Inpatient stay · MS-DRG 552

Medical back problems without MCC

In 2024, Medicare and patients paid an average of $9,373 per stay at 1,284 hospitals. Half of hospitals averaged between $7,503 and $10,232.

National figures, 2024

Average payment per case: $9,373
Typical range (middle half of hospitals): $7,503–$10,232
Medicare’s share: $7,11476% of the payment
Average billed charge: $50,120
Hospitals reporting: 1,28443,981 stays

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1,284 hospitals reported at least 11 Medicare stays for this in 2024; showing 1,151–1,200. Download as CSV

Medicare payments per case for Medical back problems without MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	17	$12,178	30% above the national average	$8,030	$107,710
Northside HospitalAtlanta, GA · CCN 110161	22	$12,221	30% above the national average	$9,823	$54,014
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	46	$12,222	30% above the national average	$7,141	$31,687
North Shore University HospitalManhasset, NY · CCN 330106	149	$12,222	30% above the national average	$8,478	$84,974
California Pacific Medical Center - Mission BernalSan Francisco, CA · CCN 050055	19	$12,231	30% above the national average	$10,656	$46,626
HCA Florida Kendall HospitalMiami, FL · CCN 100209	32	$12,239	31% above the national average	$9,115	$122,242
Regional Medical Center Of San JoseSan Jose, CA · CCN 050125	29	$12,253	31% above the national average	$10,677	$182,425
MedStar Montgomery Medical CenterOlney, MD · CCN 210018	34	$12,306	31% above the national average	$10,962	$13,880
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 330184	15	$12,341	32% above the national average	$8,999	$52,701
Ventura County Medical CenterVentura, CA · CCN 050159	27	$12,358	32% above the national average	$9,928	$93,968
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	29	$12,374	32% above the national average	$8,509	$35,420
Good Samaritan HospitalSan Jose, CA · CCN 050380	39	$12,404	32% above the national average	$8,238	$183,669
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	62	$12,434	33% above the national average	$8,268	$42,154
MedStar Harbor HospitalBaltimore, MD · CCN 210034	23	$12,437	33% above the national average	$11,302	$13,905
Baylor University Medical CenterDallas, TX · CCN 450021	55	$12,447	33% above the national average	$9,155	$48,754
Hilo Benioff Medical CenterHilo, HI · CCN 120005	11	$12,452	33% above the national average	$9,005	$23,490
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	58	$12,463	33% above the national average	$7,928	$42,880
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	28	$12,478	33% above the national average	$11,312	$45,162
HCA Houston Healthcare NorthwestHouston, TX · CCN 450638	14	$12,478	33% above the national average	$10,674	$156,440
MedStar Franklin Square Medical CenterRosedale, MD · CCN 210015	50	$12,481	33% above the national average	$10,547	$13,942
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	26	$12,490	33% above the national average	$8,864	$46,759
Prisma Health BaptistColumbia, SC · CCN 420086	11	$12,499	33% above the national average	$5,482	$32,947
Massachusetts General HospitalBoston, MA · CCN 220071	45	$12,510	33% above the national average	$9,199	$51,627
Doctors Medical CenterModesto, CA · CCN 050464	26	$12,620	35% above the national average	$8,303	$171,366
Brigham And Women's HospitalBoston, MA · CCN 220110	60	$12,645	35% above the national average	$9,338	$50,102
New York-Presbyterian/QueensFlushing, NY · CCN 330055	49	$12,648	35% above the national average	$9,160	$65,183
Adventist Health White MemorialLos Angeles, CA · CCN 050103	12	$12,680	35% above the national average	$10,908	$111,549
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	22	$12,728	36% above the national average	$8,833	$83,537
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	80	$12,766	36% above the national average	$9,790	$38,799
Shands JacksonvilleJacksonville, FL · CCN 100001	44	$12,783	36% above the national average	$10,139	$62,756
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	46	$12,821	37% above the national average	$8,017	$39,076
MacNeal HospitalBerwyn, IL · CCN 140054	13	$12,925	38% above the national average	$7,268	$57,541
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	20	$12,936	38% above the national average	$10,881	$73,680
Richmond University Medical CenterStaten Island, NY · CCN 330028	19	$12,963	38% above the national average	$10,330	$71,693
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	149	$12,972	38% above the national average	$9,805	$83,629
University Medical CenterLubbock, TX · CCN 450686	23	$12,985	39% above the national average	$10,382	$65,255
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	18	$12,987	39% above the national average	$10,423	$110,697
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	27	$13,048	39% above the national average	$9,438	$51,079
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	53	$13,094	40% above the national average	$9,550	$24,642
MUSC Medical CenterCharleston, SC · CCN 420004	17	$13,153	40% above the national average	$7,948	$32,426
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	17	$13,155	40% above the national average	$9,391	$40,673
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	48	$13,168	40% above the national average	$8,991	$183,165
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	43	$13,186	41% above the national average	$8,217	$63,095
Maimonides Medical CenterBrooklyn, NY · CCN 330194	39	$13,188	41% above the national average	$10,156	$51,161
UNM HospitalAlbuquerque, NM · CCN 320001	17	$13,231	41% above the national average	$9,047	$30,919
Holy Cross HospitalSilver Spring, MD · CCN 210004	31	$13,236	41% above the national average	$10,794	$13,515
Natividad Medical CenterSalinas, CA · CCN 050248	18	$13,263	41% above the national average	$11,581	$76,272
Riverside Community HospitalRiverside, CA · CCN 050022	43	$13,264	42% above the national average	$10,005	$122,404
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	43	$13,287	42% above the national average	$10,556	$54,094
Scripps Green HospitalLa Jolla, CA · CCN 050424	24	$13,298	42% above the national average	$8,972	$37,229

