Medicare hospital stays, charges and payments, 2024. Official US government data.
Medicare pays per stay
$18,616.96
2024
Average charge
$129,761.81
Hospital list price
Stays
272
17 hospitals
Medicare paid
$5.1M
For these stays
For DRG 865 (viral illness with mcc), Medicare paid $18,616.96 per hospital stay on average in 2024. Hospitals charged $129,761.81 on average, and the total payment including the patient's share and other payers was $23,844.24. In 2023 Medicare paid $15,071.54.
272 Medicare stays were billed as DRG 865 at 17 hospitals in 2024, and Medicare paid $5.1M for them.
Among states with at least 50 stays, New York had the highest average Medicare payment for DRG 865 ($24,286.01) and Massachusetts the lowest ($16,212.69).
NYU Langone Hospitals in New York, NY had the most Medicare stays for DRG 865 in 2024: 31, with an average Medicare payment of $37,925.71.
2024
| Hospital | Stays | Average charge | Total payment | Medicare payment |
|---|---|---|---|---|
| NYU Langone Hospitals New York, NY · NYU Langone Health | 31 | $330,440.61 | $47,306.97 | $37,925.71 |
| New York-Presbyterian Hospital New York, NY · New York Presbyterian Healthcare System | 27 | $114,657.33 | $21,150.33 | $17,561.30 |
| Yale-New Haven Hospital |
| State | Hospitals | Stays | Average charge | Medicare payment |
|---|---|---|---|---|
| New York | 4 | 82 | $195,251.33 | $24,286.01 |
| Massachusetts | 4 | 62 | $65,228.56 | $16,212.69 |
| Connecticut | 1 | 23 | $52,113.00 | $17,671.65 |
| New Jersey | 1 | 17 |
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.
| 23 |
| $52,113.00 |
| $20,606.43 |
| $17,671.65 |
| Massachusetts General Hospital Boston, MA · Mass General Brigham | 21 | $99,633.90 | $26,765.38 | $16,115.67 |
| Beth Israel Deaconess Medical Center Boston, MA · Beth Israel Lahey Health | 18 | $29,742.11 | $20,506.83 | $17,710.06 |
| Adventhealth Orlando Orlando, FL · AdventHealth | 17 | $98,014.53 | $17,230.06 | $9,579.94 |
| Valley Hospital Paramus, NJ · Valley Health System | 17 | $76,414.00 | $13,950.35 | $12,796.00 |
| Christiana Hospital Newark, DE · ChristianaCare | 14 | $38,396.29 | $15,102.14 | $12,397.14 |
| North Shore University Hospital Manhasset, NY · Northwell Health | 13 | $107,675.23 | $22,339.15 | $14,600.15 |
| Stanford Health Care Stanford, CA · Stanford Health Care | 12 | $575,004.17 | $55,076.17 | $45,094.58 |
| Brigham and Women's Hospital Boston, MA · Mass General Brigham | 12 | $93,942.92 | $20,795.58 | $17,681.42 |
| UNC Hospitals Chapel Hill, NC · UNC Health Care System | 12 | $44,671.08 | $22,288.58 | $15,782.33 |
| Long Island Jewish Medical Center New Hyde Park, NY · Northwell Health | 11 | $115,584.00 | $16,703.91 | $13,799.91 |
| Northwestern Memorial Hospital Chicago, IL · Northwestern Medicine | 11 | $57,789.73 | $16,750.09 | $13,896.64 |
| Houston Methodist Hospital Houston, TX · Houston Methodist | 11 | $173,654.64 | $16,363.91 | $11,015.18 |
| Baptist Memorial Hospital Memphis, TN · Baptist Memorial Health Care Corporation | 11 | $50,637.09 | $12,103.45 | $9,292.73 |
| Newton-Wellesley Hospital Newton, MA · Mass General Brigham | 11 | $26,289.64 | $13,813.64 | $12,345.45 |
| $76,414.00 |
| $12,796.00 |
| Florida | 1 | 17 | $98,014.53 | $9,579.94 |
| Delaware | 1 | 14 | $38,396.29 | $12,397.14 |
| California | 1 | 12 | $575,004.17 | $45,094.58 |
| North Carolina | 1 | 12 | $44,671.08 | $15,782.33 |
| Illinois | 1 | 11 | $57,789.73 | $13,896.64 |
| Tennessee | 1 | 11 | $50,637.09 | $9,292.73 |
| Texas | 1 | 11 | $173,654.64 | $11,015.18 |