Inpatient stays / DRG 016
MS-DRG 016 · 54 hospitals · 1,567 stays
DRG 016: Autologous Bone Marrow Transplant with CC/MCC
Medicare patients had 1,567 stays in DRG 016 in 2024. Hospitals charged an average of $273,743 per stay and were paid $72,541 — a ratio of 3.8 to 1 — of which Medicare's own share averaged $55,336. Average charges ran from $66,933 at the least expensive hospital to $760,969 at the most; half of hospitals charged between $175,220 and $345,453.
- 1Average charge $273,743
- 2Average paid $72,541
- 3Reporting hospitals 54
- 4Medicare stays 1,567
By state
Average charges for DRG 016 were highest in Colorado ($580,578) and lowest in Maryland ($66,933). Payments vary far less than charges, because Medicare sets them: they range across states from $47,299 to $149,893.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Colorado | 48 | $580,578 | $91,627 | 6.3× |
| Tennessee | 41 | $447,778 | $54,193 | 8.3× |
| California | 105 | $412,638 | $97,976 | 4.2× |
| Texas | 118 | $386,994 | $58,820 | 6.6× |
| District of Columbia | 14 | $380,982 | $149,893 | 2.5× |
| Pennsylvania | 115 | $380,049 | $78,257 | 4.9× |
| Oklahoma | 15 | $356,888 | $64,220 | 5.6× |
| New York | 70 | $302,161 | $92,563 | 3.3× |
| Virginia | 43 | $295,122 | $89,359 | 3.3× |
| Kansas | 38 | $273,507 | $60,818 | 4.5× |
| Missouri | 53 | $272,409 | $72,659 | 3.7× |
| Oregon | 23 | $250,130 | $84,298 | 3× |
| Florida | 66 | $247,372 | $57,826 | 4.3× |
| New Jersey | 64 | $238,107 | $65,495 | 3.6× |
| Louisiana | 12 | $226,431 | $57,276 | 4× |
| Iowa | 11 | $224,908 | $61,708 | 3.6× |
| Illinois | 106 | $220,662 | $75,757 | 2.9× |
| Michigan | 55 | $215,151 | $74,380 | 2.9× |
| Massachusetts | 32 | $213,453 | $85,069 | 2.5× |
| Nebraska | 22 | $212,495 | $65,767 | 3.2× |
| Ohio | 44 | $208,425 | $67,123 | 3.1× |
| Arizona | 41 | $208,274 | $64,617 | 3.2× |
| Indiana | 39 | $207,353 | $55,041 | 3.8× |
| Wisconsin | 47 | $205,174 | $68,077 | 3× |
| Arkansas | 28 | $200,294 | $69,842 | 2.9× |
| Georgia | 61 | $192,905 | $74,214 | 2.6× |
| Alabama | 36 | $184,482 | $67,512 | 2.7× |
| South Carolina | 22 | $175,751 | $54,340 | 3.2× |
| Utah | 26 | $164,567 | $58,947 | 2.8× |
| North Carolina | 53 | $147,349 | $63,106 | 2.3× |
| Connecticut | 12 | $140,110 | $86,951 | 1.6× |
| Kentucky | 11 | $138,109 | $57,356 | 2.4× |
| South Dakota | 15 | $134,270 | $47,299 | 2.8× |
| Minnesota | 19 | $124,651 | $69,933 | 1.8× |
| North Dakota | 11 | $77,664 | $52,109 | 1.5× |
| Maryland | 23 | $66,933 | $61,108 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Tristar Centennial Medical Center Nashville, TN · 21 stays | $760,969 | $52,939 |
| Medical City Dallas Dallas, TX · 35 stays | $659,010 | $56,735 |
| HCA Healthone Presbyterian St Lukes Denver, CO · 41 stays | $607,101 | $96,246 |
| Cedars-Sinai Medical Center Los Angeles, CA · 19 stays | $562,850 | $78,165 |
| Temple University Hospital Philadelphia, PA · 34 stays | $502,530 | $73,548 |
| University of California Davis Medical Center Sacramento, CA · 16 stays | $461,734 | $92,798 |
| St David's South Austin Medical Center Austin, TX · 13 stays | $454,811 | $66,943 |
| UCSF Medical Center San Francisco, CA · 23 stays | $442,440 | $108,862 |
| Medstar Georgetown University Hospital Washington, DC · 13 stays | $387,860 | $155,329 |
| University of Michigan Health Ann Arbor, MI · 18 stays | $386,306 | $104,680 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| University of Maryland Medical Center Baltimore, MD · 23 stays | $66,933 | $61,108 |
| Sanford Fargo, ND · 11 stays | $77,664 | $52,109 |
| Mayo Clinic Hospital Rochester Rochester, MN · 15 stays | $89,596 | $67,981 |
| Mayo Clinic Jacksonville, FL · 34 stays | $106,314 | $60,951 |
| Carolinas Medical Center/Behav Health Charlotte, NC · 21 stays | $115,798 | $59,744 |
| Karmanos Cancer Center Detroit, MI · 23 stays | $121,711 | $51,187 |
| UT Southwestern University Hospital Dallas, TX · 17 stays | $122,735 | $54,346 |
| Franciscan Health Indianapolis Indianapolis, IN · 13 stays | $132,689 | $41,400 |
| Avera Mckennan Hospital & University Health Center Sioux Falls, SD · 15 stays | $134,270 | $47,299 |
| University of Utah Hospital and Clinics Salt Lake City, UT · 16 stays | $137,861 | $61,180 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.