Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc in California
MS-DRG 493: Lower extremity and humerus procedures except hip, foot and femur with cc
$158,994typical hospital bill
$26,545typical amount paid
$19,128–$56,854range paid across 40 hospitals
California hospitals billed Medicare a typical $158,994 for this stay in 2024, about 6.0 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)
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.