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Shoulder, Elbow or Forearm Procedures, Except major Joint Procedures with complications
Medicare DRG 511. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$113,724
Avg total payment
$16,074
Avg Medicare pays
$13,525
Hospitals reporting
9
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 |
|---|---|---|---|
| Texas | 1 | $150,693 | $12,257 |
| Florida | 4 | $134,343 | $12,451 |
| Pennsylvania | 1 | $127,362 | $14,903 |
| West Virginia | 1 | $96,374 | $12,651 |
| Minnesota | 1 | $64,450 | $19,852 |
| Virginia | 1 | $47,264 | $12,260 |
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.