Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc in Virginia
MS-DRG 494: Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
$179,776typical hospital bill
$14,608typical amount paid
$12,786–$16,430range paid across 2 hospitals
Virginia hospitals billed Medicare a typical $179,776 for this stay in 2024, about 12.3 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 | |
|---|---|---|---|---|---|
| Cjw Medical Center | Richmond | 15 | $314,546 | $12,786 | |
| Riverside Regional Medical Center | Newport News | 11 | $45,006 | $16,430 |
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.