Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$14,289.25
2024
Average charge
$92,976.29
Hospital list price
Stays
59,121
1,212 hospitals
Medicare paid
$844.8M
For these stays
For DRG 470 (major hip and knee joint replacement or reattachment of lower extremity without mcc), Medicare paid $14,289.25 per hospital stay on average in 2024. Hospitals charged $92,976.29 on average, and the total payment including the patient's share and other payers was $17,318.35. In 2023 Medicare paid $13,695.56.
59,121 Medicare stays were billed as DRG 470 at 1,212 hospitals in 2024, and Medicare paid $844.8M for them.
Among states with at least 50 stays, Maryland had the highest average Medicare payment for DRG 470 ($22,890.27) and Vermont the lowest ($8,952.48).
Hospital for Special Surgery in New York, NY had the most Medicare stays for DRG 470 in 2024: 1,332, with an average Medicare payment of $17,048.17.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Hospital for Special Surgery New York, NY | 1,332 | $120,504.93 | $25,506.69 | $17,048.17 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 940 | $224,069.04 | $25,402.62 | $21,300.39 |
| New England Baptist Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| California | 116 | 6,787 | $138,527.20 | $18,656.85 |
| New York | 56 | 6,517 | $109,029.04 | $17,819.20 |
| Massachusetts | 38 | 3,681 | $43,409.40 | $15,148.30 |
| Texas | 77 | 3,658 |
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.
| 882 |
| $36,463.20 |
| $16,418.40 |
| $14,141.18 |
| Saint John's Health Center Santa Monica, CA · Providence | 505 | $77,201.27 | $18,077.35 | $16,176.66 |
| Kansas City Orthopaedic Institute Leawood, KS | 501 | $55,860.85 | $12,155.39 | $10,463.92 |
| Scripps Green Hospital La Jolla, CA · Scripps Health | 475 | $125,804.71 | $21,624.20 | $19,129.12 |
| SUNY/Stony Brook University Hospital Stony Brook, NY · Stony Brook Medicine | 452 | $68,909.60 | $23,872.04 | $19,613.51 |
| Orlando Health Orlando, FL · Orlando Health | 444 | $155,264.55 | $17,776.23 | $13,626.04 |
| Black Hills Surgical Hospital LLC Rapid City, SD · Sanford Health | 420 | $43,438.93 | $13,127.24 | $11,242.12 |
| Baylor Scott and White Orthopedic and Spine Hospi Arlington, TX · Tenet Healthcare | 409 | $60,892.27 | $14,495.49 | $9,843.49 |
| Ascension St Vincent Evansville Evansville, IN · Ascension | 370 | $92,592.77 | $14,152.24 | $12,496.71 |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · NorthShore Edward-Elmhurst Health | 366 | $67,089.14 | $16,168.72 | $14,088.05 |
| Beth Israel Deaconess Hospital - Milton Milton, MA · Beth Israel Lahey Health | 330 | $26,351.21 | $15,289.17 | $13,672.01 |
| St Francis Hospital - the Heart Center Roslyn, NY · Catholic Health | 329 | $89,228.63 | $18,231.86 | $13,995.19 |
| Salina Surgical Hospital Salina, KS · Salina Regional Health Center | 326 | $30,063.36 | $14,457.57 | $12,244.86 |
| Novant Health Forsyth Medical Center Winston-Salem, NC · Novant Health | 310 | $56,862.42 | $14,471.38 | $12,484.03 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 304 | $98,543.61 | $24,852.27 | $20,753.48 |
| Crystal Clinic Orthopaedic Center Akron, OH | 304 | $57,230.61 | $11,829.12 | $10,170.58 |
