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 601–650. 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
Rhode Island HospitalProvidence, RI · CCN 410007	19	$62,024	32% above the national average	$42,101	$192,298
University Of Missouri Health CareColumbia, MO · CCN 260141	13	$62,206	32% above the national average	$43,880	$269,606
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	43	$62,925	34% above the national average	$48,081	$189,200
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	28	$63,207	34% above the national average	$44,302	$230,499
University Of Maryland St Joseph Medical CenterTowson, MD · CCN 210063	14	$63,444	35% above the national average	$62,511	$71,477
Yale-New Haven HospitalNew Haven, CT · CCN 070022	56	$63,659	35% above the national average	$45,714	$207,306
UNC HospitalsChapel Hill, NC · CCN 340061	25	$64,304	37% above the national average	$47,002	$150,000
South Brooklyn HealthBrooklyn, NY · CCN 330196	18	$64,312	37% above the national average	$56,851	$215,843
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	32	$64,509	37% above the national average	$51,238	$397,489
Montefiore Medical CenterBronx, NY · CCN 330059	43	$64,632	37% above the national average	$54,472	$407,865
The Nebraska Medical CenterOmaha, NE · CCN 280013	42	$64,946	38% above the national average	$42,929	$258,172
OHSU Hospital And ClinicsPortland, OR · CCN 380009	20	$65,005	38% above the national average	$56,558	$202,169
UNM HospitalAlbuquerque, NM · CCN 320001	12	$65,012	38% above the national average	$58,125	$126,288
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	29	$65,195	39% above the national average	$45,967	$170,237
Johns Hopkins Bayview Medical CenterBaltimore, MD · CCN 210029	16	$65,510	39% above the national average	$64,594	$79,283
Tampa General HospitalTampa, FL · CCN 100128	27	$65,570	39% above the national average	$57,165	$472,284
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	33	$65,599	39% above the national average	$54,762	$249,083
University Of Washington Medical CenterSeattle, WA · CCN 500008	31	$65,675	40% above the national average	$42,387	$208,358
George Washington University HospitalWashington, DC · CCN 090001	22	$65,696	40% above the national average	$56,971	$514,738
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	30	$65,768	40% above the national average	$46,287	$198,200
Loyola University Medical CenterMaywood, IL · CCN 140276	29	$65,978	40% above the national average	$46,064	$206,868
Sharp Memorial HospitalSan Diego, CA · CCN 050100	19	$66,188	41% above the national average	$61,125	$484,703
Holy Cross HospitalSilver Spring, MD · CCN 210004	11	$66,209	41% above the national average	$65,133	$73,816
Uci Health - Fountain ValleyFountain Valley, CA · CCN 050570	18	$66,778	42% above the national average	$56,489	$727,893
Clovis Community Medical CenterClovis, CA · CCN 050492	26	$66,867	42% above the national average	$45,712	$339,660
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	14	$66,871	42% above the national average	$58,303	$504,053
Massachusetts General HospitalBoston, MA · CCN 220071	79	$67,027	42% above the national average	$54,517	$255,017
Tufts Medical CenterBoston, MA · CCN 220116	11	$67,115	43% above the national average	$51,888	$172,902
MUSC Medical CenterCharleston, SC · CCN 420004	17	$67,138	43% above the national average	$51,770	$234,061
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	14	$67,791	44% above the national average	$58,974	$203,450
Northwestern Memorial HospitalChicago, IL · CCN 140281	41	$67,856	44% above the national average	$58,477	$355,420
Allegheny General HospitalPittsburgh, PA · CCN 390050	14	$67,923	44% above the national average	$56,094	$368,484
Strong Memorial HospitalRochester, NY · CCN 330285	19	$68,393	45% above the national average	$48,558	$144,387
Providence Mission HospitalMission Viejo, CA · CCN 050567	14	$68,597	46% above the national average	$34,289	$233,329
AdventHealth OcalaOcala, FL · CCN 100062	11	$69,804	48% above the national average	$35,422	$420,510
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	80	$70,649	50% above the national average	$53,486	$174,617
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	86	$71,603	52% above the national average	$62,722	$741,573
University Of Alabama HospitalBirmingham, AL · CCN 010033	42	$71,629	52% above the national average	$40,867	$304,927
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	17	$71,650	52% above the national average	$49,542	$282,391
Nyu Langone HospitalsNew York, NY · CCN 330214	111	$72,112	53% above the national average	$61,362	$461,664
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	30	$72,134	53% above the national average	$49,361	$259,690
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	26	$72,229	54% above the national average	$58,474	$267,400
Huntington HospitalPasadena, CA · CCN 050438	13	$72,237	54% above the national average	$68,211	$554,841
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	11	$73,284	56% above the national average	$69,411	$278,797
Mount Sinai WestNew York, NY · CCN 330046	18	$73,412	56% above the national average	$59,674	$349,574
Cleveland ClinicCleveland, OH · CCN 360180	37	$73,883	57% above the national average	$39,388	$243,930
Sinai Hospital Of BaltimoreBaltimore, MD · CCN 210012	22	$74,206	58% above the national average	$69,004	$83,998
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	35	$74,524	58% above the national average	$58,080	$347,464
University Health SystemSan Antonio, TX · CCN 450213	21	$74,534	58% above the national average	$52,955	$194,992
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	41	$74,587	59% above the national average	$59,891	$376,324

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.