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 51–100. 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
Baptist Health HardinElizabethtown, KY · CCN 180012	20	$30,137	36% below the national average	$26,397	$189,093
Bsa HospitalAmarillo, TX · CCN 450231	27	$30,149	36% below the national average	$28,161	$144,235
St Vincent's BirminghamBirmingham, AL · CCN 010056	11	$30,165	36% below the national average	$25,142	$117,079
Fort Sanders Regional Medical CenterKnoxville, TN · CCN 440125	11	$30,175	36% below the national average	$28,891	$85,547
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	12	$30,219	36% below the national average	$29,403	$239,568
St Bernards Medical CenterJonesboro, AR · CCN 040020	23	$30,241	36% below the national average	$27,410	$89,093
Piedmont Medical CenterRock Hill, SC · CCN 420002	16	$30,265	36% below the national average	$27,383	$285,034
Sierra Medical CenterEl Paso, TX · CCN 450668	13	$30,285	36% below the national average	$28,590	$435,863
Norman RegionalNorman, OK · CCN 370008	13	$30,341	36% below the national average	$28,917	$177,406
Stormont Vail HospitalTopeka, KS · CCN 170086	16	$30,404	35% below the national average	$26,590	$121,454
Mercy Hospital SouthSaint Louis, MO · CCN 260077	17	$30,689	35% below the national average	$30,021	$111,938
Kootenai HealthCoeur D'Alene, ID · CCN 130049	16	$30,708	35% below the national average	$29,698	$131,986
Memorial Hermann Katy HospitalKaty, TX · CCN 450847	11	$30,797	35% below the national average	$29,165	$130,838
Anderson Regional Medical CenterMeridian, MS · CCN 250104	22	$30,804	35% below the national average	$22,291	$71,127
McLaren Port HuronPort Huron, MI · CCN 230216	12	$30,832	34% below the national average	$29,732	$89,645
Presbyterian HospitalAlbuquerque, NM · CCN 320021	18	$30,864	34% below the national average	$29,271	$82,787
Singing River Health SystemPascagoula, MS · CCN 250040	13	$31,000	34% below the national average	$25,991	$213,064
Saint Joseph HospitalLexington, KY · CCN 180010	12	$31,016	34% below the national average	$29,528	$116,198
Deaconess Hospital IncEvansville, IN · CCN 150082	32	$31,019	34% below the national average	$29,787	$111,308
Rex HospitalRaleigh, NC · CCN 340114	25	$31,057	34% below the national average	$24,428	$98,200
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	20	$31,099	34% below the national average	$30,079	$169,334
Saint Luke's East HospitalLees Summit, MO · CCN 260216	14	$31,156	34% below the national average	$28,710	$245,968
St David's Medical CenterAustin, TX · CCN 450431	17	$31,178	34% below the national average	$30,578	$338,571
Baptist Medical CenterSan Antonio, TX · CCN 450058	39	$31,229	34% below the national average	$29,906	$360,913
Bryan Medical CenterLincoln, NE · CCN 280003	30	$31,230	34% below the national average	$29,229	$145,908
Houston Methodist Sugarland HospitalSugar Land, TX · CCN 450820	12	$31,278	34% below the national average	$30,734	$259,318
Lee Memorial HospitalFort Myers, FL · CCN 100012	23	$31,328	33% below the national average	$30,216	$183,322
Grandview Medical CenterBirmingham, AL · CCN 010104	22	$31,370	33% below the national average	$29,099	$440,108
AdventHealth WatermanTavares, FL · CCN 100057	24	$31,433	33% below the national average	$30,754	$149,836
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	25	$31,477	33% below the national average	$28,268	$134,961
Edward HospitalNaperville, IL · CCN 140231	12	$31,486	33% below the national average	$30,126	$200,004
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	20	$31,488	33% below the national average	$29,210	$323,247
Gulf Coast Medical Center Lee HealthFort Myers, FL · CCN 100220	34	$31,557	33% below the national average	$30,407	$215,418
Penn Highlands DuboisDubois, PA · CCN 390086	11	$31,559	33% below the national average	$28,979	$101,511
Christ HospitalCincinnati, OH · CCN 360163	21	$31,588	33% below the national average	$26,748	$92,912
Methodist Charlton Medical CenterDallas, TX · CCN 450723	11	$31,644	33% below the national average	$30,429	$154,502
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	15	$31,668	33% below the national average	$30,736	$193,455
Naples Community HospitalNaples, FL · CCN 100018	28	$31,712	33% below the national average	$29,971	$165,482
Frederick Health HospitalFrederick, MD · CCN 210005	12	$31,738	33% below the national average	$28,814	$35,406
Mercy Hospital Fort SmithFort Smith, AR · CCN 040062	12	$31,746	33% below the national average	$30,427	$68,031
Henrico Doctors' HospitalRichmond, VA · CCN 490118	13	$31,805	32% below the national average	$29,815	$486,227
Bethesda NorthCincinnati, OH · CCN 360179	24	$31,833	32% below the national average	$23,465	$104,561
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	18	$31,864	32% below the national average	$30,488	$134,926
Winchester HospitalWinchester, MA · CCN 220105	14	$31,904	32% below the national average	$30,709	$48,126
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	19	$32,005	32% below the national average	$30,996	$192,325
Baptist Memorial Hospital DesotoSouthaven, MS · CCN 250141	22	$32,011	32% below the national average	$30,301	$131,035
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	19	$32,022	32% below the national average	$30,632	$116,651
Saint Francis Hospital, IncTulsa, OK · CCN 370091	54	$32,089	32% below the national average	$28,687	$129,677
Northside Hospital CherokeeCanton, GA · CCN 110008	13	$32,125	32% below the national average	$30,367	$170,854
Inova Mount Vernon HospitalAlexandria, VA · CCN 490122	16	$32,126	32% below the national average	$30,433	$87,338

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.