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Amputation for Musculoskeletal System and Connective Tissue Disorders with complications
Medicare DRG 475. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$151,586
Avg total payment
$27,704
Avg Medicare pays
$18,252
Hospitals reporting
10
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 2 | $269,456 | $25,827 |
| New York | 1 | $218,088 | $22,436 |
| Massachusetts | 1 | $143,667 | $21,011 |
| Pennsylvania | 1 | $139,582 | $10,365 |
| Minnesota | 1 | $107,352 | $19,484 |
| Alabama | 1 | $103,047 | $13,663 |
| Ohio | 1 | $96,985 | $12,362 |
| Iowa | 1 | $88,038 | $17,194 |
| Arizona | 1 | $80,191 | $14,353 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.