Inpatient stay · MS-DRG 551

Medical back problems with MCC

In 2024, Medicare and patients paid an average of $16,215 per stay at 465 hospitals. Half of hospitals averaged between $12,790 and $17,674.

National figures, 2024

Average payment per case: $16,215
Typical range (middle half of hospitals): $12,790–$17,674
Medicare’s share: $13,31082% of the payment
Average billed charge: $86,481
Hospitals reporting: 4658,932 stays

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Year of care

465 hospitals reported at least 11 Medicare stays for this in 2024; showing 401–450. Download as CSV

Medicare payments per case for Medical back problems with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	16	$19,901	23% above the national average	$17,070	$29,330
Sharp Memorial HospitalSan Diego, CA · CCN 050100	17	$20,033	24% above the national average	$15,216	$139,378
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	25	$20,038	24% above the national average	$15,586	$88,068
Tufts Medical CenterBoston, MA · CCN 220116	16	$20,087	24% above the national average	$16,724	$33,125
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	19	$20,316	25% above the national average	$13,642	$55,779
Yale-New Haven HospitalNew Haven, CT · CCN 070022	27	$20,399	26% above the national average	$17,148	$68,816
St Joseph Medical CenterTacoma, WA · CCN 500108	19	$20,444	26% above the national average	$18,886	$152,361
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	32	$20,493	26% above the national average	$17,183	$73,167
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	22	$20,589	27% above the national average	$14,661	$176,574
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	13	$20,597	27% above the national average	$15,604	$88,725
The Hospital Of Central ConnecticutNew Britain, CT · CCN 070035	17	$20,692	28% above the national average	$14,833	$83,858
Trident Medical CenterCharleston, SC · CCN 420079	19	$20,698	28% above the national average	$10,763	$145,905
North Shore University HospitalManhasset, NY · CCN 330106	54	$20,868	29% above the national average	$17,102	$133,212
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	38	$21,077	30% above the national average	$17,187	$110,373
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	14	$21,214	31% above the national average	$13,966	$83,204
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	15	$21,402	32% above the national average	$17,063	$68,107
Duke University HospitalDurham, NC · CCN 340030	26	$21,517	33% above the national average	$14,760	$62,209
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	13	$21,708	34% above the national average	$19,337	$326,610
Massachusetts General HospitalBoston, MA · CCN 220071	31	$21,881	35% above the national average	$17,116	$91,427
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	43	$21,903	35% above the national average	$18,786	$117,265
Advocate Sherman HospitalElgin, IL · CCN 140030	16	$21,985	36% above the national average	$10,027	$61,929
University Of Alabama HospitalBirmingham, AL · CCN 010033	18	$22,003	36% above the national average	$13,513	$107,461
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	52	$22,177	37% above the national average	$18,319	$247,954
Jersey City Medical CenterJersey City, NJ · CCN 310074	12	$22,218	37% above the national average	$19,660	$132,932
Temple University HospitalPhiladelphia, PA · CCN 390027	11	$22,519	39% above the national average	$17,079	$219,616
Strong Memorial HospitalRochester, NY · CCN 330285	19	$22,558	39% above the national average	$15,708	$41,507
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	20	$22,623	40% above the national average	$18,343	$74,504
Mount Sinai Beth IsraelNew York, NY · CCN 330169	12	$22,708	40% above the national average	$18,385	$165,749
Vanderbilt University Medical CenterNashville, TN · CCN 440039	45	$22,723	40% above the national average	$11,851	$94,480
USA Health University HospitalMobile, AL · CCN 010087	13	$23,095	42% above the national average	$13,379	$42,074
Uci Health-OrangeOrange, CA · CCN 050348	14	$23,149	43% above the national average	$20,284	$110,252
Maimonides Medical CenterBrooklyn, NY · CCN 330194	16	$23,257	43% above the national average	$19,278	$72,956
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	30	$23,276	44% above the national average	$11,580	$83,792
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	11	$23,469	45% above the national average	$18,715	$77,439
Harborview Medical CenterSeattle, WA · CCN 500064	15	$23,493	45% above the national average	$20,005	$119,735
Nyu Langone HospitalsNew York, NY · CCN 330214	80	$23,930	48% above the national average	$19,231	$151,109
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	18	$23,934	48% above the national average	$17,498	$165,263
Mount Sinai WestNew York, NY · CCN 330046	42	$24,268	50% above the national average	$19,033	$138,751
Mount Sinai HospitalNew York, NY · CCN 330024	19	$24,392	50% above the national average	$18,919	$98,668
Regional One HealthMemphis, TN · CCN 440152	20	$25,177	55% above the national average	$22,162	$61,442
Dominican HospitalSanta Cruz, CA · CCN 050242	12	$25,340	56% above the national average	$23,844	$266,305
Boston Medical CenterBoston, MA · CCN 220031	12	$25,637	58% above the national average	$22,137	$48,827
New York-Presbyterian HospitalNew York, NY · CCN 330101	72	$25,797	59% above the national average	$18,344	$136,823
Uci Health - Fountain ValleyFountain Valley, CA · CCN 050570	14	$26,101	61% above the national average	$25,238	$290,002
Good Samaritan HospitalSan Jose, CA · CCN 050380	11	$26,312	62% above the national average	$25,125	$390,338
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	12	$26,322	62% above the national average	$24,509	$88,014
Johns Hopkins Bayview Medical CenterBaltimore, MD · CCN 210029	19	$27,096	67% above the national average	$25,936	$30,987
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	23	$27,758	71% above the national average	$19,728	$84,634
Brigham And Women's HospitalBoston, MA · CCN 220110	28	$28,783	78% above the national average	$24,264	$135,697
Westchester Medical CenterValhalla, NY · CCN 330234	20	$30,102	86% above the national average	$18,450	$271,661

