Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$13,238.96
2024
Average charge
$113,403.90
Hospital list price
Stays
114
9 hospitals
Medicare paid
$1.5M
For these stays
For DRG 511 (shoulder, elbow or forearm procedures, except major joint procedures with cc), Medicare paid $13,238.96 per hospital stay on average in 2024. Hospitals charged $113,403.90 on average, and the total payment including the patient's share and other payers was $15,909.19. In 2023 Medicare paid $13,228.62.
114 Medicare stays were billed as DRG 511 at 9 hospitals in 2024, and Medicare paid $1.5M for them.
Gulf Coast Medical Center Lee Health in Fort Myers, FL had the most Medicare stays for DRG 511 in 2024: 21, with an average Medicare payment of $10,623.19.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Gulf Coast Medical Center Lee Health Fort Myers, FL · Lee Health | 21 | $97,024.43 | $14,852.95 | $10,623.19 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 13 | $108,099.38 | $14,655.85 | $12,567.77 |
| Covenant Medical Center |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Florida | 4 | 58 | $128,099.59 | $12,169.53 |
| Texas | 1 | 12 | $150,692.67 | $12,257.17 |
| Minnesota | 1 | 11 | $64,450.36 | $19,852.09 |
| Pennsylvania | 1 | 11 |
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.
| 12 |
| $150,692.67 |
| $14,793.25 |
| $12,257.17 |
| HCA Florida Lawnwood Hospital Fort Pierce, FL · HCA Healthcare | 12 | $211,976.92 | $14,341.92 | $12,850.08 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 12 | $120,270.67 | $15,336.17 | $13,763.67 |
| Charleston Area Medical Center Charleston, WV · CAMC Health System | 11 | $96,373.55 | $15,549.18 | $12,650.55 |
| Mayo Clinic Hospital Rochester Rochester, MN · Mayo Clinic | 11 | $64,450.36 | $23,184.36 | $19,852.09 |
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 11 | $127,362.45 | $17,266.82 | $14,903.18 |
| Riverside Regional Medical Center Newport News, VA · Riverside Health System | 11 | $47,264.27 | $14,686.36 | $12,259.82 |
| $127,362.45 |
| $14,903.18 |
| Virginia | 1 | 11 | $47,264.27 | $12,259.82 |
| West Virginia | 1 | 11 | $96,373.55 | $12,650.55 |