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 1,001–1,050. 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
Jackson Health SystemMiami, FL · CCN 100022	42	$21,712	55% above the national average	$18,909	$66,494
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	13	$21,742	55% above the national average	$19,531	$154,643
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	28	$21,800	55% above the national average	$11,622	$67,217
Jersey City Medical CenterJersey City, NJ · CCN 310074	12	$21,956	56% above the national average	$18,331	$130,138
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	19	$22,216	58% above the national average	$20,891	$216,641
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	11	$22,387	59% above the national average	$15,350	$65,628
Suburban HospitalBethesda, MD · CCN 210022	21	$22,424	60% above the national average	$20,873	$24,991
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	18	$22,448	60% above the national average	$9,573	$86,580
Massachusetts General HospitalBoston, MA · CCN 220071	40	$22,640	61% above the national average	$15,626	$109,430
Maimonides Medical CenterBrooklyn, NY · CCN 330194	34	$22,642	61% above the national average	$18,071	$104,284
Montefiore Medical CenterBronx, NY · CCN 330059	71	$22,674	62% above the national average	$16,334	$158,480
Holy Cross HospitalSilver Spring, MD · CCN 210004	17	$22,695	62% above the national average	$21,735	$25,283
Nyu Langone HospitalsNew York, NY · CCN 330214	96	$22,704	62% above the national average	$15,482	$131,252
Bronxcare Hospital CenterBronx, NY · CCN 330009	11	$22,725	62% above the national average	$20,413	$33,062
Mount Sinai WestNew York, NY · CCN 330046	31	$22,873	63% above the national average	$18,886	$148,010
Uci Health-OrangeOrange, CA · CCN 050348	14	$22,892	63% above the national average	$18,727	$86,618
South Brooklyn HealthBrooklyn, NY · CCN 330196	23	$22,893	63% above the national average	$19,727	$56,929
MedStar Georgetown University HospitalWashington, DC · CCN 090004	21	$23,096	65% above the national average	$15,673	$102,290
New York-Presbyterian/QueensFlushing, NY · CCN 330055	23	$23,420	67% above the national average	$16,782	$136,366
St Catherine Of Siena HospitalSmithtown, NY · CCN 330401	14	$23,483	67% above the national average	$19,957	$150,818
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 330233	23	$23,515	68% above the national average	$19,224	$55,019
Northwest Hospital CenterRandallstown, MD · CCN 210040	19	$23,684	69% above the national average	$21,262	$26,516
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	15	$23,837	70% above the national average	$13,671	$137,434
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038	16	$24,043	71% above the national average	$21,836	$122,462
University Of Maryland Shore Medical Center At EastonEaston, MD · CCN 210037	25	$24,316	73% above the national average	$23,353	$27,207
Cleveland ClinicCleveland, OH · CCN 360180	21	$24,468	74% above the national average	$18,102	$110,231
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	19	$24,499	75% above the national average	$22,134	$26,065
University Of Maryland Capital Region Medical CenterUpper Marlboro, MD · CCN 210003	14	$24,593	75% above the national average	$22,749	$25,582
Mount Sinai HospitalNew York, NY · CCN 330024	38	$24,611	75% above the national average	$18,531	$106,448
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	11	$25,110	79% above the national average	$17,680	$80,951
Confluence Health HospitalWenatchee, WA · CCN 500016	14	$25,223	80% above the national average	$22,392	$112,850
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	18	$25,492	82% above the national average	$16,435	$79,472
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	12	$25,741	83% above the national average	$18,417	$163,157
George Washington University HospitalWashington, DC · CCN 090001	20	$25,903	85% above the national average	$16,765	$192,785
Stanford Health CareStanford, CA · CCN 050441	33	$26,262	87% above the national average	$22,040	$262,411
UCSF Medical CenterSan Francisco, CA · CCN 050454	19	$26,456	88% above the national average	$20,727	$151,019
The University HospitalNewark, NJ · CCN 310119	16	$26,716	90% above the national average	$22,989	$109,185
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	38	$27,045	93% above the national average	$20,083	$153,563
Adventist Healthcare White Oak Medical CenterSilver Spring, MD · CCN 210016	13	$28,145	101% above the national average	$27,267	$31,407
University Health SystemSan Antonio, TX · CCN 450213	16	$28,765	105% above the national average	$21,471	$63,798
UMD Upper Chesapeake Medical CenterBel Air, MD · CCN 210049	16	$29,069	107% above the national average	$23,864	$31,750
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 050228	12	$29,458	110% above the national average	$27,367	$158,051
Grady Memorial HospitalAtlanta, GA · CCN 110079	31	$30,088	114% above the national average	$21,956	$122,637
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	15	$30,266	116% above the national average	$21,471	$113,599
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	27	$30,520	117% above the national average	$11,560	$93,703
University Of California Davis Medical CenterSacramento, CA · CCN 050599	24	$30,625	118% above the national average	$20,915	$157,786
Boston Medical CenterBoston, MA · CCN 220031	16	$30,715	119% above the national average	$22,663	$69,903
Sinai Hospital Of BaltimoreBaltimore, MD · CCN 210012	16	$31,643	125% above the national average	$29,135	$35,783
Lincoln Medical & Mental Health CenterBronx, NY · CCN 330080	13	$32,168	129% above the national average	$29,838	$31,428
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	16	$32,678	133% above the national average	$27,077	$78,622

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.