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Other Musculoskeletal System and Connective Tissue Diagnoses with major complications
Medicare DRG 564. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$82,863
Avg total payment
$17,192
Avg Medicare pays
$14,459
Hospitals reporting
52
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 | 2 | $185,581 | $16,753 |
| New York | 7 | $154,071 | $17,506 |
| Maine | 1 | $130,453 | $65,415 |
| Texas | 1 | $104,969 | $10,398 |
| New Jersey | 9 | $99,796 | $12,805 |
| Florida | 4 | $75,784 | $10,713 |
| Pennsylvania | 4 | $67,252 | $10,897 |
| Oklahoma | 1 | $64,405 | $10,312 |
| Michigan | 1 | $59,124 | $10,686 |
| Ohio | 1 | $56,618 | $10,576 |
| Connecticut | 4 | $56,286 | $14,900 |
| Massachusetts | 8 | $50,213 | $14,403 |
| Tennessee | 1 | $44,892 | $8,663 |
| Illinois | 4 | $44,436 | $10,920 |
| Nebraska | 1 | $41,770 | $8,767 |
| Rhode Island | 1 | $38,915 | $13,086 |
| Maryland | 2 | $21,579 | $18,870 |
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.