Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$26,100.04
2024
Average charge
$160,618.13
Hospital list price
Stays
14,134
561 hospitals
Medicare paid
$368.9M
For these stays
For DRG 467 (revision of hip or knee replacement with cc), Medicare paid $26,100.04 per hospital stay on average in 2024. Hospitals charged $160,618.13 on average, and the total payment including the patient's share and other payers was $30,673.35. In 2023 Medicare paid $25,945.19.
14,134 Medicare stays were billed as DRG 467 at 561 hospitals in 2024, and Medicare paid $368.9M for them.
Among states with at least 50 stays, Maryland had the highest average Medicare payment for DRG 467 ($40,963.50) and Alabama the lowest ($20,641.81).
Hospital for Special Surgery in New York, NY had the most Medicare stays for DRG 467 in 2024: 223, with an average Medicare payment of $33,507.17.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Hospital for Special Surgery New York, NY | 223 | $182,223.62 | $43,090.03 | $33,507.17 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 192 | $93,713.45 | $41,032.10 | $33,809.24 |
| New England Baptist Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 42 | 1,161 | $205,518.99 | $22,703.50 |
| Texas | 42 | 1,114 | $285,805.81 | $24,654.43 |
| California | 39 | 991 | $249,115.36 | $36,673.64 |
| New York | 27 | 818 |
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.
| 117 |
| $63,651.03 |
| $28,597.02 |
| $24,459.00 |
| Medical City Plano Plano, TX · HCA Healthcare | 109 | $885,463.81 | $48,144.95 | $38,423.65 |
| Orlando Health Orlando, FL · Orlando Health | 109 | $258,156.28 | $26,815.06 | $24,473.81 |
| Tristar Centennial Medical Center Nashville, TN · HCA Healthcare | 97 | $192,596.76 | $25,813.01 | $22,156.48 |
| Thomas Jefferson University Hospital Philadelphia, PA · Jefferson Health | 92 | $139,446.88 | $40,932.41 | $29,681.09 |
| Morristown Medical Center Morristown, NJ · Atlantic Health System | 89 | $147,282.18 | $31,691.52 | $26,764.11 |
| Texas Orthopedic Hospital Houston, TX · HCA Healthcare | 89 | $370,047.55 | $28,375.11 | $19,042.49 |
| Cleveland Clinic Cleveland, OH · Cleveland Clinic | 88 | $120,499.27 | $33,965.80 | $25,414.06 |
| University of Alabama Hospital Birmingham, AL · UAB Health System | 88 | $121,066.28 | $32,557.10 | $21,284.16 |
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 87 | $164,890.57 | $31,193.05 | $25,479.02 |
| UCSF Medical Center San Francisco, CA · University of California San Francisco | 86 | $242,083.62 | $56,430.52 | $50,763.15 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 84 | $162,254.70 | $42,241.93 | $36,751.38 |
| Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Santa Monica, CA · Ucop | 82 | $201,117.05 | $42,335.84 | $38,761.29 |
| Houston Methodist Hospital Houston, TX · Houston Methodist | 79 | $218,697.89 | $28,638.24 | $24,587.28 |
| Baylor University Medical Center Dallas, TX · Baylor Scott & White Health | 76 | $98,366.30 | $31,622.87 | $25,740.75 |
| Saint Francis Hospital, Inc Tulsa, OK · Saint Francis Health System | 72 | $109,712.85 | $24,626.74 | $19,993.81 |
