Home / Procedures / Other Musculoskeletal System and Connective Tissue O.r. Procedures with complications
Other Musculoskeletal System and Connective Tissue O.r. Procedures with complications
Medicare DRG 516. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$103,541
Avg total payment
$19,150
Avg Medicare pays
$15,691
Hospitals reporting
338
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 |
|---|---|---|---|
| Colorado | 6 | $185,199 | $15,087 |
| California | 34 | $165,646 | $21,314 |
| Alaska | 2 | $149,481 | $16,350 |
| New York | 14 | $136,925 | $19,525 |
| Texas | 28 | $125,292 | $14,004 |
| Arizona | 4 | $119,024 | $16,433 |
| Alabama | 3 | $118,293 | $12,191 |
| Florida | 35 | $118,107 | $13,923 |
| South Carolina | 4 | $116,699 | $13,474 |
| New Jersey | 6 | $109,189 | $16,131 |
| District of Columbia | 1 | $108,050 | $17,190 |
| Pennsylvania | 12 | $106,662 | $16,068 |
| Virginia | 13 | $105,775 | $14,357 |
| Washington | 5 | $100,972 | $16,852 |
| Georgia | 12 | $100,723 | $15,195 |
| Kansas | 7 | $100,100 | $13,304 |
| Oklahoma | 9 | $97,063 | $14,174 |
| West Virginia | 1 | $94,668 | $14,783 |
| Indiana | 6 | $89,486 | $14,374 |
| Nevada | 1 | $88,775 | $15,819 |
| New Hampshire | 1 | $87,076 | $20,071 |
| South Dakota | 3 | $86,614 | $15,610 |
| Wisconsin | 5 | $86,285 | $14,820 |
| Idaho | 3 | $85,767 | $14,532 |
| Louisiana | 2 | $85,764 | $11,353 |
| Illinois | 23 | $85,445 | $14,382 |
| Ohio | 15 | $84,932 | $14,503 |
| Connecticut | 1 | $82,132 | $20,160 |
| Missouri | 6 | $81,367 | $13,718 |
| Tennessee | 8 | $74,421 | $13,726 |
| North Carolina | 11 | $73,466 | $14,486 |
| Delaware | 1 | $72,990 | $15,840 |
| Nebraska | 5 | $72,163 | $14,493 |
| Oregon | 3 | $66,965 | $16,154 |
| Michigan | 11 | $62,241 | $14,568 |
| Massachusetts | 10 | $59,826 | $18,453 |
| Mississippi | 3 | $58,841 | $14,063 |
| Minnesota | 6 | $57,895 | $16,605 |
| Kentucky | 4 | $54,054 | $12,370 |
| Utah | 2 | $53,666 | $15,754 |
| Iowa | 1 | $52,307 | $12,393 |
| Arkansas | 3 | $51,223 | $12,909 |
| North Dakota | 2 | $46,870 | $13,335 |
| Rhode Island | 1 | $41,148 | $17,456 |
| Maryland | 5 | $29,157 | $24,425 |
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.