Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc in Ohio
MS-DRG 492: Lower extremity and humerus procedures except hip, foot and femur with mcc
$150,002typical hospital bill
$30,124typical amount paid
$23,359–$37,349range paid across 3 hospitals
Ohio hospitals billed Medicare a typical $150,002 for this stay in 2024, about 5.0 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 | |
|---|---|---|---|---|---|
| Bethesda North | Cincinnati | 18 | $69,003 | $23,359 | |
| Miami Valley Hospital | Dayton | 12 | $150,002 | $30,124 | |
| Ohio State University State Health System | Columbus | 12 | $163,571 | $37,349 |
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.