Aftercare, musculoskeletal system and connective tissue with complications
What 36 hospitals in the U.S. charged and were paid for a Medicare hospital stay for aftercare, musculoskeletal system and connective tissue with complications (DRG 560), from 2024 Medicare claims.
Average charge
$45,278
Hospital list price billed
Average payment
$23,288
Medicare + patient + other payers
Medicare paid
$21,554
Average per stay
Volume
1,076
Medicare hospital stays
Hospitals in the U.S. billed an average of $45,278 for aftercare, musculoskeletal system and connective tissue with complications, about 1.9 times the average total payment of $23,288.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Aftercare, musculoskeletal system and connective tissue with major complications
Aftercare, musculoskeletal system and connective tissue without complications
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Adventhealth OrlandoOrlando, FL | $10,040 |
|---|---|
| Orlando Regional HealthcareOrlando, FL | $10,628 |
| New York-Presbyterian HospitalNew York, NY | $16,255 |
| The Johns Hopkins HospitalBaltimore, MD | $24,011 |
| Good Samaritan HospitalBaltimore, MD | $26,746 |
| Sinai Hospital of BaltimoreBaltimore, MD | $26,770 |
| Western Maryland Regional Medical CenterCumberland, MD | $27,255 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | $31,308 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $32,102 |
| Meritus Medical CenterHagerstown, MD | $32,883 |
Highest
| Levindale Hebrew Geriatric Center and HospitalBaltimore, MD | $36,343 |
|---|---|
| Memorial Hospital at EastonEaston, MD | $36,330 |
| Meritus Medical CenterHagerstown, MD | $32,883 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $32,102 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | $31,308 |
| Western Maryland Regional Medical CenterCumberland, MD | $27,255 |
| Sinai Hospital of BaltimoreBaltimore, MD | $26,770 |
| Good Samaritan HospitalBaltimore, MD | $26,746 |
| The Johns Hopkins HospitalBaltimore, MD | $24,011 |
| New York-Presbyterian HospitalNew York, NY | $16,255 |
Aftercare, musculoskeletal system and connective tissue with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| California | 3 | $126,277 | $15,900 | $10,013 – $19,847 |
| Delaware | 1 | $24,137 | $8,682 | – |
| Florida | 7 | $51,046 | $9,029 | $7,078 – $10,628 |
| Illinois | 2 | $39,988 | $9,771 | $9,390 – $10,222 |
| Maryland | 9 | $33,502 | $29,930 | $24,011 – $36,343 |
| Massachusetts | 1 | $49,048 | $14,043 | – |
| Michigan | 1 | $25,672 | $7,798 | – |
| Missouri | 1 | $37,768 | $13,962 | – |
| New Jersey | 1 | $88,453 | $8,780 | – |
| New York | 4 | $93,735 | $14,974 | $12,589 – $16,255 |
| North Carolina | 1 | $40,157 | $12,641 | – |
| Ohio | 1 | $29,085 | $11,288 | – |
| Pennsylvania | 1 | $74,164 | $10,474 | – |
| Tennessee | 2 | $33,117 | $8,773 | $6,402 – $10,636 |
| Texas | 1 | $112,484 | $7,765 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Meritus Medical CenterHagerstown, MD | 137 | $35,603 | $32,883 |
| Good Samaritan HospitalBaltimore, MD | 133 | $30,081 | $26,746 |
| Sinai Hospital of BaltimoreBaltimore, MD | 106 | $30,353 | $26,770 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | 93 | $36,712 | $32,102 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | 67 | $35,476 | $31,308 |
| Western Maryland Regional Medical CenterCumberland, MD | 54 | $30,762 | $27,255 |
| Memorial Hospital at EastonEaston, MD | 38 | $40,685 | $36,330 |
| The Johns Hopkins HospitalBaltimore, MD | 37 | $26,429 | $24,011 |
| Levindale Hebrew Geriatric Center and HospitalBaltimore, MD | 28 | $40,896 | $36,343 |
| Orlando Regional HealthcareOrlando, FL | 24 | $55,966 | $10,628 |
| New York-Presbyterian HospitalNew York, NY | 22 | $102,572 | $16,255 |
| Adventhealth OrlandoOrlando, FL | 21 | $46,717 | $10,040 |
| Medical Center of PlanoPlano, TX | 19 | $112,484 | $7,765 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | 17 | $42,639 | $10,013 |
| Stanford HospitalPalo Alto, CA | 17 | $213,471 | $19,847 |
Questions
How much does aftercare, musculoskeletal system and connective tissue with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for aftercare, musculoskeletal system and connective tissue with complications (DRG 560) at 36 hospitals in the U.S. was billed at $45,278 on average, while the average total payment was $23,288, of which Medicare paid $21,554. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for aftercare, musculoskeletal system and connective tissue with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($29,930), California ($15,900), New York ($14,974) and lowest in Florida ($9,029), New York ($14,974), California ($15,900).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 1.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.