Non-extensive O.R. procedures unrelated to principal diagnosis with MCC
In 2024, Medicare and patients paid an average of $41,021 per stay at 120 hospitals. Half of hospitals averaged between $28,102 and $47,741.
National figures, 2024
- Average payment per case
- $41,021
- Typical range (middle half of hospitals)
- $28,102–$47,741
- Medicare’s share
- $32,476
- Average billed charge
- $196,226
- Hospitals reporting
- 120
Compare hospitals
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
120 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Delray Medical Center | 20 | $20,300 | 51% below the national average | $18,108 | $255,811 |
| Baptist Health Louisville | 12 | $20,944 | 49% below the national average | $19,468 | $131,181 |
| Mississippi Baptist Medical Center | 12 | $21,599 | 47% below the national average | $20,597 | $125,773 |
| Baptist Memorial Hospital | 18 | $22,460 | 45% below the national average | $18,794 | $133,826 |
| Baptist Health Medical Center - Jacksonville | 28 | $23,071 | 44% below the national average | $21,906 | $125,650 |
| Holmes Regional Medical Center | 11 | $23,472 | 43% below the national average | $22,409 | $114,211 |
| Advocate Condell Medical Center | 11 | $24,083 | 41% below the national average | $23,023 | $130,208 |
| North Mississippi Medical Center | 13 | $24,145 | 41% below the national average | $22,183 | $98,857 |
| Sarasota Memorial Hospital | 11 | $24,178 | 41% below the national average | $22,388 | $123,082 |
| Essentia Health St Mary's Medical Center | 13 | $24,280 | 41% below the national average | $22,626 | $79,616 |
| Hillcrest Hospital | 11 | $24,931 | 39% below the national average | $18,821 | $89,685 |
| Jackson-Madison County General Hospital | 11 | $25,071 | 39% below the national average | $23,686 | $102,590 |
| Saint Francis Hospital, Inc | 19 | $25,285 | 38% below the national average | $21,177 | $109,042 |
| AdventHealth Orlando | 31 | $25,333 | 38% below the national average | $21,302 | $228,470 |
| WakeMed, Raleigh Campus | 13 | $25,557 | 38% below the national average | $23,463 | $112,662 |
| Novant Health Forsyth Medical Center | 13 | $25,721 | 37% below the national average | $24,471 | $98,625 |
| Lexington Medical Center | 15 | $25,735 | 37% below the national average | $23,483 | $170,060 |
| Orlando Health | 12 | $26,441 | 36% below the national average | $25,181 | $202,946 |
| Gulf Coast Medical Center Lee Health | 12 | $26,621 | 35% below the national average | $24,202 | $186,324 |
| Norton Hospitals, Inc | 23 | $26,784 | 35% below the national average | $25,698 | $143,407 |
| Cox Medical Centers | 13 | $26,786 | 35% below the national average | $19,983 | $111,904 |
| South Shore Hospital | 13 | $27,074 | 34% below the national average | $26,070 | $40,805 |
| Sanford USDMedical Center | 12 | $27,082 | 34% below the national average | $25,012 | $137,745 |
| Memorial Hermann Hospital System | 20 | $27,154 | 34% below the national average | $23,620 | $124,131 |
| NorthShore University HealthSystem - Evanston Hospital | 18 | $27,228 | 34% below the national average | $24,913 | $103,428 |
| West Jersey Hospital | 12 | $27,340 | 33% below the national average | $25,842 | $234,151 |
| Reading Hospital | 13 | $27,494 | 33% below the national average | $25,422 | $103,288 |
| Lehigh Valley Hospital | 20 | $27,621 | 33% below the national average | $25,303 | $179,765 |
| Huntington Hospital | 11 | $27,695 | 32% below the national average | $26,532 | $125,902 |
| Novant Health New Hanover Regional Medical Center | 21 | $27,779 | 32% below the national average | $26,107 | $95,231 |
| Carilion Medical Center | 16 | $28,209 | 31% below the national average | $25,029 | $122,554 |
| Presbyterian Hospital | 11 | $28,245 | 31% below the national average | $21,523 | $84,009 |
