Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major — what U.S. hospitals charge
MS-DRG 239 · Inpatient stay · 96 U.S. hospitals publish a price
Cheapest quarter
under $142,767
Typical charge
$197,695
Dearest quarter
over $284,708
Actually paid
$50,273
The middle U.S. hospital bills $197,695 for Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $50,273 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| North Carolina | 5 | $93,513 | $84,154 – $178,265 |
| Massachusetts | 5 | $108,585 | $89,957 – $372,484 |
| Indiana | 3 | $141,632 | $108,718 – $175,577 |
| Tennessee | 4 | $147,603 | $80,280 – $193,192 |
| South Carolina | 6 | $163,035 | $113,934 – $186,146 |
| Illinois | 4 | $189,749 | $159,235 – $261,697 |
| Ohio | 3 | $203,427 | $125,893 – $236,630 |
| Virginia | 4 | $209,070 | $74,364 – $241,400 |
| California | 9 | $245,859 | $103,212 – $597,793 |
| Texas | 9 | $289,830 | $147,515 – $519,675 |
| New York | 11 | $314,983 | $143,146 – $409,242 |
| Pennsylvania | 4 | $480,469 | $206,851 – $567,096 |
Where Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Riverside Regional Medical Center
Newport News, VA |
$74,364 | $28,225 |
|
Munson Medical Center
Traverse City, MI |
$77,971 | $38,269 |
|
Jackson-Madison County General Hospital
Jackson, TN |
$80,280 | $38,499 |
|
Forrest General Hospital
Hattiesburg, MS |
$81,864 | $23,234 |
|
Novant Health New Hanover Regional Medical Center
Wilmington, NC |
$84,154 | $37,749 |
|
Moses H. Cone Memorial Hospital, The
Greensboro, NC |
$86,787 | $31,063 |
|
Baystate Medical Center
Springfield, MA |
$89,957 | $48,753 |
|
Rex Hospital
Raleigh, NC |
$93,513 | $30,729 |
|
Kaweah Health Medical Center
Visalia, CA |
$103,212 | $46,169 |
|
Boston Medical Center
Boston, MA |
$106,193 | $71,877 |
|
Ecu Health Medical Center
Greenville, NC |
$107,749 | $37,363 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$108,585 | $63,108 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$597,793 | $60,580 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$567,096 | $78,044 |
|
University Of California Davis Medical Center
Sacramento, CA |
$558,395 | $91,996 |
|
Temple University Hospital
Philadelphia, PA |
$557,099 | $59,899 |
|
Medstar Georgetown University Hospital
Washington, DC |
$542,263 | $111,183 |
|
Hca Houston Healthcare Clear Lake
Webster, TX |
$519,675 | $38,886 |
|
Ucsf Medical Center
San Francisco, CA |
$467,999 | $83,315 |
|
Houston Methodist Hospital
Houston, TX |
$440,820 | $48,378 |
|
Nyu Langone Hospitals
New York, NY |
$409,242 | $63,362 |
|
St Lukes Hospital
Bethlehem, PA |
$403,839 | $48,180 |
|
Long Island Jewish Medical Center
New Hyde Park, NY |
$388,887 | $57,765 |
|
New York-Presbyterian Hospital
New York, NY |
$381,286 | $89,005 |
Questions people ask
What do U.S. hospitals charge for Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major?
Across 96 U.S. hospitals, the middle charge for Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major is $197,695. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $142,767 and the dearest quarter over $284,708.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major, the hospitals in the dearest tenth charge about 3.7x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $50,273 is roughly what Medicare actually paid per case, against an average charge of $241,346. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 239: “AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.