Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$6,544.43
2024
Average charge
$45,168.50
Hospital list price
Stays
2,688
152 hospitals
Medicare paid
$17.6M
For these stays
For DRG 556 (signs and symptoms of musculoskeletal system and connective tissue without mcc), Medicare paid $6,544.43 per hospital stay on average in 2024. Hospitals charged $45,168.50 on average, and the total payment including the patient's share and other payers was $8,553.59. In 2023 Medicare paid $6,354.27.
2,688 Medicare stays were billed as DRG 556 at 152 hospitals in 2024, and Medicare paid $17.6M for them.
Among states with at least 50 stays, Maryland had the highest average Medicare payment for DRG 556 ($11,631.66) and Florida the lowest ($5,211.88).
UPMC Pinnacle Hospitals in Harrisburg, PA had the most Medicare stays for DRG 556 in 2024: 73, with an average Medicare payment of $5,356.27.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| UPMC Pinnacle Hospitals Harrisburg, PA · UPMC | 73 | $31,356.84 | $7,374.11 | $5,356.27 |
| Surgeons Choice Medical Center Southfield, MI | 65 | $7,347.22 | $5,873.65 | $4,434.23 |
| NYU Langone Hospitals |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Pennsylvania | 21 | 483 | $41,026.52 | $5,678.24 |
| New York | 22 | 453 | $62,674.91 | $7,922.68 |
| Florida | 14 | 276 | $52,889.37 | $5,211.88 |
| California | 15 | 208 |
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.
| 53 |
| $89,753.25 |
| $12,534.04 |
| $9,514.91 |
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 51 | $47,150.45 | $7,611.20 | $6,156.76 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 46 | $56,071.07 | $8,528.35 | $5,065.33 |
| UPMC Memorial York, PA · UPMC | 45 | $31,207.27 | $6,042.09 | $4,560.87 |
| Long Island Jewish Medical Center New Hyde Park, NY · Northwell Health | 40 | $69,684.10 | $10,632.53 | $8,363.23 |
| North Shore University Hospital Manhasset, NY · Northwell Health | 39 | $66,630.41 | $10,110.92 | $7,565.85 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 38 | $37,308.05 | $6,589.87 | $5,070.16 |
| South Shore Hospital South Weymouth, MA · South Shore Health System | 36 | $13,745.78 | $6,959.19 | $5,393.31 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 35 | $77,304.31 | $13,669.43 | $8,662.29 |
| Reading Hospital West Reading, PA · Tower Health | 35 | $33,504.17 | $7,433.86 | $6,139.23 |
| SUNY/Stony Brook University Hospital Stony Brook, NY · Stony Brook Medicine | 30 | $68,258.37 | $11,428.83 | $8,424.90 |
| West Jersey Hospital Voorhees, NJ · Virtua Health | 29 | $59,567.59 | $6,705.86 | $5,352.62 |
| Orlando Health Orlando, FL · Orlando Health | 29 | $55,626.34 | $8,432.79 | $7,141.97 |
| Cjw Medical Center Richmond, VA · HCA Healthcare | 27 | $59,874.74 | $6,347.67 | $4,417.56 |
| Grossmont Hospital La Mesa, CA · Sharp Healthcare | 26 | $47,929.81 | $8,888.58 | $7,758.73 |
| Park Nicollet Methodist Hospital Saint Louis Park, MN · HealthPartners | 26 | $23,593.65 | $6,589.31 | $5,267.54 |
| Staten Island University Hospital Staten Island, NY · Northwell Health | 26 | $35,334.65 | $10,506.69 | $7,929.27 |
| Montefiore Medical Center Bronx, NY · Montefiore Medical Center | 24 | $67,428.92 | $12,165.67 | $9,088.63 |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · NorthShore Edward-Elmhurst Health | 24 | $30,896.25 | $7,755.67 | $5,965.92 |
| Huntsville Hospital Huntsville, AL · Huntsville Hospital Health System | 24 | $34,067.00 | $6,795.58 | $5,175.46 |
| UPMC Hamot Erie, PA · UPMC | 23 | $54,399.39 | $7,857.22 | $6,149.00 |
| Christiana Hospital Newark, DE · ChristianaCare | 23 | $28,153.22 | $7,900.35 | $6,356.26 |
| Robert Wood Johnson University Hospital - Somerset Somerville, NJ · RWJBarnabas Health | 23 | $61,728.43 | $7,198.00 | $5,806.87 |
| $75,303.30 |
| $8,131.42 |
| Maryland | 11 | 156 | $14,310.62 | $11,631.66 |
| New Jersey | 10 | 156 | $56,652.19 | $6,111.91 |
| Michigan | 6 | 155 | $18,650.02 | $5,299.23 |
| Massachusetts | 6 | 104 | $16,201.15 | $5,835.46 |
| Illinois | 6 | 99 | $30,466.99 | $5,763.93 |
| Texas | 5 | 62 | $50,272.11 | $5,971.21 |
| Ohio | 4 | 56 | $29,203.84 | $5,424.64 |
| Arizona | 4 | 47 | $42,199.89 | $5,281.89 |
| Missouri | 3 | 46 | $22,942.41 | $5,227.63 |
| Minnesota | 2 | 43 | $22,744.16 | $5,546.07 |
| Virginia | 2 | 42 | $45,592.40 | $4,760.52 |
| North Carolina | 3 | 40 | $32,091.18 | $5,569.55 |
| Wisconsin | 3 | 38 | $31,371.50 | $5,522.03 |
| Nevada | 2 | 38 | $90,620.45 | $7,077.11 |
| Kansas | 3 | 35 | $60,782.57 | $6,092.80 |
| Alabama | 1 | 24 | $34,067.00 | $5,175.46 |
| Delaware | 1 | 23 | $28,153.22 | $6,356.26 |
| Kentucky | 1 | 14 | $44,140.21 | $5,113.29 |
| Iowa | 1 | 13 | $34,153.46 | $4,281.62 |
| South Dakota | 1 | 12 | $40,105.50 | $5,424.75 |
| Tennessee | 1 | 12 | $33,725.92 | $5,588.17 |
| Georgia | 1 | 11 | $41,482.45 | $7,243.64 |
| Oklahoma | 1 | 11 | $25,966.55 | $4,778.09 |
| Nebraska | 1 | 11 | $19,973.73 | $5,016.27 |