Inpatient stays / DRG 564
MS-DRG 564 · 52 hospitals · 5,600 stays
DRG 564: Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
Medicare patients had 5,600 stays in DRG 564 in 2024. Hospitals charged an average of $73,797 per stay and were paid $14,864 — a ratio of 5 to 1 — of which Medicare's own share averaged $12,376. Average charges ran from $18,518 at the least expensive hospital to $272,216 at the most; half of hospitals charged between $40,676 and $104,680.
- 1Average charge $73,797
- 2Average paid $14,864
- 3Reporting hospitals 52
- 4Medicare stays 5,600
By state
Average charges for DRG 564 were highest in Alaska ($224,447) and lowest in Maryland ($22,068). Payments vary far less than charges, because Medicare sets them: they range across states from $10,724 to $36,724.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 11 | $224,447 | $23,156 | 9.7× |
| Nevada | 67 | $145,805 | $15,330 | 9.5× |
| California | 412 | $124,249 | $19,157 | 6.5× |
| New Jersey | 328 | $104,739 | $15,614 | 6.7× |
| Florida | 436 | $99,609 | $12,617 | 7.9× |
| New York | 410 | $96,337 | $19,678 | 4.9× |
| Colorado | 58 | $92,187 | $13,581 | 6.8× |
| Texas | 314 | $85,849 | $13,579 | 6.3× |
| Alabama | 57 | $80,951 | $12,458 | 6.5× |
| Arizona | 76 | $80,601 | $13,725 | 5.9× |
| Maine | 27 | $76,864 | $36,724 | 2.1× |
| Georgia | 135 | $74,278 | $14,532 | 5.1× |
| Kansas | 59 | $72,722 | $13,392 | 5.4× |
| Pennsylvania | 318 | $71,935 | $13,791 | 5.2× |
| Louisiana | 54 | $69,734 | $12,035 | 5.8× |
| New Mexico | 20 | $69,219 | $14,272 | 4.8× |
| Washington | 128 | $68,591 | $14,663 | 4.7× |
| Oklahoma | 59 | $67,696 | $13,310 | 5.1× |
| Tennessee | 129 | $65,179 | $13,156 | 5× |
| Vermont | 12 | $63,402 | $10,724 | 5.9× |
| Idaho | 24 | $60,574 | $13,807 | 4.4× |
| South Carolina | 93 | $60,050 | $12,946 | 4.6× |
| Missouri | 102 | $59,882 | $12,487 | 4.8× |
| Indiana | 117 | $58,010 | $13,077 | 4.4× |
| Kentucky | 63 | $57,572 | $12,070 | 4.8× |
| Connecticut | 87 | $56,637 | $16,904 | 3.4× |
| Utah | 23 | $56,498 | $13,763 | 4.1× |
| Illinois | 287 | $53,335 | $14,210 | 3.8× |
| North Carolina | 132 | $52,510 | $14,355 | 3.7× |
| Virginia | 161 | $51,358 | $12,797 | 4× |
| South Dakota | 14 | $51,072 | $13,433 | 3.8× |
| Ohio | 234 | $50,825 | $12,580 | 4× |
| New Hampshire | 33 | $50,697 | $13,410 | 3.8× |
| Delaware | 21 | $50,352 | $13,272 | 3.8× |
| Arkansas | 41 | $49,714 | $11,800 | 4.2× |
| Oregon | 45 | $49,186 | $15,984 | 3.1× |
| Minnesota | 70 | $48,311 | $13,485 | 3.6× |
| Michigan | 204 | $48,088 | $13,827 | 3.5× |
| Nebraska | 43 | $47,620 | $13,282 | 3.6× |
| Rhode Island | 29 | $47,313 | $15,421 | 3.1× |
| Wisconsin | 97 | $46,585 | $12,729 | 3.7× |
| North Dakota | 14 | $45,731 | $13,081 | 3.5× |
| Mississippi | 51 | $44,784 | $11,627 | 3.9× |
| West Virginia | 34 | $44,184 | $12,610 | 3.5× |
| Massachusetts | 260 | $41,703 | $16,411 | 2.5× |
| Iowa | 58 | $39,558 | $12,056 | 3.3× |
| Montana | 16 | $36,146 | $13,448 | 2.7× |
| Maryland | 117 | $22,068 | $19,516 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Montefiore Medical Center Bronx, NY · 11 stays | $272,216 | $26,439 |
| Cedars-Sinai Medical Center Los Angeles, CA · 13 stays | $271,522 | $22,053 |
| New York-Presbyterian Hospital New York, NY · 21 stays | $193,507 | $27,986 |
| Mount Sinai West New York, NY · 12 stays | $177,762 | $24,728 |
| Robert Wood Johnson University Hospital New Brunswick, NJ · 11 stays | $167,960 | $19,048 |
| Massachusetts General Hospital Boston, MA · 13 stays | $167,000 | $36,808 |
| NYU Langone Hospitals New York, NY · 27 stays | $141,028 | $21,790 |
| Jersey Shore University Medical Center Neptune, NJ · 16 stays | $133,138 | $15,914 |
| Mainehealth Maine Medical Center Portland, ME · 11 stays | $130,453 | $69,409 |
| Mount Sinai Beth Israel New York, NY · 13 stays | $122,351 | $21,463 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Meritus Medical Center Hagerstown, MD · 11 stays | $18,518 | $17,044 |
| Melrosewakefield Healthcare Melrose, MA · 12 stays | $22,730 | $14,448 |
| Cape Cod Hospital Hyannis, MA · 20 stays | $24,470 | $16,136 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 11 stays | $24,641 | $22,920 |
| Winchester Hospital Winchester, MA · 12 stays | $24,762 | $12,586 |
| South Shore Hospital South Weymouth, MA · 22 stays | $24,961 | $13,035 |
| Silver Cross Hospital and Medical Centers New Lenox, IL · 11 stays | $25,948 | $11,390 |
| Lowell General Hospital Lowell, MA · 11 stays | $27,429 | $13,458 |
| Beverly Hospital Corporation Beverly, MA · 15 stays | $30,275 | $13,205 |
| Northwest Community Hospital 1 Arlington Heights, IL · 15 stays | $34,097 | $11,368 |
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.