Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$16,674.08
2024
Average charge
$85,896.01
Hospital list price
Stays
154
11 hospitals
Medicare paid
$2.6M
For these stays
For DRG 488 (knee procedures without principal diagnosis of infection with cc/mcc), Medicare paid $16,674.08 per hospital stay on average in 2024. Hospitals charged $85,896.01 on average, and the total payment including the patient's share and other payers was $20,221.51. In 2023 Medicare paid $15,765.38.
154 Medicare stays were billed as DRG 488 at 11 hospitals in 2024, and Medicare paid $2.6M for them.
Hospital for Special Surgery in New York, NY had the most Medicare stays for DRG 488 in 2024: 30, with an average Medicare payment of $19,239.87.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Hospital for Special Surgery New York, NY | 30 | $94,001.37 | $24,037.37 | $19,239.87 |
| Rush University Medical Center Chicago, IL · Rush System for Health | 14 | $62,628.00 | $25,014.29 | $21,989.36 |
| Sioux Falls Specialty Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| New York | 1 | 30 | $94,001.37 | $19,239.87 |
| South Dakota | 1 | 14 | $40,819.93 | $12,554.00 |
| Illinois | 1 | 14 | $62,628.00 | $21,989.36 |
| California | 1 | 13 |
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.
| 14 |
| $40,819.93 |
| $13,952.86 |
| $12,554.00 |
| Cedars-Sinai Medical Center Los Angeles, CA · Cedars Sinai Health System | 13 | $253,506.15 | $26,201.62 | $21,281.23 |
| Mercy Medical Center Inc Baltimore, MD · Mercy Medical Center | 13 | $17,313.85 | $15,050.92 | $12,617.54 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 13 | $56,452.31 | $25,674.54 | $18,689.62 |
| New England Baptist Hospital Boston, MA · Beth Israel Lahey Health | 12 | $38,514.83 | $16,203.83 | $14,399.33 |
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 12 | $178,683.75 | $18,938.25 | $16,455.83 |
| Unitypoint Health - Des Moines Iowa Methodist Medi Des Moines, IA · Central Iowa Hospital | 11 | $76,231.45 | $15,156.73 | $13,668.09 |
| Erlanger Medical Center Chattanooga, TN · Erlanger Health System | 11 | $83,072.64 | $18,467.45 | $15,185.55 |
| St. George Regional Hospital St George, UT · Intermountain Health | 11 | $31,491.45 | $16,893.45 | $12,336.82 |
| $253,506.15 |
| $21,281.23 |
| Maryland | 1 | 13 | $17,313.85 | $12,617.54 |
| Minnesota | 1 | 13 | $56,452.31 | $18,689.62 |
| Massachusetts | 1 | 12 | $38,514.83 | $14,399.33 |
| Pennsylvania | 1 | 12 | $178,683.75 | $16,455.83 |
| Iowa | 1 | 11 | $76,231.45 | $13,668.09 |
| Tennessee | 1 | 11 | $83,072.64 | $15,185.55 |
| Utah | 1 | 11 | $31,491.45 | $12,336.82 |