Inpatient stay · MS-DRG 493 · Surgery or procedure

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

In 2024, Medicare and patients paid an average of $22,820 per stay at 493 hospitals. Half of hospitals averaged between $18,008 and $25,141.

National figures, 2024

Average payment per case: $22,820
Typical range (middle half of hospitals): $18,008–$25,141
Medicare’s share: $18,73182% of the payment
Average billed charge: $124,600
Hospitals reporting: 49310,223 stays

Hospitals in District of Columbia

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.

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Year of care

Average payment across these 3 hospitals: $30,330National $22,820 · District of Columbia $30,330
Median hospital: $29,094
Lowest to highest: $28,218–$34,587
Medicare stays: 45

3 hospitals 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 CC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
MedStar Washington Hospital CenterWashington, DC · CCN 090011	18	$28,218	24% above the national average	$22,190	$153,680
George Washington University HospitalWashington, DC · CCN 090001	14	$29,094	27% above the national average	$24,812	$228,512
MedStar Georgetown University HospitalWashington, DC · CCN 090004	13	$34,587	52% above the national average	$23,994	$145,080

National trend

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

Average payment
Average billed charge

2020: 10,496 stays at 525 hospitals · 2021: 9,251 stays at 474 hospitals · 2022: 8,498 stays at 444 hospitals · 2023: 9,483 stays at 479 hospitals · 2024: 10,223 stays at 493 hospitals

View data as a table

National average payment and billed charge for Lower extremity and humerus procedures except hip, foot and femur with CC
Year of care	Average payment	Average billed charge
2020	$19K	$94K
2021	$20K	$102K
2022	$21K	$108K
2023	$22K	$116K
2024	$23K	$125K

By state, 2024

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

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Average payment by state for Lower extremity and humerus procedures except hip, foot and femur with CC, 2024
State	Hospitals	Cases	Average payment	Typical range
Arkansas	6	103	$18,143	$16,279–$17,393
Mississippi	4	72	$18,317	$16,288–$18,569
Iowa	3	76	$18,757	$16,529–$19,982
Idaho	3	56	$18,809	$17,925–$19,279
Montana	2	27	$18,898	$18,542–$19,062
West Virginia	5	85	$18,908	$17,774–$18,713
North Dakota	2	33	$18,957	$18,565–$19,073
Kansas	5	119	$19,081	$18,269–$21,172
Louisiana	6	94	$19,201	$16,469–$22,204
Florida	45	1,008	$19,414	$17,429–$20,731
Indiana	10	216	$19,436	$16,619–$20,302
Missouri	14	312	$19,787	$16,276–$21,075
South Dakota	3	62	$19,933	$18,986–$21,640
Nebraska	5	122	$20,030	$16,484–$22,860
Tennessee	14	295	$20,211	$17,263–$20,084
Virginia	18	391	$20,271	$17,243–$20,680
South Carolina	13	261	$20,331	$16,455–$21,759
Colorado	7	108	$20,422	$18,663–$22,919
Utah	5	100	$20,483	$18,000–$21,967
Arizona	14	237	$20,611	$17,998–$20,761
Ohio	17	343	$20,717	$18,371–$23,281
Michigan	12	211	$21,093	$18,972–$22,522
Oklahoma	5	121	$21,158	$19,240–$19,621
Texas	38	836	$21,391	$17,464–$23,669
Wisconsin	8	174	$21,577	$19,240–$25,223
Pennsylvania	26	541	$21,646	$18,984–$23,870
Alabama	7	135	$21,693	$17,241–$24,051
Illinois	25	447	$21,748	$18,743–$22,688
Maine	2	35	$21,805	$20,727–$22,051
Minnesota	14	302	$21,852	$18,162–$22,571
North Carolina	12	284	$22,112	$19,596–$24,517
Kentucky	6	136	$22,279	$17,906–$22,070
Wyoming	1	12	$22,330	$22,330–$22,330
Delaware	1	55	$22,492	$22,492–$22,492
Georgia	8	217	$23,106	$20,081–$21,994
Nevada	3	61	$23,318	$22,289–$24,359
Washington	6	133	$23,640	$19,629–$22,525
New Mexico	3	46	$24,619	$23,428–$27,141
New Hampshire	2	31	$24,633	$22,820–$26,226
Oregon	8	131	$24,851	$23,288–$26,566
Rhode Island	1	33	$25,355	$25,355–$25,355
Connecticut	4	73	$27,135	$25,617–$27,791
Massachusetts	10	302	$27,238	$23,978–$29,499
New Jersey	14	272	$28,688	$20,519–$30,935
New York	19	458	$30,118	$25,638–$32,142
District of Columbia	3	45	$30,330	$28,656–$31,841
Alaska	2	34	$30,359	$29,542–$32,067
California	40	770	$30,547	$24,846–$30,475
Hawaii	1	13	$32,893	$32,893–$32,893
Maryland	11	195	$35,084	$23,364–$42,859

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.