Inpatient stay · MS-DRG 981 · Surgery or procedure

Extensive O.R. procedures unrelated to principal diagnosis with MCC

In 2024, Medicare and patients paid an average of $47,051 per stay at 680 hospitals. Half of hospitals averaged between $34,585 and $51,168.

National figures, 2024

Average payment per case: $47,051
Typical range (middle half of hospitals): $34,585–$51,168
Medicare’s share: $40,27786% of the payment
Average billed charge: $226,646
Hospitals reporting: 68014,959 stays

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680 hospitals reported at least 11 Medicare stays for this in 2024; showing 501–550. Download as CSV

Medicare payments per case for Extensive O.R. procedures unrelated to principal diagnosis with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Providence St. Joseph HospitalOrange, CA · CCN 050069	12	$50,215	About average	$36,476	$206,239
Vanderbilt University Medical CenterNashville, TN · CCN 440039	33	$50,264	About average	$30,677	$207,014
Cooper University HospitalCamden, NJ · CCN 310014	24	$50,334	About average	$40,626	$327,366
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	13	$50,344	About average	$34,626	$210,925
University Of Kansas HospitalKansas City, KS · CCN 170040	53	$50,499	About average	$41,831	$305,438
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	17	$50,831	About average	$49,452	$472,120
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	30	$50,881	About average	$40,797	$171,605
MedStar Washington Hospital CenterWashington, DC · CCN 090011	45	$50,958	About average	$46,214	$207,426
Scripps Mercy HospitalSan Diego, CA · CCN 050077	13	$51,007	About average	$48,458	$269,697
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	16	$51,157	About average	$47,450	$300,151
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	21	$51,203	About average	$49,032	$240,363
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	20	$51,312	About average	$49,700	$355,001
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	12	$51,395	About average	$49,087	$541,878
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	13	$51,480	About average	$36,510	$174,856
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	42	$51,581	About average	$42,677	$508,555
Geisinger Medical CenterDanville, PA · CCN 390006	26	$51,595	About average	$35,155	$297,845
UMD Upper Chesapeake Medical CenterBel Air, MD · CCN 210049	11	$51,609	About average	$50,576	$58,518
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	15	$51,695	About average	$34,312	$269,453
Hartford HospitalHartford, CT · CCN 070025	41	$51,766	10% above the national average	$36,892	$182,903
University Medical CenterLas Vegas, NV · CCN 290007	13	$51,893	10% above the national average	$37,559	$279,269
Tri-City Medical CenterOceanside, CA · CCN 050128	13	$51,922	10% above the national average	$48,093	$297,469
Broward Health Medical CenterFort Lauderdale, FL · CCN 100039	11	$51,945	10% above the national average	$31,968	$304,363
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	25	$52,048	11% above the national average	$38,471	$233,870
Inova Fairfax HospitalFalls Church, VA · CCN 490063	46	$52,058	11% above the national average	$33,754	$128,780
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	38	$52,065	11% above the national average	$43,560	$191,304
Saint Agnes Medical CenterFresno, CA · CCN 050093	19	$52,160	11% above the national average	$44,241	$220,045
Grossmont HospitalLa Mesa, CA · CCN 050026	13	$52,310	11% above the national average	$49,174	$447,718
O U Medical CenterOklahoma City, OK · CCN 370093	23	$52,709	12% above the national average	$47,627	$438,461
Virginia Mason Medical CenterSeattle, WA · CCN 500005	26	$52,811	12% above the national average	$46,314	$189,077
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	12	$52,826	12% above the national average	$41,315	$135,600
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	13	$53,073	13% above the national average	$52,194	$354,113
Kaleida HealthBuffalo, NY · CCN 330005	29	$53,228	13% above the national average	$47,575	$163,157
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	16	$53,295	13% above the national average	$51,969	$452,340
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	14	$53,547	14% above the national average	$45,063	$200,823
El Camino HealthMountain View, CA · CCN 050308	20	$53,582	14% above the national average	$52,541	$392,638
Bridgeport HospitalBridgeport, CT · CCN 070010	23	$53,626	14% above the national average	$50,457	$152,491
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	11	$53,711	14% above the national average	$50,465	$526,044
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	11	$53,729	14% above the national average	$33,217	$255,493
MedStar Good Samaritan HospitalBaltimore, MD · CCN 210056	18	$53,814	14% above the national average	$50,701	$60,722
Albany Medical Center HospitalAlbany, NY · CCN 330013	35	$53,871	14% above the national average	$46,753	$155,309
White Plains Hospital CenterWhite Plains, NY · CCN 330304	20	$53,871	14% above the national average	$35,638	$185,823
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	17	$53,925	15% above the national average	$50,160	$402,369
Christiana HospitalNewark, DE · CCN 080001	53	$53,936	15% above the national average	$44,566	$181,724
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	42	$54,076	15% above the national average	$37,190	$247,219
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	31	$54,085	15% above the national average	$30,320	$196,917
Mayo ClinicJacksonville, FL · CCN 100151	40	$54,205	15% above the national average	$41,599	$175,928
Lenox Hill HospitalNew York, NY · CCN 330119	21	$54,249	15% above the national average	$49,647	$253,938
OSF Little Company Of Mary Medical CenterEvergreen Park, IL · CCN 140179	11	$54,299	15% above the national average	$30,579	$116,871
UF Health Shands HospitalGainesville, FL · CCN 100113	39	$54,488	16% above the national average	$48,577	$247,110
Jackson Health SystemMiami, FL · CCN 100022	22	$54,684	16% above the national average	$48,497	$197,819

