Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$28,095.17
2024
Average charge
$180,052.51
Hospital list price
Stays
1,160
70 hospitals
Medicare paid
$32.6M
For these stays
For DRG 469 (major hip and knee joint replacement or reattachment of lower extremity with mcc or tota), Medicare paid $28,095.17 per hospital stay on average in 2024. Hospitals charged $180,052.51 on average, and the total payment including the patient's share and other payers was $32,812.41. In 2023 Medicare paid $28,322.44.
1,160 Medicare stays were billed as DRG 469 at 70 hospitals in 2024, and Medicare paid $32.6M for them.
Among states with at least 50 stays, California had the highest average Medicare payment for DRG 469 ($38,620.68) and Florida the lowest ($19,311.95).
NYU Langone Hospitals in New York, NY had the most Medicare stays for DRG 469 in 2024: 67, with an average Medicare payment of $34,969.78.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| NYU Langone Hospitals New York, NY · NYU Langone Health | 67 | $276,697.04 | $38,266.99 | $34,969.78 |
| New England Baptist Hospital Boston, MA · Beth Israel Lahey Health | 66 | $57,371.76 | $26,271.41 | $23,699.18 |
| Hospital for Special Surgery |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| New York | 6 | 179 | $205,225.46 | $33,824.48 |
| California | 9 | 155 | $263,964.52 | $38,620.68 |
| Massachusetts | 4 | 107 | $84,434.86 | $26,652.07 |
| Illinois | 6 | 91 |
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.
| 63 |
| $160,665.27 |
| $40,226.68 |
| $33,934.49 |
| Stanford Health Care Stanford, CA · Stanford Health Care | 32 | $444,923.50 | $58,310.50 | $51,693.13 |
| Orlando Health Orlando, FL · Orlando Health | 29 | $216,952.45 | $29,828.62 | $18,914.31 |
| UCSF Medical Center San Francisco, CA · University of California San Francisco | 28 | $231,592.68 | $56,775.86 | $49,936.57 |
| Methodist Hospital Stone Oak San Antonio, TX · HCA Healthcare | 25 | $219,181.08 | $21,916.92 | $17,611.32 |
| Novant Health New Hanover Regional Medical Center Wilmington, NC · Novant Health | 21 | $86,738.33 | $27,678.10 | $26,155.95 |
| Beaumont Hospital Royal Oak Royal Oak, MI · Corewell Health | 20 | $117,574.40 | $26,725.80 | $24,073.30 |
| Methodist Hospital San Antonio, TX · HCA Healthcare | 19 | $230,345.42 | $22,702.53 | $21,107.89 |
| Northwestern Memorial Hospital Chicago, IL · Northwestern Medicine | 19 | $128,456.79 | $30,964.79 | $23,468.74 |
| Advocate Lutheran General Hospital Park Ridge, IL · Advocate Health Care | 18 | $77,968.94 | $29,127.11 | $23,501.61 |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · NorthShore Edward-Elmhurst Health | 18 | $100,767.28 | $27,117.94 | $24,938.17 |
| Cedars-Sinai Medical Center Los Angeles, CA · Cedars Sinai Health System | 18 | $436,910.00 | $41,976.78 | $37,948.33 |
| Sunrise Hospital and Medical Center Las Vegas, NV · HCA Healthcare | 17 | $272,253.41 | $28,513.00 | $23,256.76 |
| Lee Memorial Hospital Fort Myers, FL · Lee Health | 17 | $141,135.82 | $24,295.53 | $19,296.53 |
| Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Santa Monica, CA · Ucop | 16 | $165,718.69 | $46,735.25 | $33,190.63 |
| Naples Community Hospital Naples, FL · NCH Healthcare System | 16 | $107,146.44 | $20,968.63 | $19,262.44 |
| Penn Presbyterian Medical Center Philadelphia, PA · University of Pennsylvania Health System | 15 | $216,192.60 | $37,601.40 | $35,062.53 |
| Unitypoint Health - Des Moines Iowa Methodist Medi Des Moines, IA · Central Iowa Hospital | 15 | $111,053.27 | $22,749.67 | $21,254.53 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 15 | $186,207.07 | $40,931.13 | $36,811.73 |
| Hoag Orthopedic Institute Irvine, CA · Hoag Memorial Hospital Presbyterian | 15 | $107,988.93 | $25,689.93 | $24,275.53 |
| Centracare - St. Cloud Hospital Saint Cloud, MN · CentraCare | 15 | $65,410.33 | $31,712.47 | $30,076.87 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 14 | $251,076.36 | $38,064.93 | $20,210.93 |
| Sky Ridge Medical Center Lone Tree, CO · HCA Healthcare | 14 | $338,677.07 | $29,073.43 | $22,045.43 |
| $103,467.30 |
| $24,563.38 |
| Texas | 5 | 83 | $300,942.90 | $20,168.58 |
| Florida | 4 | 76 | $183,162.39 | $19,311.95 |
| North Carolina | 4 | 58 | $124,301.83 | $25,890.62 |
| Pennsylvania | 3 | 41 | $170,362.00 | $29,593.27 |
| Colorado | 3 | 37 | $314,580.92 | $42,406.41 |
| New Jersey | 3 | 34 | $145,859.06 | $24,681.59 |
| Michigan | 2 | 31 | $104,073.13 | $22,413.71 |
| Minnesota | 2 | 29 | $87,358.28 | $31,637.45 |
| Virginia | 2 | 25 | $313,986.40 | $20,924.12 |
| Kansas | 2 | 24 | $195,269.21 | $22,956.00 |
| Washington | 2 | 23 | $144,956.30 | $28,729.96 |
| South Dakota | 2 | 23 | $116,534.91 | $22,336.22 |
| Nevada | 1 | 17 | $272,253.41 | $23,256.76 |
| Iowa | 1 | 15 | $111,053.27 | $21,254.53 |
| Utah | 1 | 14 | $85,249.21 | $28,170.07 |
| Wisconsin | 1 | 14 | $97,599.36 | $27,917.50 |
| Indiana | 1 | 14 | $83,386.93 | $22,127.43 |
| Missouri | 1 | 14 | $89,671.86 | $18,377.57 |
| Ohio | 1 | 12 | $115,429.00 | $28,409.00 |
| West Virginia | 1 | 11 | $93,422.91 | $22,340.09 |
| Oklahoma | 1 | 11 | $82,135.55 | $17,944.00 |
| Tennessee | 1 | 11 | $74,598.73 | $16,753.09 |
| Alaska | 1 | 11 | $304,143.64 | $27,454.55 |