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 351–400. 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
Mount Sinai Medical Center Of Florida, IncMiami Beach, FL · CCN 100034	13	$41,589	12% below the national average	$38,436	$233,914
Southside HospitalBay Shore, NY · CCN 330043	33	$41,597	12% below the national average	$39,984	$223,983
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	25	$41,608	12% below the national average	$29,344	$108,555
Genesis HospitalZanesville, OH · CCN 360039	21	$41,636	12% below the national average	$40,315	$115,790
Yuma Regional Medical CenterYuma, AZ · CCN 030013	12	$41,715	11% below the national average	$40,338	$165,032
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	36	$41,725	11% below the national average	$33,449	$166,723
Abrazo Arrowhead HospitalGlendale, AZ · CCN 030094	12	$41,943	11% below the national average	$39,420	$380,101
Charleston Area Medical CenterCharleston, WV · CCN 510022	46	$41,960	11% below the national average	$34,984	$221,875
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	54	$41,970	11% below the national average	$37,491	$167,743
Main Line Hospital LankenauWynnewood, PA · CCN 390195	14	$41,990	11% below the national average	$38,520	$300,564
St Peter's HospitalAlbany, NY · CCN 330057	24	$42,054	11% below the national average	$36,639	$124,868
Ocean Medical CenterBrick, NJ · CCN 310052	29	$42,249	10% below the national average	$36,406	$228,614
Valley HospitalParamus, NJ · CCN 310012	25	$42,365	About average	$40,851	$234,192
St Joseph Medical CenterTacoma, WA · CCN 500108	15	$42,410	About average	$41,161	$259,326
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	51	$42,438	About average	$35,128	$183,129
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	22	$42,458	About average	$36,452	$169,932
Bayhealth Medical Center, Kent CampusDover, DE · CCN 080004	13	$42,468	About average	$40,844	$152,719
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	18	$42,537	About average	$38,128	$157,078
Riverside Methodist HospitalColumbus, OH · CCN 360006	32	$42,644	About average	$32,256	$174,028
Mosaic Life Care At St JosephSaint Joseph, MO · CCN 260006	18	$42,680	About average	$38,308	$99,501
HCA Florida Osceola HospitalKissimmee, FL · CCN 100110	11	$42,750	About average	$40,446	$417,522
Peconic Bay Medical CenterRiverhead, NY · CCN 330107	12	$42,789	About average	$40,569	$202,481
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	26	$42,799	About average	$40,020	$148,991
Regions HospitalSaint Paul, MN · CCN 240106	14	$42,842	About average	$40,940	$134,733
Ochsner Medical Center AcuteNew Orleans, LA · CCN 190036	13	$42,863	About average	$33,921	$222,150
Marshfield Medical CenterMarshfield, WI · CCN 520037	15	$42,868	About average	$40,464	$109,974
Allen HospitalWaterloo, IA · CCN 160110	13	$42,919	About average	$26,334	$101,937
Memorial Hermann Memorial City HospitalHouston, TX · CCN 450610	16	$42,952	About average	$41,711	$194,768
Enloe HealthChico, CA · CCN 050039	32	$42,957	About average	$41,988	$303,283
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	31	$42,964	About average	$37,585	$165,953
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	37	$42,971	About average	$34,272	$154,249
Inspira Medical Center VinelandVineland, NJ · CCN 310032	21	$42,999	About average	$39,417	$211,160
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	11	$43,002	About average	$41,804	$165,288
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	11	$43,044	About average	$42,206	$218,032
Southeast Georgia Health System- Brunswick CampusBrunswick, GA · CCN 110025	12	$43,079	About average	$41,991	$47,652
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	13	$43,129	About average	$34,965	$86,366
Wynn HospitalUtica, NY · CCN 330044	26	$43,233	About average	$40,258	$156,401
Spectrum HealthGrand Rapids, MI · CCN 230038	33	$43,309	About average	$28,890	$118,302
Carolina East Medical CenterNew Bern, NC · CCN 340131	20	$43,315	About average	$42,093	$121,741
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164	13	$43,342	About average	$30,315	$136,579
AdventHealth OrlandoOrlando, FL · CCN 100007	110	$43,363	About average	$32,082	$315,263
Jefferson Stratford HospitalStratford, NJ · CCN 310086	17	$43,396	About average	$38,954	$225,284
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	20	$43,423	About average	$42,594	$221,535
MedStar Franklin Square Medical CenterRosedale, MD · CCN 210015	14	$43,460	About average	$33,835	$53,398
Flagler HospitalSaint Augustine, FL · CCN 100090	12	$43,533	About average	$42,445	$231,298
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 130007	16	$43,566	About average	$36,396	$190,280
Pikeville Medical CenterPikeville, KY · CCN 180044	11	$43,576	About average	$36,810	$155,850
University Of Maryland Baltimore Washington Medical CenterGlen Burnie, MD · CCN 210043	17	$43,608	About average	$41,784	$47,505
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	21	$43,662	About average	$42,459	$304,398
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	35	$43,664	About average	$39,810	$274,392

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.