Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$5,172.63
2024
Average charge
$34,689.16
Hospital list price
Stays
158
12 hospitals
Medicare paid
$817K
For these stays
For DRG 639 (diabetes without cc/mcc), Medicare paid $5,172.63 per hospital stay on average in 2024. Hospitals charged $34,689.16 on average, and the total payment including the patient's share and other payers was $7,422.14. In 2023 Medicare paid $4,222.06.
158 Medicare stays were billed as DRG 639 at 12 hospitals in 2024, and Medicare paid $817K for them.
St John's Episcopal Hospital at South Shore in Far Rockaway, NY had the most Medicare stays for DRG 639 in 2024: 20, with an average Medicare payment of $7,293.75.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| St John's Episcopal Hospital at South Shore Far Rockaway, NY · Episcopal Health Services | 20 | $28,436.95 | $11,558.40 | $7,293.75 |
| United Regional Health Care System Wichita Falls, TX · United Regional Health Care System | 16 | $26,802.31 | $6,073.19 | $3,666.13 |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| Texas | 3 | 44 | $36,472.00 | $4,062.05 |
| New York | 2 | 32 | $39,900.03 | $6,855.78 |
| Massachusetts | 1 | 13 | $12,030.85 | $4,003.31 |
| Kentucky | 1 | 12 |
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.
| 15 |
| $47,767.93 |
| $5,854.40 |
| $3,880.27 |
| Houston Methodist Sugarland Hospital Sugar Land, TX · Houston Methodist | 13 | $35,339.38 | $5,041.54 | $4,759.08 |
| South Shore Hospital South Weymouth, MA · South Shore Health System | 13 | $12,030.85 | $5,133.15 | $4,003.31 |
| Norton Hospitals, Inc Louisville, KY · Norton Healthcare | 12 | $17,969.75 | $4,740.33 | $3,905.42 |
| Christiana Hospital Newark, DE · ChristianaCare | 12 | $19,536.17 | $6,913.33 | $4,248.42 |
| Wakemed, Raleigh Campus Raleigh, NC · WakeMed Health and Hospitals | 12 | $20,835.33 | $6,091.75 | $4,573.83 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 12 | $59,005.17 | $9,092.92 | $6,125.83 |
| UPMC Pinnacle Hospitals Harrisburg, PA · UPMC | 11 | $25,057.27 | $6,137.00 | $3,312.36 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 11 | $38,888.55 | $6,914.36 | $3,670.00 |
| Zuckerberg San Francisco General Hosp & Trauma Ctr San Francisco, CA · San Francisco Health Network | 11 | $94,492.55 | $14,422.45 | $12,507.18 |
| $17,969.75 |
| $3,905.42 |
| North Carolina | 1 | 12 | $20,835.33 | $4,573.83 |
| Delaware | 1 | 12 | $19,536.17 | $4,248.42 |
| California | 1 | 11 | $94,492.55 | $12,507.18 |
| Florida | 1 | 11 | $38,888.55 | $3,670.00 |
| Pennsylvania | 1 | 11 | $25,057.27 | $3,312.36 |