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 151–200. 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
Covenant Medical CenterSaginaw, MI · CCN 230070	13	$34,038	28% below the national average	$32,740	$93,459
Houston Methodist The Woodlands HospitalThe Woodlands, TX · CCN 670122	11	$34,061	28% below the national average	$32,911	$211,144
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	18	$34,061	28% below the national average	$32,985	$187,583
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	11	$34,089	28% below the national average	$28,285	$62,506
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 450890	12	$34,211	27% below the national average	$26,239	$127,161
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	20	$34,212	27% below the national average	$32,641	$198,107
Fairview HospitalCleveland, OH · CCN 360077	17	$34,213	27% below the national average	$29,232	$136,591
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	19	$34,214	27% below the national average	$29,527	$81,296
Baylor Scott & White The Heart Hospital PlanoPlano, TX · CCN 670025	17	$34,217	27% below the national average	$32,937	$124,969
Baton Rouge General Medical CenterBaton Rouge, LA · CCN 190065	11	$34,220	27% below the national average	$32,370	$115,920
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	16	$34,262	27% below the national average	$28,826	$149,865
Wellington Regional Medical CenterWellington, FL · CCN 100275	11	$34,267	27% below the national average	$32,968	$293,712
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	34	$34,309	27% below the national average	$33,048	$162,557
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	11	$34,313	27% below the national average	$33,059	$202,347
Manatee Memorial HospitalBradenton, FL · CCN 100035	22	$34,319	27% below the national average	$32,359	$360,259
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	25	$34,334	27% below the national average	$33,016	$152,562
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 140242	19	$34,385	27% below the national average	$33,784	$215,072
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	19	$34,472	27% below the national average	$29,404	$192,615
Community Hospital NorthIndianapolis, IN · CCN 150169	22	$34,504	27% below the national average	$33,467	$143,834
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	14	$34,561	27% below the national average	$32,180	$138,743
Willis Knighton Medical CenterShreveport, LA · CCN 190111	25	$34,593	26% below the national average	$32,344	$187,356
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	20	$34,743	26% below the national average	$27,905	$175,974
Palos Community HospitalPalos Heights, IL · CCN 140062	17	$34,809	26% below the national average	$28,429	$142,295
Sentara Leigh HospitalNorfolk, VA · CCN 490046	15	$34,895	26% below the national average	$29,952	$153,163
Orlando HealthOrlando, FL · CCN 100006	38	$34,969	26% below the national average	$28,220	$335,870
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	31	$34,984	26% below the national average	$28,153	$147,432
Methodist HospitalSan Antonio, TX · CCN 450388	16	$34,993	26% below the national average	$32,767	$333,622
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	15	$35,032	26% below the national average	$33,623	$192,725
Mary Washington HospitalFredericksburg, VA · CCN 490022	34	$35,051	26% below the national average	$31,087	$110,582
Ascension St John Medical CenterTulsa, OK · CCN 370114	26	$35,093	25% below the national average	$32,072	$129,048
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 170104	12	$35,094	25% below the national average	$33,608	$288,892
Sacred Heart HospitalPensacola, FL · CCN 100025	18	$35,116	25% below the national average	$33,264	$139,978
Chandler Regional Medical CenterChandler, AZ · CCN 030036	27	$35,318	25% below the national average	$31,383	$202,229
Southeast Health Medical CenterDothan, AL · CCN 010001	16	$35,400	25% below the national average	$33,299	$156,239
CJW Medical CenterRichmond, VA · CCN 490112	14	$35,410	25% below the national average	$33,414	$612,597
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	12	$35,418	25% below the national average	$28,634	$111,585
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	14	$35,481	25% below the national average	$33,186	$158,191
St Mary Medical Center IncHobart, IN · CCN 150034	11	$35,483	25% below the national average	$27,675	$153,496
Baptist Memorial HospitalMemphis, TN · CCN 440048	44	$35,486	25% below the national average	$28,918	$179,497
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	12	$35,514	25% below the national average	$33,956	$152,268
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	29	$35,522	25% below the national average	$32,601	$118,328
Virginia Hospital CenterArlington, VA · CCN 490050	15	$35,555	24% below the national average	$33,668	$107,156
Lancaster General HospitalLancaster, PA · CCN 390100	38	$35,564	24% below the national average	$33,670	$152,814
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	22	$35,570	24% below the national average	$33,108	$120,446
Lima Memorial Health SystemLima, OH · CCN 360009	13	$35,619	24% below the national average	$34,415	$114,098
Sanford Medical Center BismarckBismarck, ND · CCN 350015	19	$35,644	24% below the national average	$32,209	$102,722
UNC Health Care WayneGoldsboro, NC · CCN 340010	12	$35,696	24% below the national average	$34,200	$92,953
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	20	$35,734	24% below the national average	$32,156	$162,825
Medical City PlanoPlano, TX · CCN 450651	16	$35,780	24% below the national average	$34,019	$596,968
Holy Cross HospitalFt Lauderdale, FL · CCN 100073	17	$35,888	24% below the national average	$29,967	$128,131

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.