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Aftercare, Musculoskeletal System and Connective Tissue with complications
Medicare DRG 560. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$56,514
Avg total payment
$15,973
Avg Medicare pays
$13,750
Hospitals reporting
36
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 |
|---|---|---|---|
| California | 3 | $125,631 | $13,212 |
| Texas | 1 | $112,484 | $5,069 |
| New York | 4 | $91,726 | $11,234 |
| New Jersey | 1 | $88,453 | $7,668 |
| Pennsylvania | 1 | $74,164 | $8,487 |
| Florida | 7 | $51,187 | $7,070 |
| Massachusetts | 1 | $49,048 | $11,113 |
| Illinois | 2 | $40,158 | $8,008 |
| North Carolina | 1 | $40,157 | $7,897 |
| Missouri | 1 | $37,768 | $9,093 |
| Maryland | 9 | $34,111 | $29,104 |
| Tennessee | 2 | $32,063 | $5,825 |
| Ohio | 1 | $29,085 | $7,922 |
| Michigan | 1 | $25,672 | $6,326 |
| Delaware | 1 | $24,137 | $7,767 |
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.