Aftercare, musculoskeletal system and connective tissue without complications
What 9 hospitals in the U.S. charged and were paid for a Medicare hospital stay for aftercare, musculoskeletal system and connective tissue without complications (DRG 561), from 2024 Medicare claims.
Average charge
$30,351
Hospital list price billed
Average payment
$23,765
Medicare + patient + other payers
Medicare paid
$22,237
Average per stay
Volume
380
Medicare hospital stays
Hospitals in the U.S. billed an average of $30,351 for aftercare, musculoskeletal system and connective tissue without complications, about 1.3 times the average total payment of $23,765.
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 $23,765Billed $30,351
About 78¢ 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
| Surgeons Choice Medical CenterSouthfield, MI | $5,704 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $19,954 |
| Good Samaritan HospitalBaltimore, MD | $24,390 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $25,537 |
| Sinai Hospital of BaltimoreBaltimore, MD | $28,157 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | $29,297 |
| Memorial Hospital at EastonEaston, MD | $36,766 |
Highest
| Memorial Hospital at EastonEaston, MD | $36,766 |
|---|---|
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | $29,297 |
| Sinai Hospital of BaltimoreBaltimore, MD | $28,157 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $25,537 |
| Good Samaritan HospitalBaltimore, MD | $24,390 |
| The Johns Hopkins HospitalBaltimore, MD | $19,954 |
| Surgeons Choice Medical CenterSouthfield, MI | $5,704 |
Aftercare, musculoskeletal system and connective tissue without 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 |
|---|---|---|---|
| Sinai Hospital of BaltimoreBaltimore, MD | 120 | $31,997 | $28,157 |
| Good Samaritan HospitalBaltimore, MD | 69 | $27,255 | $24,390 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | 56 | $29,174 | $25,537 |
| Surgeons Choice Medical CenterSouthfield, MI | 35 | $7,346 | $5,704 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | 30 | $33,169 | $29,297 |
| The Johns Hopkins HospitalBaltimore, MD | 25 | $22,421 | $19,954 |
| Memorial Hospital at EastonEaston, MD | 22 | $41,178 | $36,766 |
| Medical Center of PlanoPlano, TX | 12 | $61,151 | $6,429 |
| Ocala Regional Medical CenterOcala, FL | 11 | $66,094 | $6,849 |
Questions
How much does aftercare, musculoskeletal system and connective tissue without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for aftercare, musculoskeletal system and connective tissue without complications (DRG 561) at 9 hospitals in the U.S. was billed at $30,351 on average, while the average total payment was $23,765, of which Medicare paid $22,237. 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 without complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($26,952) and lowest in Maryland ($26,952).
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 1.3 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.