National trend

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

Average payment
Average billed charge

2020: 19,469 stays at 826 hospitals · 2021: 17,914 stays at 791 hospitals · 2022: 16,029 stays at 735 hospitals · 2023: 15,028 stays at 692 hospitals · 2024: 14,959 stays at 680 hospitals

View data as a table

National average payment and billed charge for Extensive O.R. procedures unrelated to principal diagnosis with MCC
Year of care	Average payment	Average billed charge
2020	$40K	$178K
2021	$43K	$186K
2022	$46K	$204K
2023	$45K	$209K
2024	$47K	$227K

By state, 2024

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

Show all 51 states

Average payment by state for Extensive O.R. procedures unrelated to principal diagnosis with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Mississippi	10	206	$30,485	$27,859–$31,758
Arkansas	11	202	$32,494	$28,982–$36,679
Oklahoma	8	248	$34,773	$31,652–$37,698
Tennessee	17	360	$35,718	$28,780–$37,312
Montana	2	34	$35,895	$34,679–$36,332
North Dakota	3	58	$36,257	$32,728–$37,988
South Carolina	10	205	$36,276	$29,260–$38,579
Kentucky	13	256	$36,347	$30,137–$43,576
Indiana	17	342	$36,641	$32,818–$35,980
Idaho	4	66	$37,486	$35,555–$39,551
Vermont	1	22	$37,544	$37,544–$37,544
West Virginia	6	127	$38,228	$30,801–$41,477
Alabama	11	252	$38,247	$29,877–$33,078
Florida	47	1,137	$38,790	$32,101–$43,057
Iowa	7	147	$39,562	$33,503–$43,628
Louisiana	7	122	$39,834	$34,533–$42,153
Texas	47	962	$40,126	$32,222–$45,579
Colorado	6	82	$40,903	$33,670–$43,159
Utah	5	109	$40,918	$31,668–$37,829
Nevada	8	194	$41,352	$38,179–$43,766
South Dakota	3	105	$42,026	$40,021–$43,007
Virginia	21	442	$42,032	$33,946–$44,566
Michigan	25	432	$42,161	$37,557–$43,309
Missouri	15	259	$42,510	$31,925–$45,741
Ohio	19	415	$42,631	$34,100–$45,496
Maine	2	50	$42,712	$39,471–$42,648
Kansas	4	99	$43,021	$33,921–$40,749
Georgia	16	303	$44,053	$36,012–$49,469
North Carolina	20	501	$44,430	$35,665–$47,877
Wyoming	1	11	$45,050	$45,050–$45,050
Nebraska	5	114	$45,351	$31,230–$46,701
New Mexico	3	41	$45,999	$40,444–$57,518
New Jersey	29	680	$47,085	$38,393–$50,334
Hawaii	1	38	$47,191	$47,191–$47,191
Arizona	16	279	$47,277	$36,153–$52,874
Illinois	33	759	$47,326	$36,162–$46,101
Delaware	3	80	$48,939	$39,247–$48,202
Washington	15	259	$49,578	$39,633–$51,325
Minnesota	12	314	$49,742	$36,934–$46,990
Pennsylvania	30	647	$49,864	$38,024–$51,592
Oregon	6	164	$51,381	$46,523–$56,190
Wisconsin	5	141	$53,997	$42,868–$56,293
Connecticut	6	159	$54,430	$45,587–$53,161
Alaska	2	37	$57,637	$57,397–$59,940
New Hampshire	2	41	$57,765	$46,155–$58,848
Massachusetts	19	512	$57,989	$40,632–$63,496
District of Columbia	3	83	$59,819	$58,327–$71,179
New York	39	1,191	$60,614	$43,584–$64,472
Rhode Island	1	19	$62,024	$62,024–$62,024
California	65	1,312	$62,446	$45,289–$66,867
Maryland	19	341	$69,594	$44,097–$64,477

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.