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Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with major complications
Medicare DRG 492. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$170,897
Avg total payment
$34,099
Avg Medicare pays
$28,889
Hospitals reporting
85
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 | 6 | $380,841 | $41,673 |
| New York | 4 | $278,052 | $35,370 |
| Pennsylvania | 1 | $258,360 | $26,179 |
| Alaska | 1 | $247,704 | $32,330 |
| Colorado | 1 | $246,779 | $30,858 |
| South Carolina | 2 | $227,235 | $25,409 |
| Nevada | 2 | $218,269 | $29,621 |
| Florida | 8 | $204,900 | $24,118 |
| Georgia | 1 | $197,386 | $28,480 |
| Texas | 7 | $189,572 | $27,402 |
| Iowa | 2 | $167,462 | $23,179 |
| New Jersey | 1 | $165,180 | $29,898 |
| Arizona | 2 | $155,919 | $26,429 |
| Kentucky | 3 | $152,062 | $24,236 |
| Tennessee | 2 | $149,988 | $25,834 |
| Illinois | 1 | $148,353 | $34,498 |
| North Carolina | 3 | $147,789 | $23,528 |
| Wisconsin | 3 | $147,045 | $28,569 |
| Missouri | 4 | $131,618 | $27,157 |
| Indiana | 4 | $131,041 | $25,430 |
| Ohio | 3 | $127,525 | $25,807 |
| Delaware | 1 | $122,276 | $28,143 |
| Oklahoma | 2 | $117,140 | $22,697 |
| Utah | 2 | $115,430 | $29,543 |
| Washington | 1 | $113,982 | $27,182 |
| Minnesota | 3 | $108,188 | $28,146 |
| Rhode Island | 1 | $106,013 | $31,804 |
| Kansas | 2 | $104,091 | $22,499 |
| Virginia | 3 | $90,726 | $23,412 |
| New Hampshire | 1 | $90,687 | $24,976 |
| Massachusetts | 5 | $80,051 | $36,824 |
| Montana | 1 | $75,154 | $24,455 |
| Maryland | 2 | $54,457 | $47,234 |
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.