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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 New York

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
New York
Specific hospitals up to 10
Average payment across these 19 hospitals
$30,118National $22,820 · New York $30,118
Median hospital
$28,494
Lowest to highest
$19,838–$39,582
Medicare stays
458

19 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
St Peter's HospitalAlbany, NY · CCN 33005711$19,83813% below the national average$17,664$68,497
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 33028618$21,848About average$20,321$108,365
Southside HospitalBay Shore, NY · CCN 33004312$22,380About average$20,499$117,180
Long Island Community HospitalPatchogue, NY · CCN 33014113$22,841About average$20,967$239,230
Garnet Health Medical CenterMiddletown, NY · CCN 33012622$25,39611% above the national average$17,822$92,288
Albany Medical Center HospitalAlbany, NY · CCN 33001315$25,88013% above the national average$20,151$78,495
Staten Island University HospitalStaten Island, NY · CCN 33016017$26,70117% above the national average$24,342$140,807
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 33019513$27,11719% above the national average$23,410$181,754
Erie County Medical CenterBuffalo, NY · CCN 33021931$27,31320% above the national average$21,145$52,902
Hospital For Special SurgeryNew York, NY · CCN 33027043$28,49425% above the national average$23,819$131,443
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 33024121$29,07627% above the national average$21,168$132,287
North Shore University HospitalManhasset, NY · CCN 33010625$29,22628% above the national average$22,910$136,689
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 33039338$29,41729% above the national average$25,036$159,236
Strong Memorial HospitalRochester, NY · CCN 33028519$32,11041% above the national average$24,405$78,773
Mount Sinai WestNew York, NY · CCN 33004622$32,17441% above the national average$27,923$169,055
Nyu Langone HospitalsNew York, NY · CCN 33021448$33,10045% above the national average$27,684$244,341
Westchester Medical CenterValhalla, NY · CCN 33023420$33,34746% above the national average$27,433$367,278
New York-Presbyterian HospitalNew York, NY · CCN 33010146$39,32472% above the national average$26,181$158,614
Montefiore Medical CenterBronx, NY · CCN 33005924$39,58273% above the national average$25,427$199,323

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 careAverage paymentAverage 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.

Show all 50 states
Average payment by state for Lower extremity and humerus procedures except hip, foot and femur with CC, 2024
StateHospitalsCasesAverage paymentTypical range
Arkansas6103$18,143$16,279–$17,393
Mississippi472$18,317$16,288–$18,569
Iowa376$18,757$16,529–$19,982
Idaho356$18,809$17,925–$19,279
Montana227$18,898$18,542–$19,062
West Virginia585$18,908$17,774–$18,713
North Dakota233$18,957$18,565–$19,073
Kansas5119$19,081$18,269–$21,172
Louisiana694$19,201$16,469–$22,204
Florida451,008$19,414$17,429–$20,731
Indiana10216$19,436$16,619–$20,302
Missouri14312$19,787$16,276–$21,075
South Dakota362$19,933$18,986–$21,640
Nebraska5122$20,030$16,484–$22,860
Tennessee14295$20,211$17,263–$20,084
Virginia18391$20,271$17,243–$20,680
South Carolina13261$20,331$16,455–$21,759
Colorado7108$20,422$18,663–$22,919
Utah5100$20,483$18,000–$21,967
Arizona14237$20,611$17,998–$20,761
Ohio17343$20,717$18,371–$23,281
Michigan12211$21,093$18,972–$22,522
Oklahoma5121$21,158$19,240–$19,621
Texas38836$21,391$17,464–$23,669
Wisconsin8174$21,577$19,240–$25,223
Pennsylvania26541$21,646$18,984–$23,870
Alabama7135$21,693$17,241–$24,051
Illinois25447$21,748$18,743–$22,688
Maine235$21,805$20,727–$22,051
Minnesota14302$21,852$18,162–$22,571
North Carolina12284$22,112$19,596–$24,517
Kentucky6136$22,279$17,906–$22,070
Wyoming112$22,330$22,330–$22,330
Delaware155$22,492$22,492–$22,492
Georgia8217$23,106$20,081–$21,994
Nevada361$23,318$22,289–$24,359
Washington6133$23,640$19,629–$22,525
New Mexico346$24,619$23,428–$27,141
New Hampshire231$24,633$22,820–$26,226
Oregon8131$24,851$23,288–$26,566
Rhode Island133$25,355$25,355–$25,355
Connecticut473$27,135$25,617–$27,791
Massachusetts10302$27,238$23,978–$29,499
New Jersey14272$28,688$20,519–$30,935
New York19458$30,118$25,638–$32,142
District of Columbia345$30,330$28,656–$31,841
Alaska234$30,359$29,542–$32,067
California40770$30,547$24,846–$30,475
Hawaii113$32,893$32,893–$32,893
Maryland11195$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.