Inpatient stay · MS-DRG 314

Other circulatory system diagnoses with MCC

In 2024, Medicare and patients paid an average of $21,323 per stay at 1,000 hospitals. Half of hospitals averaged between $15,695 and $22,241.

National figures, 2024

Average payment per case: $21,323
Typical range (middle half of hospitals): $15,695–$22,241
Medicare’s share: $17,60283% of the payment
Average billed charge: $99,413
Hospitals reporting: 1,00025,543 stays

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1,000 hospitals reported at least 11 Medicare stays for this in 2024; showing 851–900. Download as CSV

Medicare payments per case for Other circulatory system diagnoses with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Erie County Medical CenterBuffalo, NY · CCN 330219	12	$25,133	18% above the national average	$20,502	$47,337
The Queens Medical CenterHonolulu, HI · CCN 120001	17	$25,187	18% above the national average	$20,247	$130,471
Cleveland ClinicCleveland, OH · CCN 360180	116	$25,241	18% above the national average	$16,222	$96,969
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	57	$25,246	18% above the national average	$21,112	$147,911
Northwestern Memorial HospitalChicago, IL · CCN 140281	98	$25,335	19% above the national average	$18,837	$105,353
Riverside Community HospitalRiverside, CA · CCN 050022	22	$25,345	19% above the national average	$22,874	$235,449
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	27	$25,382	19% above the national average	$19,865	$72,022
Milton S Hershey Medical CenterHershey, PA · CCN 390256	38	$25,407	19% above the national average	$20,033	$123,990
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	66	$25,418	19% above the national average	$17,939	$84,290
Indiana University HealthIndianapolis, IN · CCN 150056	45	$25,442	19% above the national average	$18,003	$129,413
Harper University HospitalDetroit, MI · CCN 230104	15	$25,544	20% above the national average	$21,077	$92,584
Community Regional Medical CenterFresno, CA · CCN 050060	32	$25,596	20% above the national average	$20,704	$125,620
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	19	$25,603	20% above the national average	$18,073	$72,344
Methodist Mansfield Medical CenterMansfield, TX · CCN 670023	17	$25,734	21% above the national average	$12,720	$102,790
Temple University HospitalPhiladelphia, PA · CCN 390027	41	$25,768	21% above the national average	$21,278	$172,006
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	46	$25,787	21% above the national average	$14,478	$61,744
Saint Francis Medical CenterLynwood, CA · CCN 050104	21	$25,823	21% above the national average	$25,046	$163,255
Staten Island University HospitalStaten Island, NY · CCN 330160	55	$25,837	21% above the national average	$22,097	$130,386
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	13	$25,929	22% above the national average	$21,142	$71,279
Hartford HospitalHartford, CT · CCN 070025	54	$25,996	22% above the national average	$20,501	$104,164
George Washington University HospitalWashington, DC · CCN 090001	16	$25,999	22% above the national average	$21,363	$232,619
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	19	$26,035	22% above the national average	$20,786	$72,244
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 130007	14	$26,192	23% above the national average	$12,435	$78,566
Mount Sinai WestNew York, NY · CCN 330046	25	$26,208	23% above the national average	$23,047	$186,780
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	24	$26,319	23% above the national average	$20,405	$71,093
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	31	$26,340	24% above the national average	$22,710	$201,120
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	24	$26,341	24% above the national average	$19,801	$97,229
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	14	$26,343	24% above the national average	$25,437	$133,385
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	17	$26,474	24% above the national average	$25,418	$237,334
Duke University HospitalDurham, NC · CCN 340030	73	$26,485	24% above the national average	$18,306	$67,410
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	22	$26,512	24% above the national average	$21,006	$203,026
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	43	$26,515	24% above the national average	$20,679	$208,429
North Shore University HospitalManhasset, NY · CCN 330106	112	$26,528	24% above the national average	$21,256	$191,879
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	15	$26,554	25% above the national average	$25,683	$118,820
University Of Alabama HospitalBirmingham, AL · CCN 010033	39	$26,555	25% above the national average	$15,035	$93,901
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	20	$26,660	25% above the national average	$16,750	$98,066
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	22	$26,751	25% above the national average	$25,073	$165,749
Uci Health - Fountain ValleyFountain Valley, CA · CCN 050570	19	$26,902	26% above the national average	$25,006	$304,386
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	74	$26,961	26% above the national average	$21,461	$257,287
Alaska Native Medical CenterAnchorage, AK · CCN 020026	12	$26,963	26% above the national average	$26,283	$72,196
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	20	$27,010	27% above the national average	$24,562	$30,642
Adventist Healthcare White Oak Medical CenterSilver Spring, MD · CCN 210016	22	$27,012	27% above the national average	$21,703	$29,673
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	21	$27,077	27% above the national average	$25,050	$118,347
Piedmont Hospital, IncAtlanta, GA · CCN 110083	50	$27,115	27% above the national average	$15,656	$106,151
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	16	$27,124	27% above the national average	$26,104	$69,673
Johns Hopkins Bayview Medical CenterBaltimore, MD · CCN 210029	24	$27,186	27% above the national average	$26,302	$31,168
Henry Ford Health HospitalDetroit, MI · CCN 230053	32	$27,227	28% above the national average	$19,491	$51,052
OHSU Hospital And ClinicsPortland, OR · CCN 380009	28	$27,468	29% above the national average	$21,764	$85,096
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	23	$27,589	29% above the national average	$25,537	$138,853
Loyola University Medical CenterMaywood, IL · CCN 140276	30	$27,620	30% above the national average	$20,592	$74,709

