Rehabilitation without complications
What 6 hospitals in the U.S. charged and were paid for a Medicare hospital stay for rehabilitation without complications (DRG 946), from 2024 Medicare claims.
Average charge
$21,310
Hospital list price billed
Average payment
$11,150
Medicare + patient + other payers
Medicare paid
$10,041
Average per stay
Volume
304
Medicare hospital stays
Hospitals in the U.S. billed an average of $21,310 for rehabilitation without complications, about 1.9 times the average total payment of $11,150.
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 $11,150Billed $21,310
About 52¢ 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 | $6,766 |
|---|---|
| Sunnyview Hospital and Rehabilitation CenterSchenectady, NY | $8,592 |
| Good Samaritan HospitalBaltimore, MD | $23,107 |
| Sinai Hospital of BaltimoreBaltimore, MD | $30,144 |
Highest
| Sinai Hospital of BaltimoreBaltimore, MD | $30,144 |
|---|---|
| Good Samaritan HospitalBaltimore, MD | $23,107 |
| Sunnyview Hospital and Rehabilitation CenterSchenectady, NY | $8,592 |
| Straith Hospital for Special SurgerySouthfield, MI | $6,766 |
Rehabilitation 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 |
|---|---|---|---|
| Straith Hospital for Special SurgerySouthfield, MI | 176 | $18,204 | $6,766 |
| Sunnyview Hospital and Rehabilitation CenterSchenectady, NY | 50 | $25,871 | $8,592 |
| Good Samaritan HospitalBaltimore, MD | 28 | $26,032 | $23,107 |
| Sinai Hospital of BaltimoreBaltimore, MD | 23 | $34,342 | $30,144 |
| Surgeons Choice Medical CenterSouthfield, MI | 14 | $6,516 | $7,274 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | 13 | $28,535 | $25,155 |
Questions
How much does rehabilitation without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for rehabilitation without complications (DRG 946) at 6 hospitals in the U.S. was billed at $21,310 on average, while the average total payment was $11,150, of which Medicare paid $10,041. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for rehabilitation without complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($26,052) and lowest in Maryland ($26,052).
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 1.9 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.