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Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without with Complications/
Medicare DRG 497. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$54,798
Avg total payment
$13,047
Avg Medicare pays
$10,438
Hospitals reporting
4
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 |
|---|---|---|---|
| New York | 1 | $83,342 | $12,609 |
| California | 1 | $61,102 | $12,716 |
| Oklahoma | 2 | $37,374 | $8,213 |
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.