Aftercare, musculoskeletal system and connective tissue with major complications
What 15 hospitals in the U.S. charged and were paid for a Medicare hospital stay for aftercare, musculoskeletal system and connective tissue with major complications (DRG 559), from 2024 Medicare claims.
Average charge
$83,761
Hospital list price billed
Average payment
$29,305
Medicare + patient + other payers
Medicare paid
$26,847
Average per stay
Volume
264
Medicare hospital stays
Hospitals in the U.S. billed an average of $83,761 for aftercare, musculoskeletal system and connective tissue with major complications, about 2.9 times the average total payment of $29,305.
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.
Paid $29,305Billed $83,761
About 35¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
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
| Good Samaritan HospitalBaltimore, MD | $28,348 |
|---|---|
| Meritus Medical CenterHagerstown, MD | $33,523 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | $34,579 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $36,666 |
Highest
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $36,666 |
|---|---|
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | $34,579 |
| Meritus Medical CenterHagerstown, MD | $33,523 |
| Good Samaritan HospitalBaltimore, MD | $28,348 |
Aftercare, musculoskeletal system and connective tissue with major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Good Samaritan HospitalBaltimore, MD | 39 | $31,815 | $28,348 |
| Meritus Medical CenterHagerstown, MD | 29 | $36,467 | $33,523 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | 23 | $42,061 | $36,666 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | 21 | $39,214 | $34,579 |
| Sinai Hospital of BaltimoreBaltimore, MD | 18 | $59,110 | $52,016 |
| Adventhealth OrlandoOrlando, FL | 16 | $110,716 | $13,607 |
| NYU Hospitals CenterNew York, NY | 16 | $133,486 | $24,378 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | 15 | $108,619 | $20,790 |
| New York-Presbyterian HospitalNew York, NY | 14 | $289,907 | $40,281 |
| Memorial Hospital at EastonEaston, MD | 13 | $50,365 | $44,951 |
| Baptist Memorial HospitalMemphis, TN | 13 | $74,449 | $13,828 |
| The Johns Hopkins HospitalBaltimore, MD | 12 | $32,124 | $28,709 |
| Saint Francis Hospital, INCTulsa, OK | 12 | $52,072 | $12,450 |
| Medical Center of PlanoPlano, TX | 12 | $138,017 | $13,036 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 11 | $279,579 | $23,191 |
Questions
How much does aftercare, musculoskeletal system and connective tissue with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for aftercare, musculoskeletal system and connective tissue with major complications (DRG 559) at 15 hospitals in the U.S. was billed at $83,761 on average, while the average total payment was $29,305, of which Medicare paid $26,847. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($35,564) and lowest in Maryland ($35,564).
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 2.9 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.