| White Plains Hospital Center | 13 | $29,544 | 28% below the national average | $28,289 | $117,729 |
| Ecu Health Medical Center | 23 | $29,569 | 28% below the national average | $23,966 | $75,937 |
| Southcoast Hospitals Group | 13 | $29,870 | 27% below the national average | $28,617 | $76,094 |
| Abbott Northwestern Hospital | 14 | $29,897 | 27% below the national average | $27,041 | $143,153 |
| Saint Francis Medical Center | 17 | $30,059 | 27% below the national average | $27,234 | $130,741 |
| Ascension Providence Hospital, Southfield And Novi | 11 | $30,500 | 26% below the national average | $26,848 | $93,901 |
| St Francis Hospital - The Heart Center | 16 | $30,655 | 25% below the national average | $28,596 | $170,820 |
| Baylor University Medical Center | 25 | $30,804 | 25% below the national average | $25,854 | $156,988 |
| Mosaic Life Care At St Joseph | 12 | $31,367 | 24% below the national average | $30,395 | $76,912 |
| University Of Missouri Health Care | 12 | $31,543 | 23% below the national average | $28,235 | $133,864 |
| Ohio State University State Health System | 16 | $31,964 | 22% below the national average | $23,985 | $138,820 |
| Spectrum Health | 11 | $32,014 | 22% below the national average | $24,154 | $94,969 |
| Inova Fairfax Hospital | 18 | $32,150 | 22% below the national average | $23,732 | $82,642 |
| Beaumont Hospital Royal Oak | 14 | $32,273 | 21% below the national average | $27,273 | $165,934 |
| Charleston Area Medical Center | 14 | $32,366 | 21% below the national average | $24,060 | $162,460 |
| Aurora St Lukes Medical Center | 17 | $32,419 | 21% below the national average | $28,843 | $171,715 |
| Prisma Health Greenville Memorial Hospital | 15 | $32,819 | 20% below the national average | $24,127 | $155,823 |
| Enloe Health | 19 | $32,937 | 20% below the national average | $31,499 | $261,558 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $34K | $144K |
| 2021 | $35K | $150K |
| 2022 | $38K | $161K |
| 2023 | $40K | $185K |
| 2024 | $41K | $196K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 33 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Mississippi | 2 | 25 | $22,923 | $22,236–$23,509 |
| Kentucky | 2 | 35 | $24,782 | $22,404–$25,324 |
| Oklahoma | 1 | 19 | $25,285 | $25,285–$25,285 |
| South Dakota | 1 | 12 | $27,082 | $27,082–$27,082 |
| New Mexico | 1 | 11 | $28,245 | $28,245–$28,245 |
| Florida | 10 | 167 | $28,272 | $23,649–$32,807 |
| South Carolina | 2 | 30 | $29,277 | $27,506–$31,048 |
| Virginia | 2 | 34 | $30,296 | $29,195–$31,165 |
| Michigan | 4 | 48 | $32,206 | $31,636–$32,671 |
| North Carolina | 6 | 97 | $32,323 | $26,235–$37,458 |
| West Virginia | 1 | 14 | $32,366 | $32,366–$32,366 |
| Georgia | 1 | 19 | $32,939 | $32,939–$32,939 |
| Tennessee | 3 | 44 | $34,751 | $23,765–$40,836 |
| Delaware | 1 | 17 | $34,877 | $34,877–$34,877 |
| Missouri | 4 | 53 | $35,727 | $30,221–$36,007 |
| Maine | 1 | 15 | $36,278 | $36,278–$36,278 |
| Nebraska | 1 | 15 | $37,652 | $37,652–$37,652 |
| Illinois | 7 | 115 | $38,066 | $28,643–$45,278 |
| Rhode Island | 1 | 12 | $38,707 | $38,707–$38,707 |
| Minnesota | 3 | 61 | $39,126 | $27,089–$39,250 |
| Arizona | 1 | 20 | $39,602 | $39,602–$39,602 |
| Pennsylvania | 8 | 108 | $40,175 | $34,213–$47,103 |
| New Jersey | 6 | 86 | $41,002 | $34,123–$42,707 |
| Wisconsin | 3 | 46 | $41,083 | $34,629–$44,791 |
| Oregon | 2 | 24 | $41,822 | $40,556–$42,727 |
| Ohio | 4 | 71 | $42,400 | $30,206–$44,856 |
| Texas | 7 | 115 | $43,101 | $37,543–$57,141 |
| Connecticut | 3 | 49 | $44,443 | $36,244–$52,045 |
| Massachusetts | 8 | 124 | $46,567 | $36,174–$50,787 |
| Alabama | 2 | 25 | $48,006 | $42,735–$51,237 |
| New York | 14 | 236 | $50,277 | $33,688–$62,901 |
| California | 7 | 107 | $62,105 | $38,178–$62,254 |
| Maryland | 1 | 18 | $128,400 | $128,400–$128,400 |
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.