National trend

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

Average payment
Average billed charge

2020: 33,867 stays at 1,109 hospitals · 2021: 35,951 stays at 1,145 hospitals · 2022: 35,321 stays at 1,101 hospitals · 2023: 40,385 stays at 1,209 hospitals · 2024: 43,981 stays at 1,284 hospitals

View data as a table

National average payment and billed charge for Medical back problems without MCC
Year of care	Average payment	Average billed charge
2020	$7,959	$40K
2021	$8,469	$42K
2022	$8,599	$46K
2023	$9,001	$47K
2024	$9,373	$50K

By state, 2024

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

Show all 51 states

Average payment by state for Medical back problems without MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Arkansas	15	261	$7,198	$6,678–$7,444
Mississippi	11	276	$7,405	$6,803–$7,590
Iowa	15	446	$7,532	$6,781–$7,579
Kentucky	15	492	$7,648	$6,929–$8,342
Louisiana	13	336	$7,658	$6,700–$8,419
Montana	7	116	$7,819	$7,463–$8,038
Kansas	12	567	$7,955	$6,873–$8,028
Missouri	29	1,091	$8,204	$6,742–$8,237
Ohio	57	1,814	$8,251	$6,870–$8,914
West Virginia	11	300	$8,257	$7,136–$8,707
Florida	116	4,956	$8,304	$7,218–$8,890
Indiana	28	897	$8,318	$7,290–$8,346
Oklahoma	10	338	$8,356	$7,349–$8,414
Colorado	20	466	$8,431	$7,705–$8,631
North Dakota	4	142	$8,473	$7,531–$8,811
Virginia	31	1,194	$8,487	$7,330–$8,464
South Carolina	24	662	$8,491	$7,159–$9,243
New Hampshire	10	295	$8,537	$7,584–$8,830
Pennsylvania	76	2,748	$8,592	$7,084–$9,175
Alabama	19	509	$8,643	$6,976–$8,231
Nebraska	10	322	$8,645	$7,478–$9,172
Michigan	42	1,528	$8,667	$7,911–$9,393
Vermont	1	31	$8,707	$8,707–$8,707
Arizona	22	739	$8,733	$7,413–$9,673
Maine	3	77	$8,744	$8,167–$8,915
Wisconsin	18	484	$8,798	$7,216–$8,732
Minnesota	19	694	$8,895	$7,403–$8,898
Tennessee	26	808	$8,900	$7,224–$8,825
New Mexico	5	81	$8,952	$7,482–$10,259
Idaho	4	103	$8,953	$8,893–$9,256
Texas	83	2,642	$8,978	$7,716–$9,435
Utah	8	208	$9,079	$7,160–$9,467
South Dakota	4	139	$9,101	$8,076–$9,558
North Carolina	28	943	$9,102	$7,366–$9,191
Delaware	3	218	$9,137	$8,735–$10,572
Washington	23	508	$9,217	$8,203–$9,655
Illinois	62	2,172	$9,297	$7,563–$9,486
Nevada	13	468	$9,378	$8,495–$9,931
Massachusetts	38	1,673	$9,466	$7,936–$10,530
Rhode Island	3	83	$9,631	$8,335–$10,319
Alaska	2	54	$9,673	$9,059–$10,063
New Jersey	48	1,949	$9,831	$8,208–$10,725
Wyoming	2	38	$9,868	$9,383–$10,184
Oregon	10	243	$10,385	$9,789–$11,180
District of Columbia	4	106	$10,417	$10,203–$12,526
Georgia	34	1,003	$10,614	$7,765–$10,284
Connecticut	15	412	$10,795	$9,404–$10,640
California	126	4,008	$11,463	$9,954–$12,124
New York	72	3,118	$12,009	$9,136–$13,026
Maryland	30	1,161	$12,869	$10,118–$15,578
Hawaii	3	62	$12,935	$12,011–$15,135

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.