| Hoag Orthopedic Institute Irvine, CA · Hoag Memorial Hospital Presbyterian | 303 | $85,750.54 | $17,492.95 | $15,661.51 |
| Torrance Memorial Medical Center Torrance, CA · Cedars Sinai Health System | 262 | $123,344.85 | $18,248.72 | $15,978.11 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 253 | $107,257.60 | $14,229.63 | $12,325.56 |
| Trinity Health Ann Arbor Hospital Ann Arbor, MI · Trinity Health | 249 | $56,680.91 | $16,262.08 | $12,842.52 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · John Muir Health | 244 | $200,133.91 | $21,619.24 | $18,676.93 |
| North Shore University Hospital Manhasset, NY · Northwell Health | 242 | $94,640.12 | $26,043.43 | $16,403.31 |
| Oss Orthopaedic Hospital York, PA | 238 | $43,958.77 | $12,822.77 | $11,104.32 |
| $112,676.45 |
| $11,600.46 |
| Florida | 87 | 3,635 | $140,727.62 | $12,608.03 |
| Pennsylvania | 64 | 3,540 | $76,682.61 | $12,862.91 |
| Illinois | 44 | 2,272 | $77,678.75 | $13,426.14 |
| North Carolina | 40 | 2,153 | $70,786.74 | $13,063.47 |
| Kansas | 21 | 1,857 | $58,016.55 | $11,666.16 |
| Ohio | 42 | 1,724 | $70,128.73 | $11,851.13 |
| Indiana | 33 | 1,365 | $85,732.09 | $12,467.65 |
| Tennessee | 29 | 1,269 | $81,997.03 | $12,014.41 |
| Arizona | 28 | 1,265 | $113,510.68 | $13,555.34 |
| Virginia | 34 | 1,195 | $108,341.38 | $12,415.40 |
| New Jersey | 26 | 1,178 | $91,075.03 | $15,111.08 |
| Michigan | 37 | 1,129 | $62,891.94 | $13,260.50 |
| Alabama | 24 | 1,069 | $103,211.64 | $10,131.35 |
| Oklahoma | 26 | 987 | $73,994.48 | $11,988.93 |
| Missouri | 31 | 955 | $65,040.97 | $12,210.43 |
| Maryland | 25 | 911 | $27,939.46 | $22,890.27 |
| Minnesota | 19 | 862 | $54,693.35 | $13,510.47 |
| Washington | 26 | 847 | $91,317.04 | $14,413.46 |
| Wisconsin | 20 | 790 | $68,801.74 | $12,170.91 |
| South Dakota | 9 | 678 | $52,111.41 | $11,875.59 |
| Connecticut | 12 | 655 | $63,223.81 | $16,484.15 |
| Mississippi | 14 | 609 | $94,224.17 | $11,272.61 |
| Iowa | 15 | 601 | $57,837.27 | $11,952.48 |
| Georgia | 27 | 596 | $96,365.98 | $13,664.05 |
| South Carolina | 19 | 559 | $92,947.44 | $11,777.48 |
| Colorado | 17 | 525 | $151,836.34 | $13,241.43 |
| Utah | 14 | 490 | $68,166.38 | $13,811.71 |
| Kentucky | 14 | 448 | $94,697.67 | $11,985.13 |
| West Virginia | 10 | 391 | $65,461.75 | $11,331.05 |
| Oregon | 13 | 389 | $66,864.22 | $15,812.38 |
| Louisiana | 10 | 312 | $95,335.39 | $10,723.77 |
| Nebraska | 11 | 311 | $64,039.41 | $12,082.13 |
| Nevada | 9 | 301 | $187,519.62 | $13,874.97 |
| Arkansas | 9 | 281 | $61,773.16 | $11,022.72 |
| New Hampshire | 8 | 279 | $71,785.14 | $13,352.11 |
| Alaska | 3 | 245 | $128,228.67 | $19,605.76 |
| Rhode Island | 3 | 230 | $33,721.24 | $14,820.33 |
| Montana | 6 | 221 | $56,937.47 | $12,520.90 |
| New Mexico | 6 | 220 | $162,039.89 | $14,990.46 |
| Idaho | 7 | 158 | $77,034.39 | $13,039.70 |
| District of Columbia | 4 | 132 | $100,915.30 | $16,346.82 |
| Wyoming | 5 | 119 | $65,122.88 | $20,854.39 |
| Hawaii | 2 | 114 | $67,298.00 | $14,647.88 |
| Delaware | 1 | 77 | $58,520.90 | $14,753.91 |
| North Dakota | 3 | 66 | $53,321.77 | $12,169.18 |
| Maine | 3 | 65 | $79,912.58 | $14,914.66 |
| Vermont | 3 | 61 | $47,854.79 | $8,952.48 |