Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$18,731.31
2024
Average charge
$124,599.91
Hospital list price
Stays
10,223
493 hospitals
Medicare paid
$191.5M
For these stays
For DRG 493 (lower extremity and humerus procedures except hip, foot and femur with cc), Medicare paid $18,731.31 per hospital stay on average in 2024. Hospitals charged $124,599.91 on average, and the total payment including the patient's share and other payers was $22,820.17. In 2023 Medicare paid $17,804.15.
10,223 Medicare stays were billed as DRG 493 at 493 hospitals in 2024, and Medicare paid $191.5M for them.
Among states with at least 50 stays, Maryland had the highest average Medicare payment for DRG 493 ($33,488.34) and Alabama the lowest ($14,370.39).
Gulf Coast Medical Center Lee Health in Fort Myers, FL had the most Medicare stays for DRG 493 in 2024: 78, with an average Medicare payment of $14,803.62.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Gulf Coast Medical Center Lee Health Fort Myers, FL · Lee Health | 78 | $110,427.47 | $17,493.29 | $14,803.62 |
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 66 | $150,196.77 | $21,640.02 | $18,177.89 |
| Massachusetts General Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 45 | 1,008 | $174,755.93 | $16,545.14 |
| Texas | 38 | 836 | $151,775.46 | $17,209.51 |
| California | 40 | 770 | $199,960.21 | $25,398.40 |
| Pennsylvania | 25 | 519 |
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 |
| $118,743.00 |
| $29,081.35 |
| $24,024.63 |
| Barnes Jewish Hospital Saint Louis, MO · BJC HealthCare | 56 | $98,128.84 | $23,883.95 | $19,450.41 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 56 | $182,530.02 | $23,314.93 | $15,774.46 |
| Christiana Hospital Newark, DE · ChristianaCare | 55 | $84,973.58 | $22,491.93 | $18,991.18 |
| Cedars-Sinai Medical Center Los Angeles, CA · Cedars Sinai Health System | 49 | $365,417.61 | $29,869.73 | $26,172.67 |
| Stanford Health Care Stanford, CA · Stanford Health Care | 49 | $334,705.78 | $42,079.10 | $34,499.31 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 49 | $130,693.29 | $18,042.92 | $15,599.00 |
| SSM Health St Mary's Hospital - Madison Madison, WI · SSM Health | 49 | $77,932.16 | $17,974.24 | $16,325.80 |
| University of California Davis Medical Center Sacramento, CA · Ucop | 48 | $308,616.00 | $50,588.90 | $30,906.04 |
| NYU Langone Hospitals New York, NY · NYU Langone Health | 48 | $244,340.52 | $33,099.98 | $27,684.35 |
| Novant Health New Hanover Regional Medical Center Wilmington, NC · Novant Health | 47 | $79,563.64 | $20,301.21 | $18,594.02 |
| Riverside Regional Medical Center Newport News, VA · Riverside Health System | 47 | $60,607.30 | $18,691.36 | $15,621.62 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 46 | $158,614.20 | $39,323.67 | $26,180.78 |
| Texas Health Harris Methodist Fort Worth Fort Worth, TX · Texas Health Resources | 46 | $86,620.37 | $18,519.87 | $16,093.74 |
| Orlando Health Orlando, FL · Orlando Health | 46 | $194,307.35 | $19,726.39 | $16,711.07 |
| Methodist Hospital San Antonio, TX · HCA Healthcare | 45 | $136,882.33 | $17,434.73 | $14,460.49 |
