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Inpatient stay · MS-DRG 492 · Surgery or procedure

Lower extremity and humerus procedures except hip, foot and femur with MCC

In 2024, Medicare and patients paid an average of $34,208 per stay at 85 hospitals. Half of hospitals averaged between $26,071 and $39,424.

National figures, 2024

Average payment per case
$34,208
Typical range (middle half of hospitals)
$26,071–$39,424
Medicare’s share
$28,95585% of the payment
Average billed charge
$171,636
Hospitals reporting
851,225 stays

Hospitals in Colorado

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Colorado
Specific hospitals up to 10
Average payment (1 hospital)
$32,433National $34,208 · Colorado $32,433
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare stays
13

1 hospital reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Lower extremity and humerus procedures except hip, foot and femur with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
UCH-Memorial Health SystemColorado Springs, CO · CCN 06002213$32,433About average$30,858$246,779

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 1,210 stays at 86 hospitals · 2021: 1,169 stays at 82 hospitals · 2022: 1,344 stays at 97 hospitals · 2023: 1,135 stays at 81 hospitals · 2024: 1,225 stays at 85 hospitals
View data as a table
National average payment and billed charge for Lower extremity and humerus procedures except hip, foot and femur with MCC
Year of careAverage paymentAverage billed charge
2020$30K$141K
2021$32K$142K
2022$33K$153K
2023$33K$176K
2024$34K$172K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 33 states
Average payment by state for Lower extremity and humerus procedures except hip, foot and femur with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Oklahoma228$24,272$23,710–$25,284
Kansas236$24,504$23,692–$24,605
New Hampshire111$26,088$26,088–$26,088
Montana111$26,152$26,152–$26,152
Florida8136$27,000$24,303–$30,076
South Carolina224$27,661$26,487–$28,500
Indiana457$28,861$24,146–$32,380
Ohio342$29,289$26,742–$33,737
Arizona226$29,328$26,104–$33,725
Virginia337$29,851$27,950–$30,999
Washington120$30,135$30,135–$30,135
Missouri454$31,051$25,313–$34,908
Iowa223$31,166$26,474–$35,107
Texas7102$31,432$25,588–$31,728
Georgia116$31,586$31,586–$31,586
North Carolina346$31,674$28,603–$34,291
Utah225$32,082$29,753–$35,881
Colorado113$32,433$32,433–$32,433
New Jersey113$33,291$33,291–$33,291
Pennsylvania116$33,719$33,719–$33,719
Nevada229$34,586$31,846–$36,973
Alaska113$34,677$34,677–$34,677
Wisconsin341$34,745$29,597–$38,257
Minnesota335$35,686$28,011–$41,455
Tennessee226$35,745$32,936–$37,232
Kentucky345$36,220$28,628–$40,168
Delaware129$39,040$39,040–$39,040
Massachusetts574$42,167$35,280–$48,194
Illinois112$44,149$44,149–$44,149
Rhode Island112$44,276$44,276–$44,276
New York456$46,024$40,586–$46,206
California688$48,534$39,328–$54,793
Maryland229$51,053$44,838–$53,222

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.