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Inpatient stay · MS-DRG 987 · Surgery or procedure

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
$32,47679% of the payment
Average billed charge
$196,226
Hospitals reporting
1201,872 stays

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.

Location
Specific hospitals up to 10

120 hospitals reported at least 11 Medicare stays for this in 2024; showing 101–120. Download as CSV

Medicare payments per case for Non-extensive O.R. procedures unrelated to principal diagnosis with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Cleveland ClinicCleveland, OH · CCN 36018029$55,31835% above the national average$42,135$262,737
Huntsville HospitalHuntsville, AL · CCN 01003914$55,48835% above the national average$53,857$350,594
Nyu Langone HospitalsNew York, NY · CCN 33021434$56,36137% above the national average$47,868$359,204
Vanderbilt University Medical CenterNashville, TN · CCN 44003915$56,60038% above the national average$32,552$238,101
North Shore University HospitalManhasset, NY · CCN 33010619$57,83641% above the national average$48,212$398,804
Houston Methodist HospitalHouston, TX · CCN 45035814$59,48545% above the national average$45,730$423,589
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 45013711$60,11147% above the national average$19,334$127,254
Massachusetts General HospitalBoston, MA · CCN 22007122$60,49047% above the national average$38,190$256,103
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 31003817$60,60348% above the national average$29,475$387,132
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 05002513$60,85648% above the national average$43,967$212,743
Beth Israel Deaconess Medical CenterBoston, MA · CCN 22008620$61,47650% above the national average$47,273$115,751
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062522$63,65355% above the national average$47,947$665,067
New York-Presbyterian HospitalNew York, NY · CCN 33010137$64,59057% above the national average$55,718$404,355
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 33039312$65,63660% above the national average$58,793$343,346
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 39011111$65,78260% above the national average$52,687$481,911
Yale-New Haven HospitalNew Haven, CT · CCN 07002213$66,03461% above the national average$57,406$272,430
Montefiore Medical CenterBronx, NY · CCN 33005913$69,63470% above the national average$56,364$492,866
Mount Sinai HospitalNew York, NY · CCN 33002415$70,91073% above the national average$52,083$318,480
The Johns Hopkins HospitalBaltimore, MD · CCN 21000918$128,400213% above the national average$108,230$144,823
Stanford Health CareStanford, CA · CCN 05044115$144,242252% above the national average$97,391$966,192

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 2,684 stays at 172 hospitals · 2021: 2,358 stays at 154 hospitals · 2022: 2,049 stays at 135 hospitals · 2023: 1,974 stays at 127 hospitals · 2024: 1,872 stays at 120 hospitals
View data as a table
National average payment and billed charge for Non-extensive O.R. procedures unrelated to principal diagnosis with MCC
Year of careAverage paymentAverage 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
Average payment by state for Non-extensive O.R. procedures unrelated to principal diagnosis with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Mississippi225$22,923$22,236–$23,509
Kentucky235$24,782$22,404–$25,324
Oklahoma119$25,285$25,285–$25,285
South Dakota112$27,082$27,082–$27,082
New Mexico111$28,245$28,245–$28,245
Florida10167$28,272$23,649–$32,807
South Carolina230$29,277$27,506–$31,048
Virginia234$30,296$29,195–$31,165
Michigan448$32,206$31,636–$32,671
North Carolina697$32,323$26,235–$37,458
West Virginia114$32,366$32,366–$32,366
Georgia119$32,939$32,939–$32,939
Tennessee344$34,751$23,765–$40,836
Delaware117$34,877$34,877–$34,877
Missouri453$35,727$30,221–$36,007
Maine115$36,278$36,278–$36,278
Nebraska115$37,652$37,652–$37,652
Illinois7115$38,066$28,643–$45,278
Rhode Island112$38,707$38,707–$38,707
Minnesota361$39,126$27,089–$39,250
Arizona120$39,602$39,602–$39,602
Pennsylvania8108$40,175$34,213–$47,103
New Jersey686$41,002$34,123–$42,707
Wisconsin346$41,083$34,629–$44,791
Oregon224$41,822$40,556–$42,727
Ohio471$42,400$30,206–$44,856
Texas7115$43,101$37,543–$57,141
Connecticut349$44,443$36,244–$52,045
Massachusetts8124$46,567$36,174–$50,787
Alabama225$48,006$42,735–$51,237
New York14236$50,277$33,688–$62,901
California7107$62,105$38,178–$62,254
Maryland118$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.