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 32,164 stays at 1,159 hospitals · 2021: 27,459 stays at 1,070 hospitals · 2022: 26,128 stays at 1,055 hospitals · 2023: 25,782 stays at 1,011 hospitals · 2024: 25,543 stays at 1,000 hospitals

View data as a table

National average payment and billed charge for Other circulatory system diagnoses with MCC
Year of care	Average payment	Average billed charge
2020	$18K	$78K
2021	$20K	$84K
2022	$20K	$90K
2023	$21K	$95K
2024	$21K	$99K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 51 states

Average payment by state for Other circulatory system diagnoses with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Arkansas	13	257	$15,086	$13,513–$14,969
Louisiana	14	291	$15,438	$13,638–$15,748
Mississippi	11	285	$15,952	$13,752–$17,184
Kentucky	13	357	$16,205	$14,193–$16,536
Montana	5	70	$16,641	$16,259–$16,910
Alabama	14	282	$16,957	$14,472–$16,921
Iowa	7	152	$16,970	$14,047–$16,846
Oklahoma	12	322	$17,222	$14,020–$17,105
Idaho	4	69	$17,409	$14,963–$18,598
Florida	74	2,037	$17,460	$14,507–$17,236
Tennessee	22	656	$17,544	$14,003–$16,178
Indiana	21	442	$17,671	$14,811–$17,827
South Dakota	3	70	$18,146	$16,584–$19,167
North Dakota	3	74	$18,196	$17,516–$19,777
Texas	78	1,779	$18,321	$15,150–$18,838
Kansas	7	178	$18,498	$15,336–$19,187
Ohio	35	893	$18,661	$15,522–$18,148
New Mexico	5	114	$18,676	$16,162–$22,151
Colorado	8	187	$18,761	$15,252–$20,521
Missouri	22	503	$18,858	$14,525–$19,217
Vermont	2	46	$19,109	$12,246–$19,261
Utah	7	158	$19,360	$16,470–$19,937
South Carolina	16	407	$19,366	$16,268–$19,581
Nebraska	5	111	$19,413	$17,658–$19,508
Virginia	29	740	$19,420	$15,458–$18,971
Nevada	11	252	$19,551	$18,487–$19,828
New Hampshire	6	106	$19,733	$15,603–$15,980
Delaware	4	132	$19,769	$16,702–$20,097
Arizona	18	458	$20,257	$15,257–$23,058
Michigan	27	676	$20,431	$16,775–$19,648
Illinois	47	1,249	$20,437	$15,172–$20,556
West Virginia	6	129	$20,445	$14,469–$23,876
Wyoming	2	39	$20,561	$20,342–$22,239
Washington	23	464	$20,684	$17,878–$20,606
Pennsylvania	48	1,208	$21,032	$15,309–$21,770
Georgia	29	734	$21,113	$16,201–$21,198
New Jersey	37	906	$21,304	$16,956–$22,717
North Carolina	22	670	$21,354	$16,235–$18,517
Oregon	8	186	$21,793	$20,362–$22,962
Wisconsin	12	347	$22,171	$17,591–$21,769
Maine	3	68	$22,244	$20,282–$23,583
Minnesota	12	442	$22,648	$17,289–$22,891
Alaska	4	77	$23,472	$21,589–$26,656
Rhode Island	3	59	$24,044	$20,190–$24,680
Massachusetts	25	906	$24,068	$17,754–$24,341
Hawaii	2	31	$24,854	$24,635–$25,003
Connecticut	11	261	$25,274	$19,729–$27,764
California	119	2,868	$26,833	$20,616–$25,470
New York	57	1,913	$26,852	$19,562–$29,426
District of Columbia	4	132	$27,142	$23,865–$28,595
Maryland	30	750	$31,712	$23,100–$33,881

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.