Inpatient stays / DRG 554
MS-DRG 554 · 200 hospitals · 9,573 stays
DRG 554: Bone Diseases and Arthropathies without MCC
Medicare patients had 9,573 stays in DRG 554 in 2024. Hospitals charged an average of $37,968 per stay and were paid $8,478 — a ratio of 4.5 to 1 — of which Medicare's own share averaged $6,412. Average charges ran from $9,062 at the least expensive hospital to $166,218 at the most; half of hospitals charged between $22,132 and $47,278.
- 1Average charge $37,968
- 2Average paid $8,478
- 3Reporting hospitals 200
- 4Medicare stays 9,573
By state
Average charges for DRG 554 were highest in Nevada ($84,679) and lowest in Maryland ($12,544). Payments vary far less than charges, because Medicare sets them: they range across states from $3,999 to $11,235.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 66 | $84,679 | $8,189 | 10.3× |
| New Jersey | 466 | $64,510 | $8,547 | 7.5× |
| California | 855 | $62,278 | $10,559 | 5.9× |
| Colorado | 78 | $57,503 | $7,301 | 7.9× |
| New York | 881 | $51,547 | $10,670 | 4.8× |
| Florida | 711 | $48,757 | $7,199 | 6.8× |
| Texas | 390 | $43,563 | $8,575 | 5.1× |
| Alaska | 21 | $41,867 | $9,214 | 4.5× |
| District of Columbia | 54 | $40,294 | $11,066 | 3.6× |
| Kansas | 101 | $39,247 | $6,870 | 5.7× |
| Arizona | 147 | $38,655 | $7,485 | 5.2× |
| Connecticut | 97 | $38,610 | $9,446 | 4.1× |
| Pennsylvania | 644 | $38,172 | $7,576 | 5× |
| South Carolina | 109 | $35,766 | $7,531 | 4.7× |
| Washington | 139 | $35,493 | $8,647 | 4.1× |
| Georgia | 192 | $34,761 | $8,877 | 3.9× |
| Idaho | 27 | $34,453 | $7,384 | 4.7× |
| Tennessee | 145 | $33,102 | $7,288 | 4.5× |
| New Hampshire | 52 | $33,016 | $7,682 | 4.3× |
| Maine | 32 | $31,554 | $9,016 | 3.5× |
| Illinois | 577 | $30,966 | $8,445 | 3.7× |
| Oklahoma | 71 | $30,793 | $6,918 | 4.5× |
| Kentucky | 97 | $30,097 | $6,834 | 4.4× |
| Mississippi | 51 | $29,440 | $6,540 | 4.5× |
| Hawaii | 30 | $29,257 | $10,091 | 2.9× |
| Louisiana | 62 | $29,197 | $6,819 | 4.3× |
| Utah | 36 | $28,962 | $9,643 | 3× |
| Alabama | 94 | $28,856 | $9,686 | 3× |
| Virginia | 266 | $28,221 | $7,294 | 3.9× |
| Missouri | 237 | $27,994 | $7,158 | 3.9× |
| Wisconsin | 183 | $27,580 | $7,878 | 3.5× |
| Indiana | 206 | $26,916 | $6,890 | 3.9× |
| Arkansas | 42 | $26,467 | $6,212 | 4.3× |
| North Carolina | 205 | $26,170 | $8,399 | 3.1× |
| Minnesota | 147 | $26,127 | $7,728 | 3.4× |
| Oregon | 60 | $25,868 | $8,918 | 2.9× |
| Vermont | 19 | $25,293 | $3,999 | 6.3× |
| Ohio | 395 | $25,129 | $7,054 | 3.6× |
| Delaware | 42 | $24,514 | $7,729 | 3.2× |
| Iowa | 83 | $24,373 | $6,256 | 3.9× |
| Rhode Island | 52 | $24,100 | $8,715 | 2.8× |
| South Dakota | 31 | $23,986 | $7,188 | 3.3× |
| Wyoming | 16 | $23,767 | $9,313 | 2.6× |
| Nebraska | 69 | $23,726 | $7,006 | 3.4× |
| Michigan | 341 | $22,189 | $7,523 | 2.9× |
| New Mexico | 24 | $19,186 | $7,885 | 2.4× |
| Massachusetts | 454 | $19,012 | $8,598 | 2.2× |
| West Virginia | 48 | $17,833 | $7,108 | 2.5× |
| Montana | 22 | $16,403 | $6,761 | 2.4× |
| North Dakota | 22 | $15,226 | $6,846 | 2.2× |
| Maryland | 384 | $12,544 | $11,235 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Robert Wood Johnson University Hospital New Brunswick, NJ · 11 stays | $166,218 | $24,100 |
| Stanford Health Care Stanford, CA · 20 stays | $151,792 | $16,257 |
| Cedars-Sinai Medical Center Los Angeles, CA · 30 stays | $131,835 | $11,506 |
| New York-Presbyterian Hospital New York, NY · 82 stays | $88,952 | $12,049 |
| Mountainview Hospital Las Vegas, NV · 12 stays | $88,334 | $9,263 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 16 stays | $85,823 | $11,822 |
| HCA Florida Blake Hospital Bradenton, FL · 12 stays | $84,528 | $7,793 |
| Montefiore Medical Center Bronx, NY · 46 stays | $79,707 | $13,775 |
| NYU Langone Hospitals New York, NY · 48 stays | $75,081 | $12,065 |
| El Camino Hospital Mountain View, CA · 12 stays | $72,441 | $9,478 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Beth Israel Deaconess Hospital-Milton Inc Milton, MA · 13 stays | $9,062 | $6,718 |
| Frederick Health Hospital Frederick, MD · 15 stays | $9,249 | $8,338 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 19 stays | $9,423 | $8,689 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 21 stays | $9,864 | $8,857 |
| Mercy Medical Center Inc Baltimore, MD · 16 stays | $9,916 | $8,572 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 21 stays | $10,044 | $9,268 |
| University of MD St Joseph Medical Center Towson, MD · 12 stays | $10,898 | $9,667 |
| Holy Family Hospital Methuen, MA · 12 stays | $11,105 | $7,266 |
| Greater Baltimore Medical Center Baltimore, MD · 12 stays | $11,539 | $10,210 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 19 stays | $11,756 | $10,571 |
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.