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Other Musculoskeletal System and Connective Tissue O.r. Procedures without with Complications/with major complications
Medicare DRG 517. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$82,249
Avg total payment
$14,008
Avg Medicare pays
$11,095
Hospitals reporting
130
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 | 1 | $193,944 | $10,200 |
| Virginia | 4 | $144,375 | $9,562 |
| California | 14 | $117,073 | $14,658 |
| Texas | 14 | $106,133 | $9,559 |
| Florida | 20 | $104,487 | $10,085 |
| New York | 5 | $94,759 | $15,231 |
| Alabama | 3 | $90,237 | $8,608 |
| Pennsylvania | 6 | $82,815 | $11,831 |
| District of Columbia | 2 | $75,796 | $13,538 |
| South Carolina | 2 | $74,519 | $10,845 |
| Georgia | 4 | $73,729 | $10,587 |
| Arizona | 2 | $72,352 | $14,001 |
| New Jersey | 1 | $68,873 | $12,762 |
| Ohio | 4 | $65,525 | $9,795 |
| Kentucky | 2 | $64,612 | $8,287 |
| Missouri | 1 | $64,376 | $12,939 |
| Louisiana | 1 | $57,440 | $8,389 |
| Illinois | 4 | $57,033 | $11,261 |
| Tennessee | 4 | $55,777 | $9,772 |
| Kansas | 5 | $54,534 | $9,615 |
| Nebraska | 2 | $53,655 | $8,945 |
| Massachusetts | 5 | $53,591 | $13,070 |
| Delaware | 1 | $52,962 | $11,491 |
| Oklahoma | 2 | $50,761 | $8,415 |
| Michigan | 5 | $49,079 | $10,266 |
| Iowa | 1 | $48,587 | $8,766 |
| Nevada | 1 | $47,205 | $12,340 |
| North Carolina | 5 | $45,767 | $10,542 |
| Minnesota | 2 | $43,084 | $11,388 |
| Idaho | 1 | $41,067 | $9,994 |
| New Hampshire | 1 | $39,969 | $10,225 |
| Indiana | 1 | $36,679 | $9,028 |
| North Dakota | 1 | $35,129 | $10,357 |
| Montana | 1 | $33,540 | $10,464 |
| Maryland | 1 | $30,541 | $22,135 |
| Arkansas | 1 | $15,843 | $7,322 |
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.