Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$28,955.19
2024
Average charge
$171,636.10
Hospital list price
Stays
1,225
85 hospitals
Medicare paid
$35.5M
For these stays
For DRG 492 (lower extremity and humerus procedures except hip, foot and femur with mcc), Medicare paid $28,955.19 per hospital stay on average in 2024. Hospitals charged $171,636.10 on average, and the total payment including the patient's share and other payers was $34,207.58. In 2023 Medicare paid $27,769.57.
1,225 Medicare stays were billed as DRG 492 at 85 hospitals in 2024, and Medicare paid $35.5M for them.
Among states with at least 50 stays, California had the highest average Medicare payment for DRG 492 ($42,217.03) and Florida the lowest ($23,953.06).
Gulf Coast Medical Center Lee Health in Fort Myers, FL had the most Medicare stays for DRG 492 in 2024: 32, with an average Medicare payment of $21,604.78.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Gulf Coast Medical Center Lee Health Fort Myers, FL · Lee Health | 32 | $153,271.63 | $23,386.69 | $21,604.78 |
| Christiana Hospital Newark, DE · ChristianaCare | 29 | $122,276.38 | $39,040.10 | $28,143.34 |
| Ascension Via Christi Hospitals Wichita, Inc. |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 8 | 136 | $204,818.49 | $23,953.06 |
| Texas | 7 | 102 | $186,861.75 | $27,123.93 |
| California | 6 | 88 | $381,464.30 | $42,217.03 |
| Massachusetts | 5 | 74 |
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.
| 25 |
| $96,131.44 |
| $25,062.04 |
| $22,994.40 |
| Orlando Health Orlando, FL · Orlando Health | 24 | $220,815.46 | $25,755.00 | $23,877.71 |
| University of California Davis Medical Center Sacramento, CA · Ucop | 22 | $420,764.95 | $57,842.18 | $50,564.05 |
| Memorial Mission Hospital and Asheville Surgery Ce Asheville, NC · HCA Healthcare | 20 | $145,171.95 | $27,379.20 | $21,914.40 |
| Ascension St Vincent Hospital Indianapolis, IN · Ascension | 20 | $162,418.40 | $31,746.70 | $28,368.75 |
| University of Kentucky Hospital Lexington, KY · University of Kentucky Healthcare | 20 | $158,834.05 | $44,652.45 | $24,576.30 |
| Prov Sacred Hrt Med Ctr & Childs Hosp. Spokane, WA · Providence | 20 | $113,982.05 | $30,135.30 | $27,181.60 |
| University of Maryland Medical Center Baltimore, MD · University of Maryland Medical System | 18 | $62,253.83 | $57,413.83 | $56,048.06 |
| Texas Health Harris Methodist Fort Worth Fort Worth, TX · Texas Health Resources | 18 | $145,319.22 | $25,173.56 | $23,288.28 |
| Bethesda North Cincinnati, OH · TriHealth | 18 | $69,002.61 | $23,359.06 | $21,485.67 |
| Beth Israel Deaconess Medical Center Boston, MA · Beth Israel Lahey Health | 18 | $58,064.61 | $42,336.44 | $35,322.83 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 17 | $335,132.82 | $57,299.35 | $36,790.24 |
| University of Wi Hospitals & Clinics Authority Madison, WI · UW Health | 17 | $186,456.71 | $42,013.65 | $33,211.88 |
| Marion Communtiy Hospital Ocala, FL · HCA Healthcare | 17 | $362,942.71 | $27,395.88 | $25,495.88 |
| University Medical Center Lubbock, TX · UMC Health System | 17 | $154,455.65 | $30,457.71 | $29,010.76 |
| Saint Francis Hospital, Inc Tulsa, OK · Saint Francis Health System | 16 | $109,450.81 | $22,923.25 | $21,474.13 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · Beth Israel Lahey Health | 16 | $103,304.25 | $48,193.50 | $42,462.69 |
| Wellstar Kennestone Regional Medical Center Marietta, GA · WellStar Health System | 16 | $197,386.25 | $31,585.50 | $28,479.88 |
| Medical City Plano Plano, TX · HCA Healthcare | 16 | $276,467.19 | $22,490.81 | $21,635.06 |
| Barnes Jewish Hospital Saint Louis, MO · BJC HealthCare | 16 | $158,794.06 | $39,691.06 | $33,888.81 |
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 16 | $258,359.56 | $33,718.94 | $26,179.38 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 15 | $254,462.80 | $40,616.60 | $35,342.80 |
| Baystate Medical Center Springfield, MA · Baystate Health | 15 | $61,067.33 | $35,280.07 | $32,164.07 |
| $79,486.53 |
| $36,984.66 |
| Indiana | 4 | 57 | $136,058.68 | $25,868.63 |
| New York | 4 | 56 | $275,996.23 | $35,526.14 |
| Missouri | 4 | 54 | $130,198.00 | $27,454.13 |
| North Carolina | 3 | 46 | $149,422.98 | $23,366.98 |
| Kentucky | 3 | 45 | $153,962.76 | $24,749.56 |
| Ohio | 3 | 42 | $119,164.76 | $25,189.50 |
| Wisconsin | 3 | 41 | $151,850.90 | $29,135.54 |
| Virginia | 3 | 37 | $89,529.51 | $23,438.00 |
| Kansas | 2 | 36 | $100,995.58 | $22,691.64 |
| Minnesota | 3 | 35 | $106,978.17 | $27,977.29 |
| Delaware | 1 | 29 | $122,276.38 | $28,143.34 |
| Nevada | 2 | 29 | $215,690.03 | $29,755.79 |
| Maryland | 2 | 29 | $56,338.76 | $49,361.62 |
| Oklahoma | 2 | 28 | $116,041.82 | $22,521.89 |
| Arizona | 2 | 26 | $160,046.77 | $26,019.15 |
| Tennessee | 2 | 26 | $153,283.19 | $26,267.27 |
| Utah | 2 | 25 | $116,424.00 | $29,084.72 |
| South Carolina | 2 | 24 | $219,984.92 | $25,486.00 |
| Iowa | 2 | 23 | $168,539.00 | $23,298.48 |
| Washington | 1 | 20 | $113,982.05 | $27,181.60 |
| Georgia | 1 | 16 | $197,386.25 | $28,479.88 |
| Pennsylvania | 1 | 16 | $258,359.56 | $26,179.38 |
| Alaska | 1 | 13 | $247,703.92 | $32,330.23 |
| Colorado | 1 | 13 | $246,779.00 | $30,858.38 |
| New Jersey | 1 | 13 | $165,179.54 | $29,898.15 |
| Rhode Island | 1 | 12 | $106,012.83 | $31,803.75 |
| Illinois | 1 | 12 | $148,352.75 | $34,498.42 |
| New Hampshire | 1 | 11 | $90,687.27 | $24,976.09 |
| Montana | 1 | 11 | $75,154.18 | $24,455.27 |