DRG 516 Surgical
Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$13,508
National average
Avg Total Costs
$18,270
CMS Inpatient data
Avg Length of Stay
4 days
CMS MS-DRG
Est. Commercial Insurance
$20,261 — $33,769
1.5x — 2.5x Medicare
Annual Discharges
6,147
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
6,147
Total Discharges
$18,270
Avg Total Costs
$15,062
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for other musculoskeletal system and connective tissue o.r. procedures with cc cost?
The average Medicare payment for DRG 516 is $13,508. Average hospital costs are $18,270. Commercial insurance typically pays 150-250% of Medicare rates ($20,261 — $33,769).
How long is the hospital stay for DRG 516?
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.