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Signs and Symptoms of Musculoskeletal System and Connective Tissue without with major complications
Medicare DRG 556. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$44,852
Avg total payment
$8,619
Avg Medicare pays
$6,645
Hospitals reporting
151
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 |
|---|---|---|---|
| Nevada | 2 | $90,620 | $7,077 |
| California | 15 | $75,126 | $8,103 |
| Kansas | 3 | $61,486 | $6,068 |
| New York | 22 | $58,192 | $7,627 |
| New Jersey | 10 | $55,399 | $6,184 |
| Florida | 14 | $54,101 | $5,118 |
| Texas | 5 | $49,783 | $5,999 |
| Kentucky | 1 | $44,140 | $5,113 |
| Arizona | 4 | $42,425 | $5,292 |
| Pennsylvania | 21 | $41,930 | $5,782 |
| Georgia | 1 | $41,482 | $7,244 |
| South Dakota | 1 | $40,106 | $5,425 |
| Virginia | 2 | $39,879 | $4,898 |
| Iowa | 1 | $34,153 | $4,282 |
| Alabama | 1 | $34,067 | $5,175 |
| Tennessee | 1 | $33,726 | $5,588 |
| North Carolina | 3 | $31,922 | $5,690 |
| Wisconsin | 3 | $31,539 | $5,538 |
| Illinois | 6 | $30,134 | $5,681 |
| Ohio | 4 | $29,309 | $5,428 |
| Delaware | 1 | $28,153 | $6,356 |
| Oklahoma | 1 | $25,967 | $4,778 |
| Michigan | 6 | $23,819 | $5,700 |
| Missouri | 3 | $23,400 | $5,287 |
| Minnesota | 2 | $22,519 | $5,620 |
| Nebraska | 1 | $19,974 | $5,016 |
| Massachusetts | 6 | $16,769 | $5,930 |
| Maryland | 11 | $14,605 | $11,859 |
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.