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Other Musculoskeletal System and Connective Tissue O.r. Procedures with major complications
Medicare DRG 515. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$158,684
Avg total payment
$28,552
Avg Medicare pays
$25,232
Hospitals reporting
64
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 4 | $415,609 | $47,516 |
| New York | 2 | $256,782 | $37,905 |
| Virginia | 3 | $253,428 | $19,727 |
| Texas | 6 | $218,662 | $20,302 |
| Georgia | 3 | $191,298 | $23,037 |
| Colorado | 1 | $168,864 | $20,790 |
| Kansas | 4 | $156,036 | $21,004 |
| Washington | 1 | $155,068 | $32,215 |
| Florida | 9 | $153,954 | $21,288 |
| Oklahoma | 2 | $124,127 | $19,906 |
| Minnesota | 2 | $123,423 | $29,433 |
| Ohio | 1 | $120,299 | $23,166 |
| Illinois | 5 | $109,894 | $22,239 |
| Tennessee | 1 | $108,588 | $21,736 |
| South Carolina | 1 | $105,403 | $19,991 |
| Kentucky | 2 | $100,329 | $20,203 |
| Delaware | 1 | $94,708 | $23,244 |
| Massachusetts | 5 | $93,869 | $28,250 |
| Pennsylvania | 1 | $93,798 | $22,808 |
| North Carolina | 1 | $90,357 | $20,417 |
| Nebraska | 1 | $90,002 | $24,061 |
| Mississippi | 1 | $84,745 | $20,303 |
| Maryland | 1 | $80,912 | $69,843 |
| Indiana | 2 | $78,379 | $20,991 |
| Michigan | 3 | $66,745 | $24,515 |
| Iowa | 1 | $59,554 | $17,656 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.