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Inpatient stay · MS-DRG 494 · Surgery or procedure

Lower extremity and humerus procedures except hip, foot and femur without CC/MCC

In 2024, Medicare and patients paid an average of $18,176 per stay at 112 hospitals. Half of hospitals averaged between $14,969 and $20,411.

National figures, 2024

Average payment per case
$18,176
Typical range (middle half of hospitals)
$14,969–$20,411
Medicare’s share
$14,30379% of the payment
Average billed charge
$101,370
Hospitals reporting
1121,650 stays

Hospitals in California

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
California
Specific hospitals up to 10
Average payment across these 11 hospitals
$20,467National $18,176 · California $20,467
Median hospital
$19,723
Lowest to highest
$18,007–$27,479
Medicare stays
139

11 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 without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 05032414$18,007About average$16,375$146,942
Torrance Memorial Medical CenterTorrance, CA · CCN 05035112$18,101About average$16,605$107,898
Mercy Medical Center ReddingRedding, CA · CCN 05028011$19,229About average$17,625$85,077
Sutter Roseville Medical CenterRoseville, CA · CCN 05030917$19,307About average$17,628$82,584
Palomar Health Downtown CampusEscondido, CA · CCN 05011511$19,625About average$15,650$144,728
Marian Regional Medical CenterSanta Maria, CA · CCN 05010713$19,723About average$17,981$112,211
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 05039612$19,737About average$18,083$123,785
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 05018011$20,57513% above the national average$19,379$211,085
Saint Agnes Medical CenterFresno, CA · CCN 05009311$20,93015% above the national average$18,876$88,272
Scripps Mercy HospitalSan Diego, CA · CCN 05007712$21,50718% above the national average$19,639$183,942
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062515$27,47951% above the national average$17,675$298,632

National trend

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

  • Average payment
  • Average billed charge
2020: 2,855 stays at 177 hospitals · 2021: 2,288 stays at 152 hospitals · 2022: 1,833 stays at 121 hospitals · 2023: 1,928 stays at 130 hospitals · 2024: 1,650 stays at 112 hospitals
View data as a table
National average payment and billed charge for Lower extremity and humerus procedures except hip, foot and femur without CC/MCC
Year of careAverage paymentAverage billed charge
2020$15K$76K
2021$16K$81K
2022$17K$87K
2023$18K$100K
2024$18K$101K

By state, 2024

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

Show all 38 states
Average payment by state for Lower extremity and humerus procedures except hip, foot and femur without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Arkansas115$13,316$13,316–$13,316
Kentucky112$13,591$13,591–$13,591
Iowa228$13,592$13,554–$13,641
Louisiana111$13,698$13,698–$13,698
Kansas226$13,801$13,219–$14,109
Virginia226$14,328$13,697–$15,519
Nebraska113$14,909$14,909–$14,909
New Hampshire113$15,187$15,187–$15,187
Mississippi222$15,355$14,467–$16,242
Idaho116$15,385$15,385–$15,385
Texas686$15,544$14,453–$16,508
Arizona8103$15,701$14,466–$16,331
South Carolina563$15,759$13,385–$17,385
Tennessee358$15,989$15,493–$16,645
Illinois120$16,287$16,287–$16,287
Ohio447$16,444$14,711–$17,822
Florida13222$16,800$15,316–$19,794
Missouri232$16,932$15,011–$18,426
Nevada111$17,078$17,078–$17,078
Minnesota111$17,081$17,081–$17,081
North Carolina572$17,172$15,682–$20,645
Indiana347$17,794$14,555–$18,437
Pennsylvania678$17,871$15,119–$19,768
New Jersey236$17,890$17,019–$18,760
Delaware126$18,712$18,712–$18,712
West Virginia111$19,486$19,486–$19,486
Michigan111$19,616$19,616–$19,616
Massachusetts585$19,647$16,330–$22,116
Utah111$19,663$19,663–$19,663
Oregon111$20,117$20,117–$20,117
Wisconsin123$20,438$20,438–$20,438
California11139$20,467$19,268–$20,752
Alaska111$21,241$21,241–$21,241
Maryland336$22,131$20,170–$25,075
Washington115$22,775$22,775–$22,775
New York9167$23,257$20,402–$23,875
Alabama120$26,313$26,313–$26,313
Georgia116$33,648$33,648–$33,648

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.