Rehabilitation with complications
What 32 hospitals in the U.S. charged and were paid for a Medicare hospital stay for rehabilitation with complications (DRG 945), from 2024 Medicare claims.
Average charge
$47,451
Hospital list price billed
Average payment
$19,618
Medicare + patient + other payers
Medicare paid
$18,552
Average per stay
Volume
1,400
Medicare hospital stays
Hospitals in the U.S. billed an average of $47,451 for rehabilitation with complications, about 2.4 times the average total payment of $19,618.
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 $19,618Billed $47,451
About 41¢ 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
| Straith Hospital for Special SurgerySouthfield, MI | $9,848 |
|---|---|
| Methodist HospitalSan Antonio, TX | $10,009 |
| Surgeons Choice Medical CenterSouthfield, MI | $10,406 |
| Wesley Medical CenterWichita, KS | $11,002 |
| Ocala Regional Medical CenterOcala, FL | $11,147 |
| North Florida Regional Medical CenterGainesville, FL | $12,140 |
| Sunnyview Hospital and Rehabilitation CenterSchenectady, NY | $12,191 |
| Los Robles Hospital & Medical CenterThousand Oaks, CA | $15,132 |
| Good Samaritan HospitalSan Jose, CA | $15,849 |
| Western Maryland Regional Medical CenterCumberland, MD | $24,087 |
Highest
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | $36,988 |
|---|---|
| Memorial Hospital at EastonEaston, MD | $36,396 |
| Good Samaritan HospitalBaltimore, MD | $28,549 |
| Meritus Medical CenterHagerstown, MD | $27,877 |
| Sinai Hospital of BaltimoreBaltimore, MD | $27,853 |
| Western Maryland Regional Medical CenterCumberland, MD | $24,087 |
| Good Samaritan HospitalSan Jose, CA | $15,849 |
| Los Robles Hospital & Medical CenterThousand Oaks, CA | $15,132 |
| Sunnyview Hospital and Rehabilitation CenterSchenectady, NY | $12,191 |
| North Florida Regional Medical CenterGainesville, FL | $12,140 |
Rehabilitation 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 | 2 | $147,313 | $15,491 | $15,132 – $15,849 |
| Florida | 10 | $96,183 | $11,549 | $9,401 – $14,080 |
| Kansas | 1 | $100,572 | $11,002 | – |
| Maryland | 8 | $34,044 | $30,170 | $24,087 – $36,988 |
| Michigan | 2 | $18,176 | $9,902 | $9,848 – $10,406 |
| Nevada | 2 | $129,137 | $13,858 | $13,782 – $13,949 |
| New York | 1 | $28,263 | $12,191 | – |
| North Carolina | 1 | $37,837 | $10,532 | – |
| Texas | 4 | $79,575 | $10,611 | $10,009 – $11,919 |
| Virginia | 1 | $104,290 | $10,069 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Good Samaritan HospitalBaltimore, MD | 303 | $32,299 | $28,549 |
| Straith Hospital for Special SurgerySouthfield, MI | 235 | $19,277 | $9,848 |
| Sunnyview Hospital and Rehabilitation CenterSchenectady, NY | 168 | $28,263 | $12,191 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | 108 | $41,888 | $36,988 |
| Western Maryland Regional Medical CenterCumberland, MD | 57 | $27,175 | $24,087 |
| Memorial Hospital at EastonEaston, MD | 45 | $40,732 | $36,396 |
| Sinai Hospital of BaltimoreBaltimore, MD | 44 | $31,730 | $27,853 |
| Ocala Regional Medical CenterOcala, FL | 31 | $74,636 | $11,147 |
| Meritus Medical CenterHagerstown, MD | 29 | $29,986 | $27,877 |
| Surgeons Choice Medical CenterSouthfield, MI | 25 | $7,822 | $10,406 |
| North Florida Regional Medical CenterGainesville, FL | 24 | $111,074 | $12,140 |
| Good Samaritan HospitalSan Jose, CA | 23 | $152,346 | $15,849 |
| Los Robles Hospital & Medical CenterThousand Oaks, CA | 23 | $142,280 | $15,132 |
| Wesley Medical CenterWichita, KS | 22 | $100,572 | $11,002 |
| Methodist HospitalSan Antonio, TX | 20 | $80,998 | $10,009 |
Questions
How much does rehabilitation with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for rehabilitation with complications (DRG 945) at 32 hospitals in the U.S. was billed at $47,451 on average, while the average total payment was $19,618, of which Medicare paid $18,552. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for rehabilitation with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($30,170), Florida ($11,549), Texas ($10,611) and lowest in Texas ($10,611), Florida ($11,549), Maryland ($30,170).
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 2.4 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.