Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$68,100.73
2024
Average charge
$337,370.20
Hospital list price
Stays
992
67 hospitals
Medicare paid
$67.6M
For these stays
For DRG 466 (revision of hip or knee replacement with mcc), Medicare paid $68,100.73 per hospital stay on average in 2024. Hospitals charged $337,370.20 on average, and the total payment including the patient's share and other payers was $75,768.11. In 2023 Medicare paid $46,381.19.
992 Medicare stays were billed as DRG 466 at 67 hospitals in 2024, and Medicare paid $67.6M for them.
Among states with at least 50 stays, California had the highest average Medicare payment for DRG 466 ($63,750.71) and Florida the lowest ($33,430.03).
Medical City Plano in Plano, TX had the most Medicare stays for DRG 466 in 2024: 32, with an average Medicare payment of $40,963.69.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Medical City Plano Plano, TX · HCA Healthcare | 32 | $921,875.63 | $51,644.69 | $40,963.69 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 28 | $160,120.21 | $58,062.00 | $52,531.61 |
| NYU Langone Hospitals |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 8 | 118 | $235,053.87 | $33,430.03 |
| New York | 5 | 81 | $340,800.58 | $53,724.30 |
| California | 4 | 76 | $530,738.70 | $63,750.71 |
| Texas | 4 | 70 |
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.
| 27 |
| $538,765.15 |
| $71,315.33 |
| $63,186.30 |
| Cedars-Sinai Medical Center Los Angeles, CA · Cedars Sinai Health System | 26 | $788,413.04 | $89,353.38 | $56,433.12 |
| University of Alabama Hospital Birmingham, AL · UAB Health System | 22 | $234,931.27 | $50,823.14 | $41,550.00 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 20 | $377,309.45 | $36,352.50 | $34,473.15 |
| Naples Community Hospital Naples, FL · NCH Healthcare System | 20 | $130,384.75 | $26,005.05 | $24,623.70 |
| Promedica Toledo Hospital Toledo, OH · ProMedica | 20 | $227,060.65 | $40,669.95 | $37,654.10 |
| Cleveland Clinic Cleveland, OH · Cleveland Clinic | 20 | $176,591.45 | $69,124.00 | $33,542.10 |
| Orlando Health Orlando, FL · Orlando Health | 19 | $310,348.37 | $34,657.37 | $33,642.53 |
| Thomas Jefferson University Hospital Philadelphia, PA · Jefferson Health | 19 | $243,421.53 | $58,491.37 | $45,901.63 |
| Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Santa Monica, CA · Ucop | 19 | $320,893.26 | $74,865.42 | $63,553.95 |
| Bryan Medical Center Lincoln, NE · Bryan Health | 19 | $169,354.42 | $36,286.11 | $31,572.16 |
| UCSF Medical Center San Francisco, CA · University of California San Francisco | 18 | $372,095.00 | $82,319.00 | $74,709.83 |
| Tristar Centennial Medical Center Nashville, TN · HCA Healthcare | 18 | $251,412.67 | $32,584.00 | $31,094.50 |
| Ascension St Vincent Hospital Indianapolis, IN · Ascension | 18 | $3,838,130.28 | $1,443,309.67 | $1,436,667.83 |
| OHSU Hospital and Clinics Portland, OR · Oregon Health and Science University | 18 | $216,261.56 | $64,199.61 | $57,271.00 |
| Banner del E. Webb Medical Center Sun City West, AZ · Banner Health | 17 | $196,549.65 | $38,514.71 | $31,078.71 |
| Hospital for Special Surgery New York, NY | 17 | $253,100.76 | $73,897.29 | $42,192.88 |
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 16 | $296,141.44 | $49,404.44 | $37,029.06 |
| Brigham and Women's Hospital Boston, MA · Mass General Brigham | 16 | $166,065.38 | $53,344.31 | $45,888.50 |
| West Virginia University Hospitals, Inc Morgantown, WV · WVU Medicine | 16 | $194,192.06 | $45,735.75 | $36,435.06 |
| Vanderbilt University Medical Center Nashville, TN · Vanderbilt Health | 15 | $242,287.27 | $51,582.13 | $40,070.60 |
| Massachusetts General Hospital Boston, MA · Mass General Brigham | 15 | $262,084.73 | $73,938.80 | $59,784.67 |
| Banner - University Medical Center Phoenix Phoenix, AZ · Banner Health | 15 | $253,728.60 | $50,449.60 | $43,776.00 |
| $557,915.06 |
| $38,067.64 |
| Pennsylvania | 4 | 59 | $251,909.90 | $39,287.02 |
| Nebraska | 3 | 44 | $163,782.57 | $35,695.64 |
| Indiana | 3 | 43 | $1,753,101.26 | $623,732.79 |
| Massachusetts | 3 | 42 | $184,957.48 | $52,894.57 |
| Oregon | 3 | 41 | $185,161.88 | $56,602.41 |
| Ohio | 2 | 40 | $201,826.05 | $35,598.10 |
| New Jersey | 3 | 36 | $240,596.44 | $44,138.31 |
| Tennessee | 2 | 33 | $247,264.76 | $35,174.55 |
| Arizona | 2 | 32 | $223,352.28 | $37,030.56 |
| Minnesota | 1 | 28 | $160,120.21 | $52,531.61 |
| Alabama | 1 | 22 | $234,931.27 | $41,550.00 |
| Nevada | 2 | 22 | $377,607.68 | $34,361.55 |
| West Virginia | 1 | 16 | $194,192.06 | $36,435.06 |
| Utah | 1 | 14 | $108,267.71 | $41,440.57 |
| Georgia | 1 | 13 | $252,965.54 | $35,951.54 |
| South Carolina | 1 | 13 | $179,587.92 | $29,464.31 |
| Connecticut | 1 | 13 | $196,636.00 | $56,809.46 |
| Oklahoma | 1 | 12 | $145,199.25 | $27,385.42 |
| North Carolina | 1 | 12 | $178,857.92 | $34,659.92 |
| Wisconsin | 1 | 12 | $144,434.42 | $33,987.17 |
| New Hampshire | 1 | 12 | $131,435.17 | $52,235.50 |
| Arkansas | 1 | 11 | $101,738.55 | $35,868.55 |
| Montana | 1 | 11 | $143,202.91 | $41,752.55 |
| Michigan | 1 | 11 | $86,158.55 | $33,780.27 |
| Kentucky | 1 | 11 | $296,807.91 | $53,270.82 |
| Delaware | 1 | 11 | $150,838.09 | $39,590.00 |
| District of Columbia | 1 | 11 | $121,084.27 | $38,078.45 |
| Colorado | 1 | 11 | $527,877.36 | $34,806.00 |
| North Dakota | 1 | 11 | $129,143.36 | $38,085.00 |