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 251–300. 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
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	22	$37,544	20% below the national average	$21,528	$158,959
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	17	$37,557	20% below the national average	$34,896	$101,609
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	33	$37,664	20% below the national average	$32,567	$226,550
Blessing HospitalQuincy, IL · CCN 140015	15	$37,741	20% below the national average	$35,699	$173,156
South Miami HospitalMiami, FL · CCN 100154	11	$37,746	20% below the national average	$35,767	$253,747
ProMedica Toledo HospitalToledo, OH · CCN 360068	36	$37,748	20% below the national average	$32,350	$225,296
Laredo Medical CenterLaredo, TX · CCN 450029	13	$37,778	20% below the national average	$35,665	$282,904
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	20	$37,815	20% below the national average	$35,479	$158,539
West Jersey HospitalVoorhees, NJ · CCN 310022	25	$37,825	20% below the national average	$35,527	$346,895
St. George Regional HospitalSt George, UT · CCN 460021	23	$37,829	20% below the national average	$36,765	$111,250
Northeast Hospital CorporationBeverly, MA · CCN 220033	13	$37,841	20% below the national average	$36,585	$74,253
Johnson City Medical CenterJohnson City, TN · CCN 440063	20	$37,852	20% below the national average	$31,218	$207,751
AdventHealth TampaTampa, FL · CCN 100173	15	$37,877	19% below the national average	$36,708	$369,564
Central Maine Medical CenterLewiston, ME · CCN 200024	12	$37,882	19% below the national average	$29,204	$119,700
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	14	$37,884	19% below the national average	$35,233	$97,396
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	38	$38,005	19% below the national average	$36,115	$239,596
University Health System, IncKnoxville, TN · CCN 440015	23	$38,042	19% below the national average	$28,786	$100,427
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	17	$38,051	19% below the national average	$35,165	$109,676
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	20	$38,076	19% below the national average	$33,544	$160,113
Southcoast Hospitals GroupFall River, MA · CCN 220074	35	$38,086	19% below the national average	$34,362	$108,927
Grant Medical CenterColumbus, OH · CCN 360017	12	$38,089	19% below the national average	$36,221	$141,169
Deaconess Medical CenterSpokane, WA · CCN 500044	12	$38,111	19% below the national average	$36,867	$145,015
Hendrick Medical CenterAbilene, TX · CCN 450229	28	$38,114	19% below the national average	$36,554	$292,955
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	13	$38,115	19% below the national average	$36,144	$306,526
Inspira Medical Center Mullica HillElmer, NJ · CCN 310069	31	$38,122	19% below the national average	$35,539	$155,759
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	12	$38,144	19% below the national average	$36,787	$117,959
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	20	$38,146	19% below the national average	$31,524	$325,825
Advocate Trinity HospitalChicago, IL · CCN 140048	17	$38,173	19% below the national average	$33,186	$135,026
Southern Hills Hospital And Medical CenterLas Vegas, NV · CCN 290047	18	$38,189	19% below the national average	$36,455	$275,456
St Luke's Regional Medical CenterBoise, ID · CCN 130006	21	$38,212	19% below the national average	$37,004	$164,156
Virtua Our Lady Of Lourdes HospitalCamden, NJ · CCN 310029	13	$38,256	19% below the national average	$34,870	$336,903
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	13	$38,293	19% below the national average	$37,075	$167,029
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	24	$38,317	19% below the national average	$35,842	$212,987
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	18	$38,366	18% below the national average	$30,351	$156,418
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 310064	24	$38,393	18% below the national average	$36,846	$201,808
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	24	$38,416	18% below the national average	$34,337	$307,818
South Shore HospitalSouth Weymouth, MA · CCN 220100	27	$38,466	18% below the national average	$36,793	$78,126
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	12	$38,602	18% below the national average	$26,451	$200,648
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	12	$38,644	18% below the national average	$36,448	$209,119
St Lukes HospitalBethlehem, PA · CCN 390049	26	$38,651	18% below the national average	$36,375	$280,479
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	33	$38,683	18% below the national average	$33,816	$185,962
Owensboro Health Regional HospitalOwensboro, KY · CCN 180038	11	$38,691	18% below the national average	$37,001	$152,097
Copley Memorial HospitalAurora, IL · CCN 140029	20	$38,749	18% below the national average	$33,565	$165,608
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	13	$38,753	18% below the national average	$33,994	$74,041
CentraState Medical CenterFreehold, NJ · CCN 310111	26	$38,811	18% below the national average	$37,413	$165,238
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	40	$38,813	18% below the national average	$34,511	$163,711
Kadlec Regional Medical CenterRichland, WA · CCN 500058	21	$38,861	17% below the national average	$35,755	$163,598
Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD · CCN 210023	16	$38,883	17% below the national average	$37,965	$42,469
Good Samaritan Hospital Of SuffernSuffern, NY · CCN 330158	11	$38,969	17% below the national average	$38,079	$259,014
Mercy HospitalCoon Rapids, MN · CCN 240115	24	$38,991	17% below the national average	$37,826	$183,075

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.