| Lee Memorial Hospital Fort Myers, FL · Lee Health | 71 | $174,036.56 | $26,857.15 | $21,740.55 |
| Mary Hitchcock Memorial Hospital Lebanon, NH · Dartmouth-Hitchcock | 71 | $87,670.82 | $38,370.97 | $32,728.52 |
| Cedars-Sinai Medical Center Los Angeles, CA · Cedars Sinai Health System | 70 | $444,125.53 | $41,015.79 | $37,534.16 |
| Stanford Health Care Stanford, CA · Stanford Health Care | 70 | $367,742.87 | $53,915.34 | $48,555.01 |
| Arkansas Surgical Hospital No Little Rock, AR · Medical Facilities USA Holdings | 69 | $81,341.07 | $21,705.28 | $19,305.70 |
| Menorah Medical Center Overland Park, KS · HCA Healthcare | 67 | $150,391.49 | $28,341.82 | $20,992.67 |
| Sanford Medical Center Fargo Fargo, ND · Sanford Health | 66 | $84,936.48 | $27,324.23 | $23,787.83 |
| $169,078.12 |
| $32,981.44 |
| Pennsylvania | 26 | 704 | $150,209.34 | $25,109.26 |
| Ohio | 19 | 556 | $123,964.96 | $22,621.71 |
| Illinois | 24 | 544 | $140,912.24 | $25,388.84 |
| Minnesota | 15 | 508 | $91,245.38 | $27,808.20 |
| North Carolina | 19 | 478 | $125,506.92 | $24,473.78 |
| Virginia | 21 | 440 | $166,892.29 | $23,458.62 |
| Massachusetts | 13 | 411 | $88,827.10 | $29,315.01 |
| Tennessee | 14 | 382 | $147,242.38 | $22,073.00 |
| Arizona | 16 | 331 | $166,599.63 | $24,140.39 |
| Colorado | 15 | 325 | $226,436.25 | $24,071.43 |
| New Jersey | 12 | 300 | $138,412.14 | $27,728.41 |
| Missouri | 12 | 298 | $116,731.51 | $23,839.73 |
| Indiana | 14 | 297 | $136,622.86 | $24,608.57 |
| Michigan | 14 | 295 | $104,303.11 | $23,799.51 |
| Oklahoma | 10 | 272 | $133,664.86 | $21,950.29 |
| Maryland | 11 | 261 | $48,304.16 | $40,963.50 |
| Washington | 12 | 258 | $134,188.34 | $26,517.55 |
| Wisconsin | 11 | 255 | $104,170.92 | $23,901.32 |
| Alabama | 7 | 217 | $151,965.41 | $20,641.81 |
| Kansas | 8 | 216 | $158,327.18 | $22,125.70 |
| South Carolina | 12 | 215 | $149,562.08 | $23,050.59 |
| Georgia | 12 | 203 | $182,833.73 | $23,795.18 |
| Kentucky | 7 | 177 | $190,106.66 | $23,905.36 |
| Utah | 6 | 170 | $100,114.64 | $24,980.94 |
| Nebraska | 6 | 167 | $108,877.81 | $21,186.98 |
| Arkansas | 4 | 161 | $80,376.18 | $22,013.04 |
| Connecticut | 7 | 149 | $102,967.77 | $29,629.25 |
| Iowa | 6 | 145 | $110,568.51 | $23,039.70 |
| Louisiana | 9 | 144 | $142,200.63 | $24,079.25 |
| South Dakota | 4 | 138 | $98,507.64 | $23,435.01 |
| Oregon | 7 | 131 | $99,526.46 | $31,006.60 |
| Mississippi | 5 | 112 | $139,981.80 | $22,021.71 |
| New Hampshire | 3 | 107 | $91,411.17 | $29,831.97 |
| North Dakota | 3 | 99 | $84,884.73 | $23,869.95 |
| Nevada | 4 | 85 | $265,888.69 | $24,464.28 |
| Idaho | 3 | 70 | $111,373.77 | $24,675.63 |
| West Virginia | 2 | 66 | $142,413.92 | $23,196.76 |
| Alaska | 2 | 52 | $275,425.06 | $28,719.94 |
| District of Columbia | 2 | 51 | $109,301.53 | $27,189.33 |
| Montana | 3 | 49 | $99,099.61 | $25,329.82 |
| Rhode Island | 2 | 43 | $69,090.67 | $23,199.05 |
| Delaware | 1 | 43 | $96,949.95 | $25,240.30 |
| New Mexico | 2 | 27 | $157,432.96 | $24,005.59 |
| Vermont | 1 | 21 | $107,470.86 | $15,767.38 |
| Maine | 1 | 21 | $136,956.95 | $24,814.76 |
| Wyoming | 1 | 16 | $83,598.31 | $43,363.19 |
| Hawaii | 1 | 12 | $149,485.25 | $34,730.00 |