Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$19,721.95
2024
Average charge
$128,705.27
Hospital list price
Stays
9,115
420 hospitals
Medicare paid
$179.8M
For these stays
For DRG 468 (revision of hip or knee replacement without cc/mcc), Medicare paid $19,721.95 per hospital stay on average in 2024. Hospitals charged $128,705.27 on average, and the total payment including the patient's share and other payers was $23,925.12. In 2023 Medicare paid $19,651.24.
9,115 Medicare stays were billed as DRG 468 at 420 hospitals in 2024, and Medicare paid $179.8M for them.
Among states with at least 50 stays, Maryland had the highest average Medicare payment for DRG 468 ($32,239.49) and Mississippi the lowest ($15,418.47).
Hospital for Special Surgery in New York, NY had the most Medicare stays for DRG 468 in 2024: 244, with an average Medicare payment of $24,435.21.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Hospital for Special Surgery New York, NY | 244 | $139,454.96 | $34,564.73 | $24,435.21 |
| Arkansas Surgical Hospital No Little Rock, AR · Medical Facilities USA Holdings | 104 | $78,518.62 | $16,815.04 | $14,807.61 |
| Mount Carmel New Albany Surgical Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 33 | 743 | $154,916.33 | $17,741.24 |
| Texas | 30 | 590 | $228,686.62 | $19,502.26 |
| New York | 16 | 529 | $128,035.24 | $24,361.05 |
| California | 25 | 520 |
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.
| 86 |
| $113,126.72 |
| $20,638.00 |
| $15,076.23 |
| Tristar Centennial Medical Center Nashville, TN · HCA Healthcare | 86 | $148,328.83 | $23,021.59 | $16,063.97 |
| McBride Orthopedic Hospital Oklahoma City, OK · Integris Health | 80 | $61,938.84 | $17,335.88 | $14,520.85 |
| Orlando Health Orlando, FL · Orlando Health | 64 | $208,550.69 | $22,952.80 | $19,822.58 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 59 | $134,324.71 | $20,848.78 | $17,128.08 |
| Medical City Plano Plano, TX · HCA Healthcare | 58 | $600,081.98 | $39,358.17 | $26,842.40 |
| Carolinas Medical Center/Behav Health Charlotte, NC · Atrium Health | 56 | $129,455.21 | $24,708.29 | $20,160.52 |
| Christiana Hospital Newark, DE · ChristianaCare | 54 | $78,388.13 | $27,391.91 | $20,018.98 |
| Thomas Jefferson University Hospital Philadelphia, PA · Jefferson Health | 52 | $103,225.62 | $29,256.15 | $23,978.73 |
| Baptist Health Louisville Louisville, KY · Baptist Healthcare System | 52 | $269,181.50 | $23,157.02 | $18,421.06 |
| Inova Mount Vernon Hospital Alexandria, VA · Inova Health System | 51 | $93,864.29 | $23,608.98 | $18,836.65 |
| Alaska Regional Hospital Anchorage, AK · HCA Healthcare | 50 | $236,188.82 | $23,922.36 | $21,290.50 |
| Duke University Hospital Durham, NC · Duke University Health System | 49 | $90,724.90 | $27,444.86 | $20,009.76 |
| Memorial Mission Hospital and Asheville Surgery Ce Asheville, NC · HCA Healthcare | 49 | $140,739.57 | $20,713.63 | $17,803.82 |
| University of Virginia Medical Center Charlottesville, VA · University of Virginia Health System | 46 | $104,932.02 | $31,991.63 | $25,047.78 |
