Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc in Massachusetts
MS-DRG 494: Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
$48,727typical hospital bill
$19,467typical amount paid
$15,724–$22,847range paid across 5 hospitals
Massachusetts hospitals billed Medicare a typical $48,727 for this stay in 2024, about 2.5 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 | |
|---|---|---|---|---|---|
| Southcoast Hospitals Group | Fall River | 12 | $48,727 | $15,724 | |
| South Shore Hospital | South Weymouth | 14 | $31,813 | $16,330 | |
| Baystate Medical Center | Springfield | 23 | $36,341 | $19,467 | |
| Massachusetts General Hospital | Boston | 24 | $97,632 | $22,116 | |
| Umass Memorial Medical Center/University Campus | Worcester | 12 | $89,065 | $22,847 |
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.