Inpatient stay · MS-DRG 637
Diabetes with MCC
In 2024, Medicare and patients paid an average of $14,037 per stay at 1,057 hospitals. Half of hospitals averaged between $11,078 and $15,136.
National figures, 2024
- Average payment per case
- $14,037
- Typical range (middle half of hospitals)
- $11,078–$15,136
- Medicare’s share
- $11,464
- Average billed charge
- $69,906
- Hospitals reporting
- 1,057
Compare hospitals
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
1,057 hospitals reported at least 11 Medicare stays for this in 2024; showing 801–850. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Sentara Norfolk General Hospital | 14 | $15,223 | About average | $10,187 | $46,643 |
| Merrimack Health Lawrence Hospital | 13 | $15,244 | About average | $10,436 | $22,791 |
| Cheyenne Regional Medical Center | 25 | $15,261 | About average | $14,551 | $49,342 |
| The University Of Vermont Health Network - Champl | 14 | $15,267 | About average | $14,211 | $55,772 |
| Adventist Health Lodi Memorial | 13 | $15,277 | About average | $14,147 | $208,456 |
| El Camino Health | 13 | $15,277 | About average | $14,246 | $124,176 |
| Northridge Hospital Medical Center | 18 | $15,283 | About average | $14,124 | $131,031 |
| Virginia Hospital Center | 13 | $15,315 | About average | $13,610 | $56,387 |
| Wellstar Kennestone Regional Medical Center | 38 | $15,315 | About average | $13,233 | $88,780 |
| Mount Auburn Hospital | 17 | $15,338 | About average | $13,420 | $24,912 |
| Peninsula Medical Center | 12 | $15,368 | About average | $14,226 | $59,296 |
| Kent County Memorial Hospital | 16 | $15,388 | About average | $11,970 | $42,626 |
| The Queens Medical Center | 18 | $15,417 | About average | $13,039 | $72,388 |
| Christus St Vincent Regional Medical Center | 18 | $15,418 | About average | $13,729 | $64,371 |
| Providence Holy Cross Medical Center | 11 | $15,444 | 10% above the national average | $13,889 | $92,550 |
| Tampa General Hospital | 20 | $15,446 | 10% above the national average | $10,719 | $95,508 |
| MemorialCare Long Beach Medical Center | 19 | $15,453 | 10% above the national average | $13,767 | $147,343 |
| Jersey Shore University Medical Center | 33 | $15,497 | 10% above the national average | $13,739 | $121,670 |
| Bayhealth Medical Center, Kent Campus | 26 | $15,513 | 11% above the national average | $11,909 | $55,073 |
| Emanate Health Inter-Community Hospital | 13 | $15,576 | 11% above the national average | $14,700 | $68,906 |
| Centinela Hospital Medical Center | 35 | $15,627 | 11% above the national average | $14,428 | $59,836 |
| Adventist Health And Rideout | 23 | $15,630 | 11% above the national average | $14,566 | $79,538 |
| Highland Hospital | 22 | $15,655 | 12% above the national average | $12,428 | $42,054 |
| Mission Community Hospital | 12 | $15,656 | 12% above the national average | $14,518 | $62,637 |
| Cooper University Hospital | 14 | $15,659 | 12% above the national average | $12,850 | $87,134 |
| Garden Grove Hospital & Medical Center | 18 | $15,698 | 12% above the national average | $12,719 | $42,316 |
| Antelope Valley Hospital | 16 | $15,701 | 12% above the national average | $14,767 | $87,598 |
| Sierra View Medical Center | 11 | $15,702 | 12% above the national average | $13,754 | $33,994 |
| Sacred Heart Medical Center - Riverbend | 12 | $15,729 | 12% above the national average | $10,066 | $49,816 |
| Bridgeport Hospital | 33 | $15,773 | 12% above the national average | $13,139 | $47,425 |
| Hackensack University Medical Center | 21 | $15,787 | 12% above the national average | $12,021 | $92,986 |
| Baylor University Medical Center | 30 | $15,793 | 13% above the national average | $10,250 | $48,966 |
| Rochester General Hospital | 26 | $15,798 | 13% above the national average | $13,304 | $41,409 |
| University Of Mississippi Medical Center | 21 | $15,810 | 13% above the national average | $12,968 | $43,875 |
| Grant Medical Center | 24 | $15,833 | 13% above the national average | $14,129 | $69,058 |
| Sutter Roseville Medical Center | 22 | $15,845 | 13% above the national average | $13,150 | $85,584 |
| Waterbury Hospital | 21 | $15,847 | 13% above the national average | $12,875 | $77,632 |
