Signs and symptoms of musculoskeletal system and connective tissue without major complications
What 152 hospitals in the U.S. charged and were paid for a Medicare hospital stay for signs and symptoms of musculoskeletal system and connective tissue without major complications (DRG 556), from 2024 Medicare claims.
Average charge
$45,168
Hospital list price billed
Average payment
$8,554
Medicare + patient + other payers
Medicare paid
$6,544
Average per stay
Volume
2,688
Medicare hospital stays
Hospitals in the U.S. billed an average of $45,168 for signs and symptoms of musculoskeletal system and connective tissue without major complications, about 5.3 times the average total payment of $8,554.
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 $8,554Billed $45,168
About 19¢ 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
| Carlisle Regional Medical CtrCarlisle, PA | $5,804 |
|---|---|
| Surgeons Choice Medical CenterSouthfield, MI | $5,874 |
| UPMC MemorialYork, PA | $6,042 |
| Chester County HospitalWest Chester, PA | $6,166 |
| Cjw Medical CenterRichmond, VA | $6,348 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $6,589 |
| Sarasota Memorial HospitalSarasota, FL | $6,590 |
| Virtua West Jersey HospitalVoorhees, NJ | $6,706 |
| Huntsville HospitalHuntsville, AL | $6,796 |
| South Shore HospitalSouth Weymouth, MA | $6,959 |
Highest
| Meritus Medical CenterHagerstown, MD | $17,472 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $13,669 |
| NYU Hospitals CenterNew York, NY | $12,534 |
| Temple University HospitalPhiladelphia, PA | $12,478 |
| Montefiore Medical CenterBronx, NY | $12,166 |
| University HospitalStony Brook, NY | $11,429 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | $10,633 |
| Staten Island University HospitalStaten Island, NY | $10,507 |
| North Shore University HospitalManhasset, NY | $10,111 |
| St Luke's Hospital - Anderson CampusEaston, PA | $9,683 |
Signs and symptoms of musculoskeletal system and connective tissue 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 | $34,067 | $6,796 | – |
| Arizona | 4 | $42,200 | $6,539 | $6,110 – $7,078 |
| California | 15 | $75,303 | $10,082 | $7,813 – $16,200 |
| Delaware | 1 | $28,153 | $7,900 | – |
| Florida | 14 | $52,889 | $7,098 | $5,625 – $8,528 |
| Georgia | 1 | $41,482 | $9,480 | – |
| Illinois | 6 | $30,467 | $8,487 | $6,169 – $14,228 |
| Iowa | 1 | $34,153 | $6,698 | – |
| Kansas | 3 | $60,783 | $8,177 | $7,207 – $9,680 |
| Kentucky | 1 | $44,140 | $6,244 | – |
| Maryland | 11 | $14,311 | $12,820 | $8,304 – $18,888 |
| Massachusetts | 6 | $16,201 | $7,392 | $6,646 – $9,359 |
| Michigan | 6 | $18,650 | $6,893 | $5,874 – $10,444 |
| Minnesota | 2 | $22,744 | $7,167 | $6,589 – $8,050 |
| Missouri | 3 | $22,942 | $6,559 | $6,116 – $6,986 |
| Nebraska | 1 | $19,974 | $6,477 | – |
| Nevada | 2 | $90,620 | $8,636 | $8,160 – $9,111 |
| New Jersey | 10 | $56,652 | $7,561 | $6,505 – $9,980 |
| New York | 22 | $62,675 | $10,826 | $7,104 – $14,074 |
| North Carolina | 3 | $32,091 | $10,005 | $5,897 – $12,654 |
| Ohio | 4 | $29,204 | $6,954 | $5,796 – $8,045 |
| Oklahoma | 1 | $25,967 | $6,262 | – |
| Pennsylvania | 22 | $41,736 | $7,626 | $5,804 – $12,478 |
| South Dakota | 1 | $40,106 | $7,258 | – |
| Tennessee | 1 | $33,726 | $7,357 | – |
| Texas | 5 | $50,272 | $7,263 | $6,902 – $7,620 |
| Virginia | 2 | $45,592 | $6,470 | $6,348 – $6,690 |
| Wisconsin | 3 | $31,372 | $9,389 | $6,425 – $15,620 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| UPMC Pinnacle HospitalsHarrisburg, PA | 73 | $31,357 | $7,374 |
| Surgeons Choice Medical CenterSouthfield, MI | 65 | $7,347 | $5,874 |
| NYU Hospitals CenterNew York, NY | 53 | $89,753 | $12,534 |
| Lehigh Valley HospitalAllentown, PA | 51 | $47,150 | $7,611 |
| Adventhealth OrlandoOrlando, FL | 46 | $56,071 | $8,528 |
| UPMC MemorialYork, PA | 45 | $31,207 | $6,042 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 40 | $69,684 | $10,633 |
| North Shore University HospitalManhasset, NY | 39 | $66,630 | $10,111 |
| Sarasota Memorial HospitalSarasota, FL | 38 | $37,308 | $6,590 |
| South Shore HospitalSouth Weymouth, MA | 36 | $13,746 | $6,959 |
| New York-Presbyterian HospitalNew York, NY | 35 | $77,304 | $13,669 |
| Reading Hospital and Med CtrWest Reading, PA | 35 | $33,504 | $7,434 |
| University HospitalStony Brook, NY | 30 | $68,258 | $11,429 |
| Orlando Regional HealthcareOrlando, FL | 29 | $55,626 | $8,433 |
| Virtua West Jersey HospitalVoorhees, NJ | 29 | $59,568 | $6,706 |
Questions
How much does signs and symptoms of musculoskeletal system and connective tissue without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for signs and symptoms of musculoskeletal system and connective tissue without major complications (DRG 556) at 152 hospitals in the U.S. was billed at $45,168 on average, while the average total payment was $8,554, of which Medicare paid $6,544. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for signs and symptoms of musculoskeletal system and connective tissue without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($12,820), New York ($10,826), California ($10,082) and lowest in Arizona ($6,539), Missouri ($6,559), Michigan ($6,893).
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 5.3 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.