Inpatient stays / DRG 515
MS-DRG 515 · 64 hospitals · 4,525 stays
DRG 515: Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC
Medicare patients had 4,525 stays in DRG 515 in 2024. Hospitals charged an average of $150,074 per stay and were paid $28,460 — a ratio of 5.3 to 1 — of which Medicare's own share averaged $24,783. Average charges ran from $42,707 at the least expensive hospital to $471,614 at the most; half of hospitals charged between $89,226 and $210,529.
- 1Average charge $150,074
- 2Average paid $28,460
- 3Reporting hospitals 64
- 4Medicare stays 4,525
By state
Average charges for DRG 515 were highest in California ($262,651) and lowest in Maryland ($46,647). Payments vary far less than charges, because Medicare sets them: they range across states from $21,697 to $42,083.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 378 | $262,651 | $41,836 | 6.3× |
| Nevada | 29 | $225,565 | $27,654 | 8.2× |
| Colorado | 90 | $198,367 | $24,055 | 8.2× |
| New York | 165 | $196,426 | $37,071 | 5.3× |
| New Jersey | 67 | $190,906 | $31,417 | 6.1× |
| Texas | 376 | $185,630 | $25,932 | 7.2× |
| New Hampshire | 22 | $181,549 | $25,605 | 7.1× |
| Alabama | 38 | $181,083 | $23,158 | 7.8× |
| Florida | 505 | $180,463 | $24,807 | 7.3× |
| District of Columbia | 17 | $160,286 | $34,510 | 4.6× |
| Washington | 91 | $160,263 | $33,077 | 4.8× |
| Georgia | 148 | $159,920 | $27,571 | 5.8× |
| South Carolina | 75 | $157,456 | $25,709 | 6.1× |
| Virginia | 180 | $156,552 | $25,463 | 6.1× |
| Arizona | 68 | $150,933 | $30,987 | 4.9× |
| Pennsylvania | 142 | $150,081 | $28,213 | 5.3× |
| Oklahoma | 89 | $141,719 | $24,207 | 5.9× |
| Missouri | 98 | $135,517 | $28,613 | 4.7× |
| Kansas | 93 | $132,575 | $23,870 | 5.6× |
| Tennessee | 81 | $126,950 | $25,540 | 5× |
| Oregon | 39 | $119,416 | $33,303 | 3.6× |
| Illinois | 255 | $118,274 | $26,336 | 4.5× |
| Louisiana | 36 | $115,314 | $22,005 | 5.2× |
| Hawaii | 13 | $112,153 | $34,890 | 3.2× |
| Ohio | 198 | $112,073 | $24,766 | 4.5× |
| Connecticut | 39 | $110,503 | $33,133 | 3.3× |
| Minnesota | 73 | $108,160 | $31,836 | 3.4× |
| North Carolina | 150 | $106,772 | $28,309 | 3.8× |
| Utah | 28 | $105,242 | $26,716 | 3.9× |
| Indiana | 110 | $103,329 | $23,018 | 4.5× |
| Kentucky | 62 | $102,582 | $22,206 | 4.6× |
| South Dakota | 20 | $95,305 | $24,661 | 3.9× |
| New Mexico | 14 | $95,053 | $28,009 | 3.4× |
| Mississippi | 47 | $92,455 | $21,965 | 4.2× |
| Delaware | 18 | $92,306 | $25,414 | 3.6× |
| Idaho | 25 | $92,296 | $23,732 | 3.9× |
| Nebraska | 45 | $91,781 | $26,200 | 3.5× |
| West Virginia | 15 | $91,739 | $25,246 | 3.6× |
| North Dakota | 16 | $90,846 | $26,479 | 3.4× |
| Massachusetts | 153 | $89,043 | $33,080 | 2.7× |
| Michigan | 152 | $87,095 | $25,640 | 3.4× |
| Montana | 20 | $86,532 | $26,937 | 3.2× |
| Wisconsin | 61 | $84,919 | $23,788 | 3.6× |
| Maine | 12 | $84,152 | $30,028 | 2.8× |
| Iowa | 35 | $77,278 | $23,961 | 3.2× |
| Arkansas | 44 | $74,754 | $21,697 | 3.4× |
| Maryland | 75 | $46,647 | $42,083 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| University of California Davis Medical Center Sacramento, CA · 15 stays | $471,614 | $66,687 |
| Stanford Health Care Stanford, CA · 14 stays | $469,686 | $53,441 |
| Cedars-Sinai Medical Center Los Angeles, CA · 16 stays | $403,408 | $38,084 |
| Cjw Medical Center Richmond, VA · 22 stays | $377,797 | $20,689 |
| Medical City Plano Plano, TX · 11 stays | $321,104 | $19,668 |
| UCSF Medical Center San Francisco, CA · 12 stays | $317,728 | $57,788 |
| Henrico Doctors' Hospital Richmond, VA · 20 stays | $297,002 | $21,604 |
| NYU Langone Hospitals New York, NY · 24 stays | $291,898 | $45,444 |
| Wesley Medical Center Wichita, KS · 15 stays | $287,582 | $24,445 |
| Longview Regional Medical Center Longview, TX · 11 stays | $261,083 | $20,840 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cape Cod Hospital Hyannis, MA · 12 stays | $42,707 | $32,260 |
| South Shore Hospital South Weymouth, MA · 22 stays | $46,976 | $27,087 |
| Corewell Health Grand Rapids Hospitals Butterworth Grand Rapids, MI · 12 stays | $47,762 | $26,129 |
| Mercyone Dubuque Medical Center Dubuque, IA · 11 stays | $59,554 | $19,879 |
| Ascension Providence Hospital Southfield, MI · 11 stays | $61,337 | $25,463 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 14 stays | $66,687 | $33,182 |
| Ascension Via Christi Hospitals Wichita, Inc. Wichita, KS · 12 stays | $72,383 | $23,430 |
| Saint Francis Hospital, Inc Tulsa, OK · 20 stays | $73,806 | $23,568 |
| Parkview Regional Medical Center Fort Wayne, IN · 17 stays | $75,686 | $23,227 |
| Johns Hopkins Hospital, the Baltimore, MD · 11 stays | $80,912 | $71,179 |
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.