Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$14,303.44
2024
Average charge
$101,370.29
Hospital list price
Stays
1,650
112 hospitals
Medicare paid
$23.6M
For these stays
For DRG 494 (lower extremity and humerus procedures except hip, foot and femur without cc/mcc), Medicare paid $14,303.44 per hospital stay on average in 2024. Hospitals charged $101,370.29 on average, and the total payment including the patient's share and other payers was $18,176.30. In 2023 Medicare paid $14,089.83.
1,650 Medicare stays were billed as DRG 494 at 112 hospitals in 2024, and Medicare paid $23.6M for them.
Among states with at least 50 stays, California had the highest average Medicare payment for DRG 494 ($17,745.06) and Tennessee the lowest ($12,589.21).
Marion Communtiy Hospital in Ocala, FL had the most Medicare stays for DRG 494 in 2024: 32, with an average Medicare payment of $14,012.13.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Marion Communtiy Hospital Ocala, FL · HCA Healthcare | 32 | $174,479.66 | $15,321.00 | $14,012.13 |
| Gulf Coast Medical Center Lee Health Fort Myers, FL · Lee Health | 31 | $101,317.58 | $17,203.00 | $10,767.16 |
| Sarasota Memorial Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 13 | 222 | $127,975.57 | $12,725.78 |
| New York | 9 | 167 | $98,251.11 | $17,460.08 |
| California | 11 | 139 | $145,378.58 | $17,745.06 |
| Arizona | 8 | 103 |
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.
| 31 |
| $103,534.29 |
| $14,709.19 |
| $12,016.42 |
| Hospital for Special Surgery New York, NY | 29 | $133,445.83 | $27,738.79 | $16,894.21 |
| Christiana Hospital Newark, DE · ChristianaCare | 26 | $64,856.58 | $18,711.58 | $12,726.96 |
| SUNY/Stony Brook University Hospital Stony Brook, NY · Stony Brook Medicine | 25 | $106,027.00 | $23,874.52 | $19,402.28 |
| Massachusetts General Hospital Boston, MA · Mass General Brigham | 24 | $97,632.04 | $22,115.83 | $19,473.17 |
| University Health System, Inc Knoxville, TN · University of Tennessee Medical Center | 23 | $46,773.61 | $16,552.04 | $12,890.65 |
| University of Wi Hospitals & Clinics Authority Madison, WI · UW Health | 23 | $88,061.35 | $20,437.96 | $14,723.00 |
| North Shore University Hospital Manhasset, NY · Northwell Health | 23 | $116,896.22 | $20,402.04 | $17,546.09 |
| Baystate Medical Center Springfield, MA · Baystate Health | 23 | $36,340.52 | $19,467.39 | $17,301.91 |
| Memorial Mission Hospital and Asheville Surgery Ce Asheville, NC · HCA Healthcare | 23 | $95,587.26 | $14,095.39 | $12,296.00 |
| Indiana University Health Indianapolis, IN · Indiana University Health | 22 | $137,521.64 | $21,339.91 | $14,618.82 |
| Orlando Health Orlando, FL · Orlando Health | 20 | $166,080.70 | $16,008.55 | $14,533.05 |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · NorthShore Edward-Elmhurst Health | 20 | $57,420.15 | $16,287.40 | $14,281.00 |
| Huntsville Hospital Huntsville, AL · Huntsville Hospital Health System | 20 | $92,489.95 | $26,313.25 | $9,742.85 |
| Good Samaritan Hospital Medical Center West Islip, NY · Catholic Health | 19 | $67,904.53 | $20,086.79 | $13,378.79 |
| Reading Hospital West Reading, PA · Tower Health | 18 | $52,085.89 | $19,828.06 | $12,681.22 |
| Morristown Medical Center Morristown, NJ · Atlantic Health System | 18 | $100,131.83 | $19,631.33 | $14,432.06 |
| West Jersey Hospital Voorhees, NJ · Virtua Health | 18 | $158,268.72 | $16,148.00 | $12,002.72 |
| Erlanger Medical Center Chattanooga, TN · Erlanger Health System | 18 | $58,179.83 | $16,737.44 | $14,037.72 |
| Methodist Hospital San Antonio, TX · HCA Healthcare | 18 | $123,813.22 | $15,879.33 | $11,446.61 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 17 | $138,682.94 | $14,353.29 | $12,658.65 |
| Baptist Memorial Hospital Memphis, TN · Baptist Memorial Health Care Corporation | 17 | $86,476.24 | $14,433.24 | $10,647.65 |
| Barnes Jewish Hospital Saint Louis, MO · BJC HealthCare | 17 | $71,296.65 | $20,133.53 | $15,440.59 |
| $121,913.78 |
| $13,452.06 |
| Texas | 6 | 86 | $135,912.81 | $12,609.72 |
| Massachusetts | 5 | 85 | $62,092.73 | $17,187.33 |
| Pennsylvania | 6 | 78 | $80,357.77 | $13,571.00 |
| North Carolina | 5 | 72 | $89,480.53 | $13,887.06 |
| South Carolina | 5 | 63 | $117,658.79 | $13,234.68 |
| Tennessee | 3 | 58 | $61,950.45 | $12,589.21 |
| Ohio | 4 | 47 | $95,454.70 | $13,878.26 |
| Indiana | 3 | 47 | $106,845.13 | $13,609.81 |
| Maryland | 3 | 36 | $24,039.78 | $19,122.67 |
| New Jersey | 2 | 36 | $129,200.28 | $13,217.39 |
| Missouri | 2 | 32 | $60,180.25 | $13,678.69 |
| Iowa | 2 | 28 | $69,379.86 | $11,003.11 |
| Virginia | 2 | 26 | $200,509.77 | $11,191.15 |
| Kansas | 2 | 26 | $113,613.73 | $12,202.69 |
| Delaware | 1 | 26 | $64,856.58 | $12,726.96 |
| Wisconsin | 1 | 23 | $88,061.35 | $14,723.00 |
| Mississippi | 2 | 22 | $55,724.59 | $12,785.14 |
| Alabama | 1 | 20 | $92,489.95 | $9,742.85 |
| Illinois | 1 | 20 | $57,420.15 | $14,281.00 |
| Georgia | 1 | 16 | $129,215.56 | $13,873.06 |
| Idaho | 1 | 16 | $62,072.75 | $13,640.38 |
| Washington | 1 | 15 | $98,805.27 | $17,608.53 |
| Arkansas | 1 | 15 | $26,279.00 | $11,758.60 |
| New Hampshire | 1 | 13 | $68,656.08 | $13,830.54 |
| Nebraska | 1 | 13 | $60,898.69 | $11,028.23 |
| Kentucky | 1 | 12 | $94,313.75 | $12,143.83 |
| West Virginia | 1 | 11 | $58,300.18 | $12,413.73 |
| Louisiana | 1 | 11 | $93,422.18 | $9,875.55 |
| Michigan | 1 | 11 | $38,324.82 | $9,474.18 |
| Minnesota | 1 | 11 | $55,642.18 | $15,105.64 |
| Nevada | 1 | 11 | $78,712.27 | $14,779.36 |
| Oregon | 1 | 11 | $61,730.91 | $17,658.91 |
| Utah | 1 | 11 | $41,605.00 | $16,449.18 |
| Alaska | 1 | 11 | $140,096.27 | $17,765.55 |