| Lahey Hospital & Medical Center, Burlington | 34 | $15,858 | 13% above the national average | $12,954 | $38,400 |
| Doctors Medical Center | 19 | $15,879 | 13% above the national average | $13,077 | $201,750 |
| Hartford Hospital | 39 | $15,903 | 13% above the national average | $12,820 | $61,352 |
| MedStar Southern Maryland Hospital Center | 22 | $15,941 | 14% above the national average | $12,845 | $17,339 |
| Inova Fairfax Hospital | 44 | $15,949 | 14% above the national average | $11,813 | $44,418 |
| West Anaheim Medical Center | 19 | $15,957 | 14% above the national average | $13,623 | $50,466 |
| Hemet Global Medical Center | 16 | $15,957 | 14% above the national average | $13,691 | $72,250 |
| Bay Area Hospital | 22 | $15,965 | 14% above the national average | $14,821 | $53,009 |
| Providence Queen Of The Valley Medical Center | 13 | $15,980 | 14% above the national average | $14,737 | $150,768 |
| Providence St Joseph Hospital | 15 | $15,999 | 14% above the national average | $13,785 | $102,986 |
| Alta Bates Summit Medical Center | 12 | $16,018 | 14% above the national average | $14,739 | $60,467 |
| Sutter Delta Medical Center | 11 | $16,018 | 14% above the national average | $14,831 | $67,577 |
| Good Samaritan Hospital | 12 | $16,019 | 14% above the national average | $14,931 | $222,144 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $12K | $52K |
| 2021 | $13K | $57K |
| 2022 | $13K | $61K |
| 2023 | $13K | $65K |
| 2024 | $14K | $70K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 51 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Arkansas | 13 | 258 | $10,387 | $9,458–$10,836 |
| Louisiana | 10 | 178 | $10,710 | $9,580–$11,663 |
| Mississippi | 13 | 278 | $10,806 | $10,109–$10,823 |
| Kentucky | 10 | 199 | $10,945 | $10,003–$11,861 |
| Montana | 3 | 34 | $11,321 | $11,022–$11,535 |
| Indiana | 21 | 361 | $11,409 | $10,606–$11,610 |
| Oklahoma | 14 | 312 | $11,469 | $10,073–$11,627 |
| Iowa | 6 | 103 | $11,476 | $10,164–$12,000 |
| Kansas | 11 | 179 | $11,490 | $10,779–$11,932 |
| Tennessee | 25 | 498 | $11,516 | $10,157–$11,554 |
| Alabama | 15 | 247 | $11,575 | $9,751–$11,695 |
| Vermont | 2 | 30 | $11,641 | $11,407–$11,741 |
| West Virginia | 10 | 144 | $11,699 | $9,978–$11,983 |
| Idaho | 2 | 40 | $12,030 | $11,633–$12,515 |
| Florida | 92 | 1,974 | $12,129 | $10,485–$12,418 |
| South Carolina | 18 | 355 | $12,173 | $9,739–$13,088 |
| Colorado | 9 | 155 | $12,389 | $11,201–$12,409 |
| Texas | 85 | 1,703 | $12,396 | $10,830–$13,072 |
| Arizona | 15 | 238 | $12,493 | $10,998–$12,645 |
| South Dakota | 3 | 56 | $12,583 | $12,031–$12,919 |
| Nebraska | 5 | 71 | $12,603 | $10,651–$14,378 |
| Missouri | 23 | 443 | $12,672 | $10,724–$12,417 |
| Ohio | 39 | 689 | $12,772 | $10,438–$13,416 |
| North Dakota | 1 | 12 | $12,795 | $12,795–$12,795 |
| North Carolina | 28 | 613 | $12,903 | $11,227–$12,924 |
| Michigan | 35 | 657 | $12,973 | $11,582–$13,401 |
| Illinois | 49 | 936 | $13,016 | $11,444–$13,527 |
| Virginia | 32 | 646 | $13,061 | $10,708–$13,141 |
| Nevada | 13 | 300 | $13,117 | $11,934–$13,620 |
| Pennsylvania | 40 | 768 | $13,208 | $11,398–$14,335 |
| New Hampshire | 6 | 103 | $13,372 | $11,251–$13,227 |
| Delaware | 4 | 123 | $13,436 | $12,316–$13,765 |
| Wisconsin | 11 | 202 | $13,564 | $11,790–$14,027 |
| Utah | 5 | 74 | $13,675 | $12,378–$14,230 |
| New Mexico | 6 | 106 | $13,779 | $11,815–$14,955 |
| Georgia | 40 | 718 | $14,000 | $11,384–$14,904 |
| Washington | 20 | 322 | $14,352 | $12,686–$14,117 |
| New Jersey | 40 | 830 | $14,432 | $12,244–$15,691 |
| Minnesota | 15 | 287 | $14,746 | $11,154–$16,360 |
| Massachusetts | 31 | 814 | $14,848 | $11,650–$16,037 |
| Oregon | 8 | 126 | $15,238 | $14,388–$15,788 |
| Wyoming | 1 | 25 | $15,261 | $15,261–$15,261 |
| Hawaii | 1 | 18 | $15,417 | $15,417–$15,417 |
| Alaska | 2 | 34 | $15,993 | $15,093–$17,132 |
| Rhode Island | 3 | 54 | $16,217 | $15,770–$16,510 |
| California | 119 | 2,205 | $16,938 | $14,697–$17,107 |
| Connecticut | 9 | 222 | $17,178 | $15,103–$16,700 |
| Maine | 2 | 43 | $18,505 | $14,716–$19,439 |
| New York | 61 | 1,452 | $19,844 | $13,878–$22,642 |
| District of Columbia | 4 | 85 | $20,553 | $16,907–$23,798 |
| Maryland | 27 | 539 | $20,965 | $17,443–$24,000 |
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.