | $108,617.33 | $25,263.00 | $16,246.00 |
| Hoag Orthopedic Institute Irvine, CA · Hoag Memorial Hospital Presbyterian | 14 | $126,507.36 | $27,755.64 | $19,413.86 |
| Physicians Care Surgical Hospital Royersford, PA | 12 | $100,002.67 | $19,665.92 | $18,169.92 |
| Sanford Medical Center Fargo Fargo, ND · Sanford Health | 12 | $64,038.50 | $23,626.33 | $19,035.25 |
| The East Alabama Healthcare Authority Opelika, AL · East Alabama Medical Center | 12 | $43,360.08 | $21,512.42 | $17,198.42 |
| Peconic Bay Medical Center Riverhead, NY · Northwell Health | 11 | $111,184.00 | $31,226.45 | $19,850.55 |
| Rothman Orthopaedic Specialty Hospital Bensalem, PA | 11 | $104,634.36 | $19,886.27 | $18,254.27 |
| UCSF Medical Center San Francisco, CA · University of California San Francisco | 11 | $220,039.36 | $47,197.73 | $43,516.73 |
| $90,272.07 |
| $16,896.33 |
| Tennessee | 2 | 44 | $96,567.05 | $19,501.23 |
| Indiana | 1 | 33 | $99,271.45 | $24,261.12 |
| Florida | 1 | 21 | $120,907.90 | $18,088.67 |
| New Jersey | 1 | 20 | $110,338.50 | $22,872.80 |
| Kansas | 1 | 19 | $55,805.37 | $26,090.53 |
| Hawaii | 1 | 17 | $90,082.59 | $21,393.76 |
| Oregon | 1 | 16 | $97,652.31 | $22,183.56 |
| North Carolina | 1 | 15 | $147,033.20 | $19,240.40 |
| North Dakota | 1 | 12 | $64,038.50 | $19,035.25 |
| Alabama | 1 | 12 | $43,360.08 | $17,198.42 |