Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc in New York
MS-DRG 492: Lower extremity and humerus procedures except hip, foot and femur with mcc
$294,798typical hospital bill
$41,563typical amount paid
$40,494–$57,299range paid across 4 hospitals
New York hospitals billed Medicare a typical $294,798 for this stay in 2024, about 7.1 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 | |
|---|---|---|---|---|---|
| Erie County Medical Center | Buffalo | 13 | $96,425 | $40,494 | |
| New York-Presbyterian Hospital | New York | 15 | $254,463 | $40,617 | |
| Westchester Medical Center | Valhalla | 11 | $426,187 | $42,509 | |
| Nyu Langone Hospitals | New York | 17 | $335,133 | $57,299 |
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.