DRG 116 Surgical
Intraocular Procedures with CC/MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$11,753
National average
Avg Total Costs
$17,416
CMS Inpatient data
Avg Length of Stay
4 days
CMS MS-DRG
Est. Commercial Insurance
$17,629 — $29,382
1.5x — 2.5x Medicare
Annual Discharges
22
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
22
Total Discharges
$17,416
Avg Total Costs
$13,925
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for intraocular procedures with cc/mcc cost?
The average Medicare payment for DRG 116 is $11,753. Average hospital costs are $17,416. Commercial insurance typically pays 150-250% of Medicare rates ($17,629 — $29,382).
How long is the hospital stay for DRG 116?
The average length of stay is 4 days. This varies by severity — patients with complications or comorbidities may stay longer.
How much does this hospital stay cost without insurance?
Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.