| Saint Francis Hospital, Inc Tulsa, OK · Saint Francis Health System | 45 | $96,613.51 | $19,007.69 | $15,153.44 |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · NorthShore Edward-Elmhurst Health | 45 | $69,500.40 | $21,760.96 | $17,811.33 |
| Beth Israel Deaconess Medical Center Boston, MA · Beth Israel Lahey Health | 45 | $42,191.16 | $29,637.60 | $26,180.44 |
| Wellstar Kennestone Regional Medical Center Marietta, GA · WellStar Health System | 45 | $150,749.31 | $23,431.07 | $19,841.09 |
| Delray Medical Center Delray Beach, FL · Tenet Healthcare | 43 | $283,962.60 | $15,221.09 | $13,333.91 |
| Hospital for Special Surgery New York, NY | 43 | $131,442.98 | $28,494.30 | $23,818.70 |
| Beaumont Hospital Royal Oak Royal Oak, MI · Corewell Health | 42 | $97,894.81 | $20,463.98 | $17,091.67 |
| $127,728.55 |
| $18,234.61 |
| New York | 19 | 458 | $155,223.79 | $23,819.91 |
| Illinois | 25 | 447 | $101,271.64 | $17,968.36 |
| Virginia | 18 | 391 | $106,827.40 | $16,104.39 |
| Ohio | 17 | 343 | $105,867.17 | $16,937.75 |
| Missouri | 14 | 312 | $84,103.64 | $16,647.51 |
| Massachusetts | 10 | 302 | $75,559.63 | $23,478.49 |
| Minnesota | 14 | 302 | $70,440.11 | $17,789.93 |
| Tennessee | 14 | 295 | $102,549.46 | $16,280.13 |
| North Carolina | 12 | 284 | $98,444.52 | $17,274.76 |
| New Jersey | 14 | 272 | $153,867.64 | $18,352.24 |
| South Carolina | 13 | 261 | $130,171.92 | $16,717.85 |
| Arizona | 14 | 237 | $144,268.96 | $18,264.15 |
| Georgia | 8 | 217 | $147,598.67 | $19,343.47 |
| Indiana | 10 | 216 | $102,735.56 | $16,395.94 |
| Michigan | 12 | 211 | $71,581.05 | $16,010.51 |
| Maryland | 11 | 195 | $38,940.72 | $33,488.34 |
| Wisconsin | 8 | 174 | $90,957.57 | $17,390.55 |
| Kentucky | 6 | 136 | $111,828.92 | $16,513.16 |
| Alabama | 7 | 135 | $119,900.63 | $14,370.39 |
| Washington | 6 | 133 | $111,051.08 | $19,617.72 |
| Oregon | 8 | 131 | $88,257.54 | $20,374.39 |
| Nebraska | 5 | 122 | $86,554.76 | $17,019.36 |
| Oklahoma | 5 | 121 | $141,912.88 | $17,320.07 |
| Kansas | 5 | 119 | $115,652.10 | $16,708.73 |
| Colorado | 7 | 108 | $148,513.89 | $16,639.94 |
| Arkansas | 6 | 103 | $63,024.17 | $14,830.58 |
| Utah | 5 | 100 | $65,511.95 | $17,523.77 |
| Louisiana | 6 | 94 | $106,552.98 | $16,198.48 |
| West Virginia | 5 | 85 | $75,726.98 | $15,171.04 |
| Iowa | 3 | 76 | $95,755.07 | $16,147.51 |
| Connecticut | 4 | 73 | $88,234.23 | $23,859.12 |
| Mississippi | 4 | 72 | $63,810.43 | $16,128.88 |
| South Dakota | 3 | 62 | $84,651.42 | $16,916.94 |
| Nevada | 3 | 61 | $180,610.00 | $19,969.15 |
| Idaho | 3 | 56 | $77,431.04 | $16,539.11 |
| Delaware | 1 | 55 | $84,973.58 | $18,991.18 |
| New Mexico | 3 | 46 | $79,711.89 | $19,263.13 |
| District of Columbia | 3 | 45 | $174,476.93 | $23,526.91 |
| Maine | 2 | 35 | $84,652.23 | $16,642.60 |
| Alaska | 2 | 34 | $124,127.44 | $24,694.56 |
| Rhode Island | 1 | 33 | $59,009.58 | $22,599.09 |
| North Dakota | 2 | 33 | $59,056.12 | $16,818.52 |
| New Hampshire | 2 | 31 | $170,682.45 | $21,644.39 |
| Montana | 2 | 27 | $66,131.48 | $17,127.15 |
| Hawaii | 1 | 13 | $130,651.00 | $19,655.77 |
| Wyoming | 1 | 12 | $100,188.50 | $21,045.83 |