| Washington Hospital Fremont, CA · Washington Hospital Healthcare System | 46 | $160,722.98 | $29,884.13 | $28,384.70 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 45 | $66,459.16 | $33,625.24 | $24,504.67 |
| Orthoindy Hospital Indianapolis, IN | 44 | $67,269.75 | $17,804.55 | $16,320.91 |
| Sibley Memorial Hospital Washington, DC · Johns Hopkins Health System | 44 | $73,264.30 | $21,143.09 | $18,514.50 |
| Hoag Orthopedic Institute Irvine, CA · Hoag Memorial Hospital Presbyterian | 43 | $144,051.30 | $25,324.63 | $20,972.86 |
| Northside Hospital Forsyth Cumming, GA · Northside Hospital | 42 | $153,843.29 | $20,826.71 | $17,149.19 |
| Sioux Falls Specialty Hospital Sioux Falls, SD · Medical Facilities USA Holdings | 41 | $69,210.05 | $18,335.59 | $16,862.80 |
| Fresno Surgical Hospital Fresno, CA · Tenet Healthcare | 41 | $78,821.49 | $24,038.34 | $21,789.15 |
| $176,986.65 |
| $26,947.39 |
| North Carolina | 18 | 427 | $112,231.78 | $18,488.61 |
| Pennsylvania | 19 | 401 | $116,050.00 | $19,932.85 |
| Virginia | 16 | 399 | $143,866.84 | $18,451.85 |
| Arizona | 16 | 316 | $136,685.75 | $18,256.35 |
| Ohio | 12 | 294 | $100,833.16 | $16,494.82 |
| Tennessee | 12 | 283 | $115,608.37 | $16,767.76 |
| Illinois | 14 | 270 | $113,020.39 | $19,810.23 |
| Oklahoma | 10 | 242 | $83,579.39 | $15,719.16 |
| South Carolina | 14 | 239 | $129,522.06 | $17,201.82 |
| Maryland | 10 | 217 | $40,242.03 | $32,239.49 |
| Indiana | 10 | 197 | $115,145.98 | $17,881.81 |
| Colorado | 11 | 194 | $176,725.98 | $20,528.50 |
| New Jersey | 10 | 192 | $125,451.66 | $22,200.39 |
| Missouri | 9 | 181 | $90,429.81 | $17,485.25 |
| Arkansas | 4 | 176 | $71,306.91 | $16,830.74 |
| Massachusetts | 9 | 171 | $57,417.95 | $22,480.33 |
| Alabama | 7 | 168 | $168,759.89 | $15,459.81 |
| Washington | 9 | 164 | $114,727.79 | $20,626.07 |
| Georgia | 8 | 160 | $127,860.42 | $18,479.36 |
| Michigan | 8 | 144 | $89,975.38 | $17,454.71 |
| Kentucky | 5 | 140 | $248,155.13 | $22,374.42 |
| Kansas | 7 | 139 | $89,111.04 | $15,705.25 |
| Utah | 6 | 138 | $109,242.96 | $19,261.87 |
| Nebraska | 4 | 107 | $80,248.85 | $16,998.93 |
| Louisiana | 6 | 104 | $127,566.94 | $16,197.95 |
| Minnesota | 5 | 103 | $64,015.49 | $20,406.08 |
| Montana | 5 | 100 | $84,869.13 | $18,276.98 |
| Iowa | 4 | 99 | $97,942.26 | $16,690.72 |
| Nevada | 4 | 98 | $173,589.22 | $20,127.61 |
| South Dakota | 3 | 92 | $77,538.85 | $17,225.61 |
| Delaware | 3 | 86 | $71,880.03 | $20,193.91 |
| District of Columbia | 2 | 76 | $86,615.78 | $20,869.96 |
| Oregon | 5 | 73 | $92,562.88 | $19,955.52 |
| Mississippi | 3 | 58 | $197,455.36 | $15,418.47 |
| New Hampshire | 4 | 57 | $127,878.44 | $22,133.21 |
| Idaho | 3 | 53 | $87,720.68 | $18,042.38 |
| Alaska | 1 | 50 | $236,188.82 | $21,290.50 |
| Rhode Island | 2 | 48 | $55,004.60 | $19,371.50 |
| Wisconsin | 3 | 48 | $89,842.21 | $19,049.35 |
| New Mexico | 3 | 44 | $141,773.55 | $16,721.70 |
| Connecticut | 3 | 43 | $60,503.47 | $22,246.60 |
| North Dakota | 1 | 34 | $62,887.09 | $19,408.12 |
| Maine | 2 | 30 | $113,282.97 | $23,557.07 |
| Wyoming | 2 | 26 | $92,342.27 | $30,733.92 |