Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc in California

MS-DRG 492: Lower extremity and humerus procedures except hip, foot and femur with mcc

$383,542typical hospital bill

$44,896typical amount paid

$34,740–$66,487range paid across 6 hospitals

California hospitals billed Medicare a typical $383,542 for this stay in 2024, about 8.5 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

Hospital	City	Medicare stays	Billed	Paid
Sutter Roseville Medical Center	Roseville	13	$155,195	$34,740
Scripps Memorial Hospital La Jolla	La Jolla	13	$346,318	$37,721
Cedars-Sinai Medical Center	Los Angeles	13	$516,187	$44,149
Providence Santa Rosa Memorial Hospital	Santa Rosa	15	$307,644	$45,644
University of California Davis Medical Center	Sacramento	22	$420,765	$57,842
Stanford Health Care	Stanford	12	$538,939	$66,487

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.