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Aftercare, Musculoskeletal System and Connective Tissue with major complications
Medicare DRG 559. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$98,533
Avg total payment
$28,024
Avg Medicare pays
$25,358
Hospitals reporting
15
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 | $211,696 | $25,408 |
| California | 2 | $194,099 | $19,806 |
| Texas | 1 | $138,017 | $12,585 |
| Florida | 1 | $110,716 | $12,056 |
| Tennessee | 1 | $74,449 | $11,408 |
| Oklahoma | 1 | $52,072 | $9,852 |
| Maryland | 7 | $41,594 | $34,863 |
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.