Home / Procedures / Other Musculoskeletal System and Connective Tissue Diagnoses with complications
Other Musculoskeletal System and Connective Tissue Diagnoses with complications
Medicare DRG 565. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$50,450
Avg total payment
$10,361
Avg Medicare pays
$7,469
Hospitals reporting
118
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 |
|---|---|---|---|
| Kansas | 1 | $139,522 | $6,190 |
| California | 3 | $126,119 | $12,712 |
| South Carolina | 1 | $83,512 | $6,978 |
| New York | 15 | $70,307 | $9,439 |
| New Jersey | 14 | $70,036 | $7,785 |
| Florida | 9 | $53,645 | $6,197 |
| Pennsylvania | 12 | $53,474 | $6,675 |
| Ohio | 2 | $50,848 | $5,976 |
| Virginia | 7 | $50,640 | $6,482 |
| Texas | 4 | $49,699 | $6,980 |
| Oklahoma | 3 | $48,964 | $7,628 |
| Georgia | 4 | $45,331 | $7,504 |
| New Hampshire | 1 | $38,577 | $9,859 |
| Illinois | 10 | $37,546 | $6,497 |
| Kentucky | 1 | $36,312 | $5,405 |
| Delaware | 1 | $33,620 | $6,995 |
| Washington | 1 | $32,819 | $6,867 |
| North Carolina | 1 | $32,753 | $7,231 |
| Indiana | 1 | $31,704 | $5,180 |
| Connecticut | 1 | $30,718 | $9,556 |
| Michigan | 3 | $30,364 | $6,525 |
| Maine | 1 | $29,238 | $7,454 |
| Tennessee | 1 | $28,286 | $4,850 |
| Nebraska | 2 | $28,174 | $7,173 |
| Minnesota | 2 | $27,942 | $5,061 |
| Nevada | 1 | $26,316 | $8,042 |
| Massachusetts | 11 | $22,532 | $7,788 |
| Missouri | 1 | $18,002 | $5,693 |
| Maryland | 4 | $10,976 | $8,400 |
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.