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 551–600. 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 Vincent Medical CenterPortland, OR · CCN 380004	15	$54,693	16% above the national average	$38,125	$139,530
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	12	$54,933	17% above the national average	$53,811	$62,219
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	38	$55,065	17% above the national average	$49,201	$113,559
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	12	$55,074	17% above the national average	$53,852	$59,353
New York-Presbyterian/QueensFlushing, NY · CCN 330055	17	$55,205	17% above the national average	$51,396	$271,988
Ohio State University State Health SystemColumbus, OH · CCN 360085	31	$55,214	17% above the national average	$46,926	$231,751
Baystate Medical CenterSpringfield, MA · CCN 220077	24	$55,229	17% above the national average	$44,954	$98,301
Morristown Medical CenterMorristown, NJ · CCN 310015	55	$55,230	17% above the national average	$41,320	$344,373
Banner - University Medical Center Tucson CampusTucson, AZ · CCN 030064	20	$55,353	18% above the national average	$47,381	$171,119
HCA Houston Healthcare Clear LakeWebster, TX · CCN 450617	11	$55,369	18% above the national average	$25,111	$445,396
Henry Ford Health HospitalDetroit, MI · CCN 230053	16	$55,754	18% above the national average	$45,551	$141,275
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	13	$55,827	19% above the national average	$52,644	$447,019
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	24	$55,842	19% above the national average	$49,339	$195,787
Rochester General HospitalRochester, NY · CCN 330125	25	$55,949	19% above the national average	$46,481	$150,612
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	26	$56,125	19% above the national average	$48,229	$303,085
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	28	$56,212	19% above the national average	$50,515	$310,494
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	41	$56,293	20% above the national average	$52,079	$344,801
Hillcrest HospitalMayfield Heights, OH · CCN 360230	11	$56,310	20% above the national average	$30,040	$222,479
NorthBay Medical CenterFairfield, CA · CCN 050367	13	$56,355	20% above the national average	$55,063	$479,648
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	36	$56,559	20% above the national average	$50,107	$158,956
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	28	$56,689	20% above the national average	$42,823	$166,115
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	30	$56,736	21% above the national average	$54,562	$280,607
UH Cleveland Medical CenterCleveland, OH · CCN 360137	13	$56,852	21% above the national average	$48,385	$182,515
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	28	$57,001	21% above the national average	$48,975	$367,995
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	12	$57,159	21% above the national average	$40,035	$221,545
North Shore University HospitalManhasset, NY · CCN 330106	57	$57,260	22% above the national average	$50,700	$356,689
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	31	$57,326	22% above the national average	$37,848	$210,924
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	12	$57,492	22% above the national average	$39,151	$166,610
Temecula Valley HospitalTemecula, CA · CCN 050775	14	$57,536	22% above the national average	$54,159	$260,382
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	20	$57,671	23% above the national average	$56,698	$253,012
Staten Island University HospitalStaten Island, NY · CCN 330160	38	$57,825	23% above the national average	$50,394	$283,364
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	11	$58,113	24% above the national average	$53,473	$215,889
Community Regional Medical CenterFresno, CA · CCN 050060	36	$58,297	24% above the national average	$53,755	$296,887
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	41	$58,475	24% above the national average	$44,695	$404,639
Maimonides Medical CenterBrooklyn, NY · CCN 330194	21	$59,210	26% above the national average	$52,388	$270,117
Doctors Medical CenterModesto, CA · CCN 050464	17	$59,553	27% above the national average	$58,423	$989,908
Emory University HospitalAtlanta, GA · CCN 110010	28	$59,599	27% above the national average	$42,694	$183,326
Baptist Hospital Of MiamiMiami, FL · CCN 100008	22	$59,610	27% above the national average	$55,320	$379,674
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	19	$59,612	27% above the national average	$46,696	$334,082
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	42	$59,616	27% above the national average	$49,998	$350,849
Temple University HospitalPhiladelphia, PA · CCN 390027	21	$59,782	27% above the national average	$53,012	$496,511
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	39	$59,966	27% above the national average	$54,725	$204,553
St Michael Medical CenterSilverdale, WA · CCN 500039	19	$59,966	27% above the national average	$53,204	$320,999
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	18	$60,270	28% above the national average	$54,721	$365,165
Duke University HospitalDurham, NC · CCN 340030	43	$60,476	29% above the national average	$39,563	$165,846
Rush University Medical CenterChicago, IL · CCN 140119	39	$60,598	29% above the national average	$52,399	$169,592
Hackensack University Medical CenterHackensack, NJ · CCN 310001	42	$61,150	30% above the national average	$50,191	$340,437
Alaska Native Medical CenterAnchorage, AK · CCN 020026	11	$61,212	30% above the national average	$60,173	$234,321
Capital Health Regional Medical CenterTrenton, NJ · CCN 310092	13	$61,439	31% above the national average	$46,857	$1,394,860
Piedmont Hospital, IncAtlanta, GA · CCN 110083	27	$61,472	31% above the national average	$29,668	$425,884

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.