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Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with complications
Medicare DRG 493. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$122,767
Avg total payment
$22,513
Avg Medicare pays
$18,595
Hospitals reporting
492
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 |
|---|---|---|---|
| Nevada | 3 | $193,001 | $20,270 |
| Florida | 45 | $177,586 | $16,766 |
| California | 40 | $176,996 | $24,963 |
| District of Columbia | 3 | $175,758 | $23,665 |
| New Hampshire | 2 | $173,020 | $21,558 |
| New Jersey | 14 | $169,446 | $17,995 |
| Texas | 38 | $157,378 | $17,778 |
| New York | 19 | $150,345 | $23,069 |
| Colorado | 7 | $145,669 | $16,831 |
| Oklahoma | 5 | $144,609 | $17,490 |
| Georgia | 8 | $144,407 | $19,394 |
| Arizona | 14 | $139,429 | $18,233 |
| Hawaii | 1 | $130,651 | $19,656 |
| South Carolina | 13 | $130,019 | $16,297 |
| Pennsylvania | 25 | $125,041 | $18,264 |
| Alabama | 7 | $119,984 | $14,291 |
| Alaska | 2 | $117,956 | $25,797 |
| Kansas | 5 | $116,916 | $16,914 |
| Virginia | 18 | $111,971 | $15,880 |
| Washington | 6 | $108,753 | $19,301 |
| Kentucky | 6 | $107,107 | $15,593 |
| Louisiana | 6 | $106,326 | $16,474 |
| Illinois | 25 | $104,630 | $17,789 |
| Ohio | 17 | $104,413 | $16,675 |
| Indiana | 10 | $101,309 | $15,976 |
| Tennessee | 14 | $100,877 | $16,144 |
| Wyoming | 1 | $100,189 | $21,046 |
| North Carolina | 12 | $96,953 | $17,092 |
| Iowa | 3 | $95,392 | $16,090 |
| Connecticut | 4 | $88,982 | $23,498 |
| Wisconsin | 8 | $87,562 | $17,175 |
| Oregon | 8 | $87,286 | $20,654 |
| Delaware | 1 | $84,974 | $18,991 |
| Missouri | 14 | $84,840 | $16,096 |
| Nebraska | 5 | $83,792 | $16,757 |
| South Dakota | 3 | $83,482 | $17,456 |
| Maine | 2 | $81,224 | $16,104 |
| New Mexico | 3 | $78,641 | $19,614 |
| Idaho | 3 | $78,467 | $16,535 |
| West Virginia | 5 | $75,589 | $14,949 |
| Massachusetts | 10 | $71,994 | $23,501 |
| Minnesota | 14 | $71,211 | $17,553 |
| Michigan | 12 | $68,037 | $15,832 |
| Montana | 2 | $66,327 | $17,050 |
| Utah | 5 | $65,818 | $17,394 |
| Mississippi | 4 | $63,288 | $16,004 |
| Arkansas | 6 | $61,040 | $14,348 |
| Rhode Island | 1 | $59,010 | $22,599 |
| North Dakota | 2 | $57,621 | $16,700 |
| Maryland | 11 | $36,328 | $31,093 |
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.