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: $11,46482% of the payment
Average billed charge: $69,906
Hospitals reporting: 1,05720,859 stays

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Year of care

1,057 hospitals reported at least 11 Medicare stays for this in 2024; showing 901–950. Download as CSV

Medicare payments per case for Diabetes with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Methodist Hospital Of SacramentoSacramento, CA · CCN 050590	18	$16,953	21% above the national average	$16,049	$94,358
Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD · CCN 210023	33	$16,962	21% above the national average	$15,826	$18,353
St Mary's General HospitalPassaic, NJ · CCN 310006	11	$16,973	21% above the national average	$15,043	$49,708
Bassett HealthcareCooperstown, NY · CCN 330136	11	$17,005	21% above the national average	$14,586	$41,983
Staten Island University HospitalStaten Island, NY · CCN 330160	30	$17,010	21% above the national average	$14,287	$106,037
Scripps Mercy HospitalSan Diego, CA · CCN 050077	16	$17,102	22% above the national average	$14,037	$70,551
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	18	$17,111	22% above the national average	$14,291	$83,552
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	16	$17,156	22% above the national average	$8,850	$56,427
Indiana University HealthIndianapolis, IN · CCN 150056	19	$17,197	23% above the national average	$12,684	$60,865
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	12	$17,242	23% above the national average	$15,097	$79,738
Berkshire Medical CenterPittsfield, MA · CCN 220046	20	$17,251	23% above the national average	$13,261	$23,247
University Medical CenterLubbock, TX · CCN 450686	16	$17,268	23% above the national average	$14,432	$77,493
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	21	$17,269	23% above the national average	$13,114	$86,442
Riverside Community HospitalRiverside, CA · CCN 050022	18	$17,287	23% above the national average	$15,929	$150,324
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	15	$17,353	24% above the national average	$12,603	$62,592
St Mary Medical CenterLong Beach, CA · CCN 050191	12	$17,363	24% above the national average	$16,150	$92,913
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	24	$17,458	24% above the national average	$11,402	$44,304
O U Medical CenterOklahoma City, OK · CCN 370093	22	$17,474	24% above the national average	$14,741	$114,914
North Shore University HospitalManhasset, NY · CCN 330106	37	$17,476	24% above the national average	$13,883	$136,725
Martin Luther King, Jr. Community HospitalLos Angeles, CA · CCN 050779	17	$17,550	25% above the national average	$16,173	$227,188
Brigham And Women's HospitalBoston, MA · CCN 220110	26	$17,554	25% above the national average	$14,448	$75,771
Overlook Medical CenterSummit, NJ · CCN 310051	19	$17,567	25% above the national average	$10,792	$83,360
University Of Toledo Medical CenterToledo, OH · CCN 360048	18	$17,594	25% above the national average	$10,898	$93,151
Shands JacksonvilleJacksonville, FL · CCN 100001	22	$17,625	26% above the national average	$14,844	$71,185
Nazareth HospitalPhiladelphia, PA · CCN 390204	12	$17,668	26% above the national average	$10,722	$50,964
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	36	$17,733	26% above the national average	$11,315	$57,432
Memorial Hospital WestPembroke Pines, FL · CCN 100281	17	$17,777	27% above the national average	$15,815	$169,652
Sutter Solano Medical CenterVallejo, CA · CCN 050101	12	$17,888	27% above the national average	$17,344	$96,788
MedStar Franklin Square Medical CenterRosedale, MD · CCN 210015	34	$17,924	28% above the national average	$16,138	$20,129
Vanderbilt University Medical CenterNashville, TN · CCN 440039	16	$17,988	28% above the national average	$11,317	$66,855
Research Medical CenterKansas City, MO · CCN 260027	11	$18,009	28% above the national average	$14,861	$183,633
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	18	$18,034	28% above the national average	$8,713	$53,194
Rush University Medical CenterChicago, IL · CCN 140119	18	$18,056	29% above the national average	$14,746	$42,361
Flushing Hospital Medical CenterFlushing, NY · CCN 330193	16	$18,064	29% above the national average	$14,989	$31,715
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	24	$18,081	29% above the national average	$16,117	$112,648
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	23	$18,136	29% above the national average	$12,486	$59,455
Mat-Su Regional Medical CenterPalmer, AK · CCN 020006	16	$18,151	29% above the national average	$16,901	$90,439
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	14	$18,158	29% above the national average	$12,628	$88,357
MUSC Medical CenterCharleston, SC · CCN 420004	38	$18,177	29% above the national average	$11,597	$52,031
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	21	$18,190	30% above the national average	$14,496	$50,197
University Of Alabama HospitalBirmingham, AL · CCN 010033	25	$18,193	30% above the national average	$10,999	$74,106
Wyckoff Heights Medical CenterBrooklyn, NY · CCN 330221	19	$18,224	30% above the national average	$15,384	$41,058
Providence St Vincent Medical CenterPortland, OR · CCN 380004	16	$18,326	31% above the national average	$8,879	$39,520
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	12	$18,393	31% above the national average	$13,905	$160,682
Duke University HospitalDurham, NC · CCN 340030	17	$18,405	31% above the national average	$11,846	$34,601
Saratoga HospitalSaratoga Springs, NY · CCN 330222	12	$18,504	32% above the national average	$8,103	$74,079
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	25	$18,528	32% above the national average	$17,069	$130,024
Adventist Health White MemorialLos Angeles, CA · CCN 050103	15	$18,553	32% above the national average	$16,537	$183,796
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	24	$18,596	32% above the national average	$11,215	$44,875
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	13	$18,722	33% above the national average	$11,377	$184,105

National trend

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

Average payment
Average billed charge

2020: 25,245 stays at 1,180 hospitals · 2021: 23,396 stays at 1,131 hospitals · 2022: 23,255 stays at 1,129 hospitals · 2023: 21,445 stays at 1,077 hospitals · 2024: 20,859 stays at 1,057 hospitals

View data as a table

National average payment and billed charge for Diabetes with MCC
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

Average payment by state for Diabetes with MCC, 2024
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.