Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc in Massachusetts
MS-DRG 492: Lower extremity and humerus procedures except hip, foot and femur with mcc
$61,067typical hospital bill
$42,336typical amount paid
$26,523–$56,901range paid across 5 hospitals
Massachusetts hospitals billed Medicare a typical $61,067 for this stay in 2024, about 1.4 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 | |
|---|---|---|---|---|---|
| South Shore Hospital | South Weymouth | 12 | $43,678 | $26,523 | |
| Baystate Medical Center | Springfield | 15 | $61,067 | $35,280 | |
| Beth Israel Deaconess Medical Center | Boston | 18 | $58,065 | $42,336 | |
| Lahey Hospital & Medical Center, Burlington | Burlington | 16 | $103,304 | $48,194 | |
| Boston Medical Center | Boston | 13 | $134,141 | $56,901 |
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.