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Signs and Symptoms of Musculoskeletal System and Connective Tissue with major complications
Medicare DRG 555. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$72,116
Avg total payment
$14,337
Avg Medicare pays
$12,374
Hospitals reporting
5
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 |
|---|---|---|---|
| New York | 2 | $107,525 | $14,077 |
| Florida | 1 | $88,419 | $10,016 |
| California | 1 | $32,771 | $13,556 |
| Pennsylvania | 1 | $24,340 | $10,142 |
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.