Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$12,465.24
2024
Average charge
$67,995.69
Hospital list price
Stays
75
5 hospitals
Medicare paid
$935K
For these stays
For DRG 555 (signs and symptoms of musculoskeletal system and connective tissue with mcc), Medicare paid $12,465.24 per hospital stay on average in 2024. Hospitals charged $67,995.69 on average, and the total payment including the patient's share and other payers was $14,367.08. In 2023 Medicare paid $19,203.10.
75 Medicare stays were billed as DRG 555 at 5 hospitals in 2024, and Medicare paid $935K for them.
Los Angeles Community Hospital in Los Angeles, CA had the most Medicare stays for DRG 555 in 2024: 20, with an average Medicare payment of $13,556.15.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Los Angeles Community Hospital Los Angeles, CA · Prospect Medical Holdings | 20 | $32,771.05 | $14,780.15 | $13,556.15 |
| UPMC Pinnacle Hospitals Harrisburg, PA · UPMC | 15 | $24,339.93 | $11,429.33 | $10,141.53 |
| New York-Presbyterian Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| New York | 2 | 27 | $108,507.85 | $14,127.30 |
| California | 1 | 20 | $32,771.05 | $13,556.15 |
| Pennsylvania | 1 | 15 | $24,339.93 | $10,141.53 |
| Florida | 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 |
| $134,074.93 |
| $19,333.43 |
| $15,428.36 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 13 | $88,418.85 | $11,410.77 | $10,016.15 |
| Long Island Jewish Medical Center New Hyde Park, NY · Northwell Health | 13 | $80,974.08 | $14,729.23 | $12,726.15 |
| $88,418.85 |
| $10,016.15 |