Inpatient stays / DRG 565
MS-DRG 565 · 119 hospitals · 7,519 stays
DRG 565: Other Musculoskeletal System and Connective Tissue Diagnoses with CC
Medicare patients had 7,519 stays in DRG 565 in 2024. Hospitals charged an average of $47,869 per stay and were paid $10,035 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $7,522. Average charges ran from $9,178 at the least expensive hospital to $197,066 at the most; half of hospitals charged between $30,558 and $68,277.
- 1Average charge $47,869
- 2Average paid $10,035
- 3Reporting hospitals 119
- 4Medicare stays 7,519
By state
Average charges for DRG 565 were highest in California ($83,738) and lowest in Maryland ($13,927). Payments vary far less than charges, because Medicare sets them: they range across states from $7,878 to $14,447.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 518 | $83,738 | $12,880 | 6.5× |
| Nevada | 58 | $83,014 | $9,608 | 8.6× |
| Colorado | 72 | $74,419 | $8,832 | 8.4× |
| New Jersey | 365 | $70,509 | $11,375 | 6.2× |
| Florida | 575 | $67,234 | $8,727 | 7.7× |
| Kansas | 68 | $65,957 | $8,371 | 7.9× |
| Texas | 415 | $58,964 | $10,723 | 5.5× |
| New York | 525 | $56,803 | $12,527 | 4.5× |
| Pennsylvania | 517 | $50,912 | $9,560 | 5.3× |
| District of Columbia | 28 | $50,690 | $11,913 | 4.3× |
| New Mexico | 30 | $49,461 | $9,141 | 5.4× |
| Arizona | 104 | $48,548 | $9,718 | 5× |
| Alaska | 11 | $46,945 | $14,447 | 3.2× |
| Hawaii | 17 | $44,536 | $11,973 | 3.7× |
| Georgia | 179 | $43,994 | $10,282 | 4.3× |
| Tennessee | 167 | $43,349 | $9,574 | 4.5× |
| Alabama | 75 | $43,327 | $8,650 | 5× |
| Virginia | 262 | $42,556 | $9,048 | 4.7× |
| New Hampshire | 48 | $42,400 | $9,222 | 4.6× |
| Utah | 37 | $42,217 | $10,554 | 4× |
| Missouri | 145 | $41,948 | $8,868 | 4.7× |
| South Carolina | 148 | $41,463 | $8,839 | 4.7× |
| Oklahoma | 110 | $41,423 | $8,536 | 4.9× |
| Washington | 131 | $41,043 | $10,543 | 3.9× |
| Idaho | 30 | $39,413 | $8,712 | 4.5× |
| Illinois | 415 | $39,276 | $9,887 | 4× |
| Connecticut | 83 | $39,242 | $10,651 | 3.7× |
| Delaware | 32 | $37,584 | $9,994 | 3.8× |
| Wisconsin | 132 | $36,376 | $9,086 | 4× |
| Indiana | 159 | $36,014 | $8,687 | 4.1× |
| South Dakota | 25 | $35,951 | $8,398 | 4.3× |
| Rhode Island | 17 | $34,906 | $11,243 | 3.1× |
| Mississippi | 62 | $34,210 | $8,080 | 4.2× |
| Ohio | 331 | $34,180 | $8,788 | 3.9× |
| Louisiana | 82 | $34,094 | $8,265 | 4.1× |
| Oregon | 42 | $33,419 | $10,425 | 3.2× |
| North Carolina | 212 | $33,050 | $9,490 | 3.5× |
| Kentucky | 88 | $31,402 | $8,089 | 3.9× |
| Nebraska | 55 | $30,845 | $9,318 | 3.3× |
| Arkansas | 60 | $30,582 | $7,908 | 3.9× |
| Michigan | 234 | $30,313 | $9,450 | 3.2× |
| West Virginia | 52 | $29,831 | $8,221 | 3.6× |
| Maine | 32 | $29,343 | $9,098 | 3.2× |
| Minnesota | 110 | $28,415 | $9,806 | 2.9× |
| North Dakota | 24 | $27,404 | $8,815 | 3.1× |
| Montana | 28 | $25,542 | $7,878 | 3.2× |
| Massachusetts | 341 | $25,053 | $10,098 | 2.5× |
| Iowa | 70 | $24,413 | $8,029 | 3× |
| Maryland | 180 | $13,927 | $12,528 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 11 stays | $197,066 | $14,833 |
| Montefiore Medical Center Bronx, NY · 11 stays | $163,323 | $17,789 |
| Wesley Medical Center Wichita, KS · 15 stays | $139,522 | $9,275 |
| Geisinger Medical Center Danville, PA · 13 stays | $122,500 | $12,058 |
| Highland Hospital Oakland, CA · 11 stays | $109,535 | $19,470 |
| Stony Brook University Hospital Stony Brook, NY · 13 stays | $102,563 | $13,946 |
| New York-Presbyterian Hospital New York, NY · 21 stays | $98,866 | $14,492 |
| Cjw Medical Center Richmond, VA · 17 stays | $96,594 | $8,379 |
| Mount Sinai South Nassau Oceanside, NY · 11 stays | $96,147 | $10,233 |
| St Joseph's University Medical Center Inc Paterson, NJ · 12 stays | $94,590 | $13,601 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Suburban Hospital Bethesda, MD · 17 stays | $9,178 | $8,227 |
| Meritus Medical Center Hagerstown, MD · 11 stays | $10,151 | $9,404 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 11 stays | $11,442 | $10,270 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 17 stays | $13,133 | $12,282 |
| Holy Family Hospital Methuen, MA · 12 stays | $14,375 | $9,363 |
| Mercy Hospital of Buffalo Buffalo, NY · 13 stays | $16,467 | $8,838 |
| Beverly Hospital Corporation Beverly, MA · 18 stays | $16,766 | $8,518 |
| Winchester Hospital Winchester, MA · 12 stays | $17,084 | $8,228 |
| South Shore Hospital South Weymouth, MA · 24 stays | $17,151 | $8,685 |
| Mercy Hospital South Saint Louis, MO · 14 stays | $18,002 | $7,487 |
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.