Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$7,400.09
2024
Average charge
$50,558.77
Hospital list price
Stays
1,701
119 hospitals
Medicare paid
$12.6M
For these stays
For DRG 565 (other musculoskeletal system and connective tissue diagnoses with cc), Medicare paid $7,400.09 per hospital stay on average in 2024. Hospitals charged $50,558.77 on average, and the total payment including the patient's share and other payers was $10,349.97. In 2023 Medicare paid $7,242.65.
1,701 Medicare stays were billed as DRG 565 at 119 hospitals in 2024, and Medicare paid $12.6M for them.
Among states with at least 50 stays, New York had the highest average Medicare payment for DRG 565 ($9,478.00) and Florida the lowest ($6,211.36).
Lehigh Valley Hospital in Allentown, PA had the most Medicare stays for DRG 565 in 2024: 39, with an average Medicare payment of $6,864.31.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 39 | $59,601.08 | $9,277.00 | $6,864.31 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 26 | $75,783.23 | $8,758.81 | $6,678.00 |
| Miami Valley Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| New York | 15 | 210 | $70,953.05 | $9,478.00 |
| Pennsylvania | 12 | 205 | $52,790.99 | $6,645.56 |
| New Jersey | 14 | 195 | $69,767.79 | $7,735.52 |
| Massachusetts | 11 | 169 |
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.
| 25 |
| $45,885.32 |
| $8,928.16 |
| $5,818.32 |
| Jefferson Abington Hospital Abington, PA · Jefferson Health | 24 | $36,377.46 | $9,036.75 | $6,264.67 |
| South Shore Hospital South Weymouth, MA · South Shore Health System | 24 | $17,151.00 | $8,685.25 | $6,719.38 |
| Community Medical Center Toms River, NJ · RWJBarnabas Health | 23 | $67,934.22 | $10,025.00 | $6,825.17 |
| Methodist Hospital San Antonio, TX · HCA Healthcare | 21 | $64,436.62 | $8,669.33 | $6,300.33 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 21 | $98,865.67 | $14,492.29 | $10,940.24 |
| North Shore University Hospital Manhasset, NY · Northwell Health | 21 | $80,720.43 | $12,037.81 | $9,260.67 |
| Inova Fairfax Hospital Falls Church, VA · Inova Health System | 19 | $31,098.42 | $11,212.32 | $7,219.00 |
| UMass Memorial Medical Center/University Campus Worcester, MA · UMass Memorial Health Care | 19 | $42,508.32 | $13,484.21 | $9,816.05 |
| New York-Presbyterian/Queens Flushing, NY · New York Presbyterian Healthcare System | 18 | $61,494.72 | $12,203.11 | $9,809.17 |
| Bryan Medical Center Lincoln, NE · Bryan Health | 18 | $30,628.72 | $9,907.67 | $6,114.00 |
| Northeast Hospital Corporation Beverly, MA · Beth Israel Lahey Health | 18 | $16,766.22 | $8,518.00 | $7,067.33 |
| Wellspan York Hospital York, PA · Wellspan Health | 18 | $39,291.39 | $17,727.28 | $5,102.67 |
| Gulf Coast Medical Center Lee Health Fort Myers, FL · Lee Health | 17 | $43,656.59 | $7,359.00 | $5,381.12 |
| Suburban Hospital Bethesda, MD · Johns Hopkins Health System | 17 | $9,178.24 | $8,227.41 | $6,691.41 |
| Sarasota Memorial Hospital Sarasota, FL · Sarasota Memorial Health Care System | 17 | $41,018.29 | $8,113.59 | $5,986.53 |
| Cjw Medical Center Richmond, VA · HCA Healthcare | 17 | $96,594.41 | $8,379.41 | $5,164.82 |
| University of MD Baltimore Washington Medical Center Glen Burnie, MD · University of Maryland Medical System | 17 | $13,132.82 | $12,282.35 | $9,465.65 |
| Mainehealth Maine Medical Center Portland, ME · MaineHealth | 17 | $29,238.12 | $9,729.47 | $7,453.59 |
| St Lukes Hospital Bethlehem, PA · Saint Lukes University Health Network | 16 | $74,221.06 | $11,992.50 | $7,603.00 |
| Lancaster General Hospital Lancaster, PA · University of Pennsylvania Health System | 16 | $35,000.81 | $11,267.44 | $5,634.63 |
| Lowell General Hospital Lowell, MA · Wellforce | 16 | $18,945.69 | $8,912.81 | $7,077.44 |
| Morristown Medical Center Morristown, NJ · Atlantic Health System | 16 | $91,534.63 | $28,214.38 | $7,364.88 |
| $22,780.44 |
| $7,762.53 |
| Florida | 9 | 136 | $55,884.35 | $6,211.36 |
| Illinois | 10 | 133 | $36,932.08 | $6,451.62 |
| Virginia | 7 | 93 | $51,652.75 | $6,460.91 |
| Texas | 4 | 57 | $52,084.46 | $6,970.82 |
| Maryland | 4 | 56 | $11,014.54 | $8,331.04 |
| Georgia | 4 | 54 | $45,428.93 | $7,518.24 |
| Michigan | 3 | 42 | $31,291.93 | $6,439.02 |
| Ohio | 2 | 37 | $49,104.35 | $5,920.35 |
| Oklahoma | 3 | 35 | $48,032.94 | $7,555.66 |
| California | 3 | 35 | $123,012.86 | $12,502.63 |
| Nebraska | 2 | 30 | $28,664.63 | $6,960.80 |
| Minnesota | 2 | 23 | $28,302.43 | $5,053.26 |
| Maine | 1 | 17 | $29,238.12 | $7,453.59 |
| Kansas | 1 | 15 | $139,522.00 | $6,190.13 |
| Delaware | 1 | 15 | $33,620.27 | $6,994.53 |
| Kentucky | 1 | 15 | $36,312.47 | $5,404.60 |
| Missouri | 1 | 14 | $18,002.36 | $5,693.21 |
| Indiana | 1 | 14 | $31,703.71 | $5,179.86 |
| North Carolina | 1 | 14 | $32,753.21 | $7,231.43 |
| South Carolina | 1 | 14 | $83,512.07 | $6,977.57 |
| Tennessee | 1 | 14 | $28,285.86 | $4,850.36 |
| Washington | 1 | 12 | $32,819.33 | $6,867.42 |
| New Hampshire | 1 | 11 | $38,577.18 | $9,858.91 |
| Nevada | 1 | 11 | $26,315.91 | $8,042.27 |
| Connecticut | 1 | 11 | $30,718.27 | $9,556.00 |