Bone diseases and arthropathies without major complications
What 200 hospitals in the U.S. charged and were paid for a Medicare hospital stay for bone diseases and arthropathies without major complications (DRG 554), from 2024 Medicare claims.
Average charge
$39,872
Hospital list price billed
Average payment
$8,815
Medicare + patient + other payers
Medicare paid
$6,632
Average per stay
Volume
3,500
Medicare hospital stays
Hospitals in the U.S. billed an average of $39,872 for bone diseases and arthropathies without major complications, about 4.5 times the average total payment of $8,815.
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 $8,815Billed $39,872
About 22¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 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
| Baptist Hospital EastLouisville, KY | $5,404 |
|---|---|
| William Beaumont Hospital-TroyTroy, MI | $5,858 |
| Chester County HospitalWest Chester, PA | $6,180 |
| Northwest Community HospitalArlington Heights, IL | $6,191 |
| Naples Community HospitalNaples, FL | $6,431 |
| Sarasota Memorial HospitalSarasota, FL | $6,456 |
| Virtua West Jersey HospitalVoorhees, NJ | $6,742 |
| Lancaster General HospitalLancaster, PA | $6,765 |
| South Shore HospitalSouth Weymouth, MA | $6,840 |
| Trinity Health Ann Arbor HospitalAnn Arbor, MI | $7,071 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $17,914 |
|---|---|
| Stanford HospitalPalo Alto, CA | $16,257 |
| Montefiore Medical CenterBronx, NY | $13,775 |
| Duke University Medical CenterDurham, NC | $12,675 |
| Massachusetts General HospitalBoston, MA | $12,550 |
| NYU Hospitals CenterNew York, NY | $12,065 |
| New York-Presbyterian HospitalNew York, NY | $12,049 |
| Union Memorial HospitalBaltimore, MD | $11,915 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $11,680 |
| Brigham and Women's HosptialBoston, MA | $11,532 |
Bone diseases and arthropathies without major 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 |
|---|---|---|---|---|
| Alabama | 1 | $19,644 | $6,453 | – |
| Arizona | 5 | $37,615 | $7,320 | $6,096 – $10,505 |
| California | 13 | $68,744 | $10,472 | $8,076 – $16,257 |
| Connecticut | 2 | $49,793 | $10,818 | $10,211 – $11,318 |
| Delaware | 1 | $22,548 | $8,003 | – |
| Florida | 14 | $47,513 | $7,322 | $5,554 – $10,197 |
| Georgia | 1 | $52,938 | $22,140 | – |
| Hawaii | 1 | $35,269 | $9,880 | – |
| Illinois | 19 | $31,523 | $7,906 | $5,585 – $13,512 |
| Indiana | 4 | $23,359 | $6,570 | $6,021 – $7,159 |
| Kansas | 2 | $42,293 | $7,535 | $5,993 – $8,275 |
| Kentucky | 3 | $28,091 | $6,589 | $5,404 – $8,726 |
| Maine | 1 | $24,738 | $8,165 | – |
| Maryland | 16 | $12,988 | $11,590 | $8,338 – $17,914 |
| Massachusetts | 16 | $20,284 | $8,398 | $6,718 – $12,550 |
| Michigan | 8 | $22,450 | $7,455 | $5,858 – $10,712 |
| Minnesota | 4 | $27,538 | $7,762 | $6,544 – $10,227 |
| Mississippi | 1 | $30,764 | $6,478 | – |
| Missouri | 6 | $21,536 | $7,048 | $5,399 – $11,757 |
| Nebraska | 2 | $19,413 | $6,567 | $6,534 – $6,604 |
| Nevada | 1 | $88,334 | $9,263 | – |
| New Jersey | 16 | $61,505 | $8,265 | $6,334 – $24,100 |
| New York | 16 | $64,122 | $10,654 | $6,941 – $13,775 |
| North Carolina | 4 | $28,581 | $9,078 | $7,056 – $12,675 |
| Ohio | 6 | $29,391 | $7,653 | $6,085 – $8,751 |
| Pennsylvania | 16 | $40,054 | $7,830 | $5,676 – $11,822 |
| Rhode Island | 2 | $24,634 | $9,393 | $8,113 – $10,593 |
| South Dakota | 1 | $23,601 | $7,422 | – |
| Tennessee | 2 | $29,593 | $7,187 | $6,381 – $7,708 |
| Texas | 3 | $38,663 | $7,923 | $7,096 – $9,724 |
| Utah | 1 | $30,989 | $11,303 | – |
| Virginia | 5 | $38,947 | $6,900 | $5,909 – $8,037 |
| Washington | 2 | $35,741 | $9,642 | $7,988 – $10,686 |
| Wisconsin | 3 | $31,315 | $9,868 | $6,805 – $11,680 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 82 | $88,952 | $12,049 |
| Lehigh Valley HospitalAllentown, PA | 54 | $37,449 | $7,750 |
| Virtua West Jersey HospitalVoorhees, NJ | 49 | $70,136 | $6,742 |
| NYU Hospitals CenterNew York, NY | 48 | $75,081 | $12,065 |
| Montefiore Medical CenterBronx, NY | 46 | $79,707 | $13,775 |
| Adventhealth OrlandoOrlando, FL | 42 | $60,359 | $7,636 |
| Northwest Community HospitalArlington Heights, IL | 40 | $18,281 | $6,191 |
| North Shore University HospitalManhasset, NY | 39 | $69,541 | $10,509 |
| University HospitalStony Brook, NY | 37 | $60,393 | $11,147 |
| South Shore HospitalSouth Weymouth, MA | 36 | $11,994 | $6,840 |
| William Beaumont Hospital-TroyTroy, MI | 36 | $24,112 | $5,858 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 36 | $71,451 | $10,816 |
| St Francis Hospital, RoslynRoslyn, NY | 33 | $40,120 | $7,168 |
| The Johns Hopkins HospitalBaltimore, MD | 32 | $20,336 | $17,914 |
| Staten Island University HospitalStaten Island, NY | 32 | $43,473 | $9,634 |
Questions
How much does bone diseases and arthropathies without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for bone diseases and arthropathies without major complications (DRG 554) at 200 hospitals in the U.S. was billed at $39,872 on average, while the average total payment was $8,815, of which Medicare paid $6,632. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for bone diseases and arthropathies without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($11,590), New York ($10,654), California ($10,472) and lowest in Indiana ($6,570), Kentucky ($6,589), Virginia ($6,900).
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 4.5 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.