Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$14,178.72
2024
Average charge
$75,873.01
Hospital list price
Stays
342
21 hospitals
Medicare paid
$4.8M
For these stays
For DRG 604 (trauma to the skin, subcutaneous tissue and breast with mcc), Medicare paid $14,178.72 per hospital stay on average in 2024. Hospitals charged $75,873.01 on average, and the total payment including the patient's share and other payers was $16,179.39. In 2023 Medicare paid $13,528.33.
342 Medicare stays were billed as DRG 604 at 21 hospitals in 2024, and Medicare paid $4.8M for them.
Among states with at least 50 stays, New York had the highest average Medicare payment for DRG 604 ($18,651.73) and Florida the lowest ($10,336.74).
Southern California Hospital at Hollywood in Hollywood, CA had the most Medicare stays for DRG 604 in 2024: 44, with an average Medicare payment of $15,368.61.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| Southern California Hospital at Hollywood Hollywood, CA · Prospect Medical Holdings | 44 | $57,828.20 | $16,126.61 | $15,368.61 |
| Los Angeles Community Hospital Los Angeles, CA · Prospect Medical Holdings | 30 | $48,365.53 | $15,990.10 | $15,096.57 |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| California | 5 | 112 | $62,428.38 | $15,066.19 |
| Florida | 5 | 81 | $92,817.30 | $10,336.74 |
| New York | 4 | 63 | $91,625.86 | $18,651.73 |
| Wisconsin | 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.
| 22 |
| $74,955.77 |
| $12,161.09 |
| $10,583.45 |
| SUNY/Stony Brook University Hospital Stony Brook, NY · Stony Brook Medicine | 22 | $103,376.77 | $20,383.59 | $15,509.36 |
| Delray Medical Center Delray Beach, FL · Tenet Healthcare | 18 | $147,983.78 | $10,029.50 | $8,763.44 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 17 | $97,295.47 | $19,750.00 | $16,787.41 |
| Orlando Health Orlando, FL · Orlando Health | 16 | $126,896.31 | $14,573.13 | $11,766.25 |
| Foothill Regional Medical Center Tustin, CA · Prospect Medical Holdings | 15 | $75,143.33 | $15,311.47 | $14,441.07 |
| University of Wi Hospitals & Clinics Authority Madison, WI · UW Health | 13 | $79,828.54 | $18,817.46 | $13,027.54 |
| Lakeland Regional Medical Center Lakeland, FL · Lakeland Regional Health | 13 | $45,244.08 | $12,028.08 | $10,679.77 |
| South Shore Hospital South Weymouth, MA · South Shore Health System | 13 | $29,798.23 | $12,328.46 | $11,324.15 |
| Ns/Lij Hs Huntington Hospital Huntington, NY · Northwell Health | 13 | $82,118.38 | $12,052.00 | $10,810.23 |
| Novant Health New Hanover Regional Medical Center Wilmington, NC · Novant Health | 13 | $47,591.85 | $13,916.46 | $10,320.15 |
| Ascension St Vincent Hospital Indianapolis, IN · Ascension | 12 | $93,973.50 | $21,791.50 | $19,733.25 |
| University of Kansas Hospital Kansas City, KS · The University of Kansas Health System | 12 | $88,413.25 | $13,847.00 | $11,320.00 |
| Sutter Roseville Medical Center Roseville, CA · Sutter Health | 12 | $96,516.42 | $15,741.33 | $14,736.25 |
| Lehigh Valley Hospital Allentown, PA · Jefferson Health | 12 | $100,160.83 | $13,714.42 | $11,525.33 |
| Naples Community Hospital Naples, FL · NCH Healthcare System | 12 | $48,912.67 | $11,241.58 | $9,966.75 |
| Johns Hopkins Bayview Medical Center Baltimore, MD · Johns Hopkins Health System | 11 | $21,049.82 | $18,398.55 | $17,063.27 |
| Elmhurst Hospital Center Elmhurst, NY · New York City Health and Hospitals Corporation | 11 | $70,598.00 | $41,104.36 | $37,084.91 |
| Orange County Global Medical Center Santa Ana, CA · Victor Valley Hospital Acquisition | 11 | $64,656.82 | $16,323.27 | $14,986.00 |
| $79,828.54 |
| $13,027.54 |
| Massachusetts | 1 | 13 | $29,798.23 | $11,324.15 |
| North Carolina | 1 | 13 | $47,591.85 | $10,320.15 |
| Indiana | 1 | 12 | $93,973.50 | $19,733.25 |
| Kansas | 1 | 12 | $88,413.25 | $11,320.00 |
| Pennsylvania | 1 | 12 | $100,160.83 | $11,525.33 |
| Maryland | 1 | 11 | $21,049.82 | $17,063.27 |