Other musculoskeletal system and connective tissue diagnoses with complications
What 119 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue diagnoses with complications (DRG 565), from 2024 Medicare claims.
Average charge
$50,559
Hospital list price billed
Average payment
$10,350
Medicare + patient + other payers
Medicare paid
$7,400
Average per stay
Volume
1,701
Medicare hospital stays
Hospitals in the U.S. billed an average of $50,559 for other musculoskeletal system and connective tissue diagnoses with complications, about 4.9 times the average total payment of $10,350.
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 $10,350Billed $50,559
About 20¢ 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
| Methodist HospitalSan Antonio, TX | $8,669 |
|---|---|
| South Shore HospitalSouth Weymouth, MA | $8,685 |
| Adventhealth OrlandoOrlando, FL | $8,759 |
| Miami Valley HospitalDayton, OH | $8,928 |
| Abington Memorial HospitalAbington, PA | $9,037 |
| Lehigh Valley HospitalAllentown, PA | $9,277 |
| Community Medical CenterToms River, NJ | $10,025 |
| North Shore University HospitalManhasset, NY | $12,038 |
| New York-Presbyterian HospitalNew York, NY | $14,492 |
Highest
| New York-Presbyterian HospitalNew York, NY | $14,492 |
|---|---|
| North Shore University HospitalManhasset, NY | $12,038 |
| Community Medical CenterToms River, NJ | $10,025 |
| Lehigh Valley HospitalAllentown, PA | $9,277 |
| Abington Memorial HospitalAbington, PA | $9,037 |
| Miami Valley HospitalDayton, OH | $8,928 |
| Adventhealth OrlandoOrlando, FL | $8,759 |
| South Shore HospitalSouth Weymouth, MA | $8,685 |
| Methodist HospitalSan Antonio, TX | $8,669 |
Other musculoskeletal system and connective tissue diagnoses 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 | $123,013 | $14,581 | $10,230 – $19,470 |
| Connecticut | 1 | $30,718 | $12,850 | – |
| Delaware | 1 | $33,620 | $9,804 | – |
| Florida | 9 | $55,884 | $8,209 | $6,747 – $10,092 |
| Georgia | 4 | $45,429 | $11,562 | $10,564 – $13,370 |
| Illinois | 10 | $36,932 | $8,427 | $6,859 – $11,637 |
| Indiana | 1 | $31,704 | $8,986 | – |
| Kansas | 1 | $139,522 | $9,275 | – |
| Kentucky | 1 | $36,312 | $7,699 | – |
| Maine | 1 | $29,238 | $9,729 | – |
| Maryland | 4 | $11,015 | $10,091 | $8,227 – $12,282 |
| Massachusetts | 11 | $22,780 | $9,787 | $8,228 – $13,484 |
| Michigan | 3 | $31,292 | $10,273 | $8,793 – $11,240 |
| Minnesota | 2 | $28,302 | $10,419 | $9,462 – $11,464 |
| Missouri | 1 | $18,002 | $7,487 | – |
| Nebraska | 2 | $28,665 | $10,320 | $9,908 – $10,939 |
| Nevada | 1 | $26,316 | $9,702 | – |
| New Hampshire | 1 | $38,577 | $12,732 | – |
| New Jersey | 14 | $69,768 | $12,171 | $7,819 – $28,214 |
| New York | 15 | $70,953 | $12,463 | $8,759 – $17,789 |
| North Carolina | 1 | $32,753 | $10,885 | – |
| Ohio | 2 | $49,104 | $9,323 | $8,928 – $10,147 |
| Oklahoma | 3 | $48,033 | $9,070 | $7,172 – $12,351 |
| Pennsylvania | 13 | $54,148 | $10,517 | $7,379 – $17,727 |
| South Carolina | 1 | $83,512 | $8,933 | – |
| Tennessee | 1 | $28,286 | $6,641 | – |
| Texas | 4 | $52,084 | $8,714 | $6,889 – $10,456 |
| Virginia | 7 | $51,653 | $9,880 | $7,812 – $15,223 |
| Washington | 1 | $32,819 | $8,796 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Lehigh Valley HospitalAllentown, PA | 39 | $59,601 | $9,277 |
| Adventhealth OrlandoOrlando, FL | 26 | $75,783 | $8,759 |
| Miami Valley HospitalDayton, OH | 25 | $45,885 | $8,928 |
| South Shore HospitalSouth Weymouth, MA | 24 | $17,151 | $8,685 |
| Abington Memorial HospitalAbington, PA | 24 | $36,377 | $9,037 |
| Community Medical CenterToms River, NJ | 23 | $67,934 | $10,025 |
| New York-Presbyterian HospitalNew York, NY | 21 | $98,866 | $14,492 |
| North Shore University HospitalManhasset, NY | 21 | $80,720 | $12,038 |
| Methodist HospitalSan Antonio, TX | 21 | $64,437 | $8,669 |
| Umass Memorial Medical Center INCWorcester, MA | 19 | $42,508 | $13,484 |
| Inova Fairfax HospitalFalls Church, VA | 19 | $31,098 | $11,212 |
| Beverly Hospital CorporationBeverly, MA | 18 | $16,766 | $8,518 |
| Bryan Medical CenterLincoln, NE | 18 | $30,629 | $9,908 |
| New York Hospital Medical Center of QueensNew York, NY | 18 | $61,495 | $12,203 |
| York HospitalYork, PA | 18 | $39,291 | $17,727 |
Questions
How much does other musculoskeletal system and connective tissue diagnoses with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue diagnoses with complications (DRG 565) at 119 hospitals in the U.S. was billed at $50,559 on average, while the average total payment was $10,350, of which Medicare paid $7,400. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other musculoskeletal system and connective tissue diagnoses with complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($14,581), New York ($12,463), New Jersey ($12,171) and lowest in Florida ($8,209), Illinois ($8,427), Texas ($8,714).
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 4.9 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.