Inpatient stays / DRG 856
MS-DRG 856 · 166 hospitals · 7,219 stays
DRG 856: Postoperative or Post-Traumatic Infections with O.R. Procedures with MCC
Medicare patients had 7,219 stays in DRG 856 in 2024. Hospitals charged an average of $203,495 per stay and were paid $43,456 — a ratio of 4.7 to 1 — of which Medicare's own share averaged $36,561. Average charges ran from $38,276 at the least expensive hospital to $1,036,215 at the most; half of hospitals charged between $145,353 and $267,001.
- 1Average charge $203,495
- 2Average paid $43,456
- 3Reporting hospitals 166
- 4Medicare stays 7,219
By state
Average charges for DRG 856 were highest in California ($357,580) and lowest in Maryland ($62,717). Payments vary far less than charges, because Medicare sets them: they range across states from $28,853 to $69,886.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 662 | $357,580 | $62,476 | 5.7× |
| Nevada | 63 | $317,148 | $40,259 | 7.9× |
| New York | 336 | $260,649 | $55,585 | 4.7× |
| Florida | 547 | $260,479 | $35,398 | 7.4× |
| Alabama | 95 | $255,859 | $39,756 | 6.4× |
| Hawaii | 16 | $254,824 | $69,886 | 3.6× |
| Pennsylvania | 323 | $252,549 | $44,119 | 5.7× |
| Alaska | 22 | $250,782 | $59,127 | 4.2× |
| New Jersey | 209 | $248,135 | $42,851 | 5.8× |
| Texas | 526 | $247,304 | $38,930 | 6.4× |
| Colorado | 122 | $232,671 | $34,053 | 6.8× |
| District of Columbia | 56 | $223,477 | $52,974 | 4.2× |
| Kansas | 86 | $203,939 | $39,161 | 5.2× |
| South Carolina | 139 | $197,905 | $40,768 | 4.9× |
| Arizona | 204 | $193,994 | $40,494 | 4.8× |
| Georgia | 228 | $190,990 | $42,777 | 4.5× |
| Maine | 25 | $184,924 | $53,881 | 3.4× |
| Oklahoma | 126 | $183,553 | $33,508 | 5.5× |
| Washington | 169 | $182,565 | $42,970 | 4.2× |
| Illinois | 306 | $181,104 | $44,875 | 4× |
| Wisconsin | 107 | $171,468 | $46,453 | 3.7× |
| Missouri | 166 | $162,023 | $40,076 | 4× |
| Indiana | 156 | $159,264 | $36,242 | 4.4× |
| South Dakota | 36 | $157,380 | $37,146 | 4.2× |
| Virginia | 198 | $157,261 | $40,471 | 3.9× |
| Connecticut | 77 | $156,298 | $57,552 | 2.7× |
| Louisiana | 90 | $155,609 | $31,855 | 4.9× |
| Tennessee | 142 | $154,376 | $35,092 | 4.4× |
| Ohio | 296 | $154,106 | $38,470 | 4× |
| Idaho | 22 | $153,882 | $37,423 | 4.1× |
| Kentucky | 100 | $140,992 | $34,738 | 4.1× |
| Vermont | 16 | $137,166 | $35,109 | 3.9× |
| Utah | 54 | $135,441 | $41,521 | 3.3× |
| Oregon | 87 | $132,697 | $49,593 | 2.7× |
| North Carolina | 167 | $130,879 | $40,526 | 3.2× |
| Delaware | 31 | $130,074 | $41,891 | 3.1× |
| West Virginia | 51 | $129,550 | $37,398 | 3.5× |
| Nebraska | 70 | $128,448 | $34,664 | 3.7× |
| North Dakota | 34 | $126,852 | $43,434 | 2.9× |
| Massachusetts | 210 | $126,830 | $48,080 | 2.6× |
| Minnesota | 164 | $126,217 | $46,314 | 2.7× |
| Rhode Island | 13 | $123,765 | $50,584 | 2.4× |
| Michigan | 186 | $118,905 | $38,293 | 3.1× |
| Arkansas | 76 | $117,543 | $28,853 | 4.1× |
| Mississippi | 64 | $113,389 | $30,791 | 3.7× |
| New Hampshire | 29 | $112,869 | $38,685 | 2.9× |
| Iowa | 69 | $112,061 | $34,196 | 3.3× |
| Montana | 32 | $104,767 | $39,573 | 2.6× |
| Wyoming | 11 | $99,590 | $47,940 | 2.1× |
| New Mexico | 39 | $98,664 | $31,367 | 3.1× |
| Maryland | 166 | $62,717 | $56,872 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 21 stays | $1,036,215 | $183,120 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 14 stays | $773,246 | $107,004 |
| Cedars-Sinai Medical Center Los Angeles, CA · 34 stays | $731,873 | $71,024 |
| Houston Methodist Hospital Houston, TX · 26 stays | $565,834 | $75,875 |
| UC San Diego Health Hillcrest - Hillcrest Med Ctr San Diego, CA · 11 stays | $541,194 | $134,133 |
| Huntsville Hospital Huntsville, AL · 12 stays | $528,587 | $73,190 |
| HCA Florida Jfk Hospital Atlantis, FL · 14 stays | $526,673 | $38,604 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 21 stays | $519,947 | $51,456 |
| New York-Presbyterian Hospital New York, NY · 25 stays | $483,726 | $88,548 |
| UCSF Medical Center San Francisco, CA · 25 stays | $477,904 | $85,061 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 11 stays | $38,276 | $35,518 |
| Medstar Franklin Square Medical Center Rosedale, MD · 13 stays | $52,777 | $46,825 |
| Cape Cod Hospital Hyannis, MA · 14 stays | $59,139 | $45,694 |
| Johns Hopkins Hospital, the Baltimore, MD · 17 stays | $59,650 | $52,149 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 12 stays | $61,368 | $56,901 |
| Presbyterian Hospital Albuquerque, NM · 18 stays | $74,829 | $25,693 |
| St Cloud Hospital Saint Cloud, MN · 18 stays | $78,119 | $41,493 |
| Mississippi Baptist Medical Center Jackson, MS · 11 stays | $79,865 | $25,667 |
| Munson Medical Center Traverse City, MI · 14 stays | $82,882 | $38,028 |
| St George Regional Hospital St George, UT · 11 stays | $83,156 | $35,232 |
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.