Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc in Indiana
MS-DRG 494: Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
$103,602typical hospital bill
$15,534typical amount paid
$13,577–$21,340range paid across 3 hospitals
Indiana hospitals billed Medicare a typical $103,602 for this stay in 2024, about 6.7 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 | |
|---|---|---|---|---|---|
| Deaconess Hospital Inc | Evansville | 11 | $49,620 | $13,577 | |
| Ascension St Vincent Hospital | Indianapolis | 14 | $103,602 | $15,534 | |
| Indiana University Health | Indianapolis | 22 | $137,522 | $21,340 |
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.