DRG 551 Medical
Medical Back Problems with MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$10,895
National average
Avg Total Costs
$15,775
CMS Inpatient data
Avg Length of Stay
4.5 days
CMS MS-DRG
Est. Commercial Insurance
$16,342 — $27,237
1.5x — 2.5x Medicare
Annual Discharges
8,452
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
8,452
Total Discharges
$15,775
Avg Total Costs
$12,948
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for medical back problems with mcc cost?
The average Medicare payment for DRG 551 is $10,895. Average hospital costs are $15,775. Commercial insurance typically pays 150-250% of Medicare rates ($16,342 — $27,237).
How long is the hospital stay for DRG 551?
The average length of stay is 4.5 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.