National trend

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

Average payment
Average billed charge

2020: 6,052 stays at 336 hospitals · 2021: 6,369 stays at 360 hospitals · 2022: 7,559 stays at 410 hospitals · 2023: 8,452 stays at 450 hospitals · 2024: 8,932 stays at 465 hospitals

View data as a table

National average payment and billed charge for Medical back problems with MCC
Year of care	Average payment	Average billed charge
2020	$14K	$66K
2021	$15K	$73K
2022	$16K	$77K
2023	$16K	$81K
2024	$16K	$86K

By state, 2024

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

Show all 49 states

Average payment by state for Medical back problems with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	12	$6,304	$6,304–$6,304
Arkansas	2	35	$11,548	$11,539–$11,586
Mississippi	3	51	$11,748	$11,409–$11,965
Louisiana	2	25	$12,015	$11,632–$12,639
Colorado	3	58	$12,369	$12,295–$12,436
South Dakota	1	12	$13,041	$13,041–$13,041
Florida	45	929	$13,098	$11,914–$13,853
Oklahoma	5	111	$13,345	$11,732–$13,360
Iowa	5	100	$13,404	$10,770–$12,881
Kansas	6	144	$13,437	$11,902–$13,469
Utah	2	35	$13,468	$12,772–$14,452
Montana	1	13	$13,490	$13,490–$13,490
Texas	34	615	$13,646	$12,066–$15,023
Ohio	16	298	$13,903	$12,122–$15,349
Missouri	12	227	$14,234	$11,587–$15,860
Idaho	1	20	$14,244	$14,244–$14,244
Kentucky	5	84	$14,367	$11,509–$17,394
Michigan	15	241	$14,472	$13,724–$15,146
Virginia	14	260	$14,531	$11,832–$14,313
Indiana	9	182	$14,538	$12,343–$15,080
Arizona	8	130	$14,614	$12,180–$15,299
South Carolina	7	124	$14,733	$12,128–$16,499
North Dakota	2	40	$14,816	$14,455–$15,487
Illinois	21	408	$14,955	$11,896–$16,347
Pennsylvania	23	454	$14,965	$12,898–$16,135
Minnesota	12	210	$15,100	$12,774–$15,284
Nevada	8	146	$15,154	$13,852–$15,899
West Virginia	1	24	$15,415	$15,415–$15,415
Delaware	1	47	$15,914	$15,914–$15,914
Tennessee	13	272	$15,936	$12,583–$16,350
Alabama	5	86	$16,185	$12,075–$22,003
New Hampshire	5	69	$16,342	$12,484–$15,536
Nebraska	3	65	$16,493	$14,956–$18,351
New Jersey	17	313	$16,689	$15,114–$17,967
North Carolina	13	232	$16,801	$12,486–$17,308
New Mexico	1	13	$17,054	$17,054–$17,054
Washington	9	139	$17,107	$13,928–$18,397
Wisconsin	5	93	$17,108	$12,613–$17,503
Maine	1	23	$17,294	$17,294–$17,294
Massachusetts	19	438	$17,340	$13,660–$19,994
Rhode Island	1	14	$17,894	$17,894–$17,894
Connecticut	6	104	$18,607	$17,236–$19,900
Hawaii	1	26	$18,920	$18,920–$18,920
District of Columbia	1	17	$19,114	$19,114–$19,114
Georgia	9	176	$19,572	$13,634–$17,501
New York	30	776	$20,711	$15,418–$22,670
Oregon	2	24	$20,780	$18,009–$23,551
California	50	867	$20,804	$16,698–$22,060
Maryland	9	150	$25,553	$15,998–$34,725

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.