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Aftercare, Musculoskeletal System and Connective Tissue without with Complications/with major complications
Medicare DRG 561. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$35,532
Avg total payment
$20,343
Avg Medicare pays
$18,794
Hospitals reporting
9
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 |
|---|---|---|---|
| Florida | 1 | $66,094 | $5,601 |
| Texas | 1 | $61,151 | $4,952 |
| Maryland | 6 | $30,866 | $25,807 |
| Michigan | 1 | $7,346 | $3,752 |
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.