Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with — what U.S. hospitals charge
MS-DRG 617 · Inpatient stay · 284 U.S. hospitals publish a price
Cheapest quarter
under $51,841
Typical charge
$73,749
Dearest quarter
over $103,537
Actually paid
$18,999
The middle U.S. hospital bills $73,749 for Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $18,999 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 of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 14 | $23,434 | $18,611 – $47,064 |
| Massachusetts | 8 | $44,803 | $23,304 – $111,475 |
| Missouri | 8 | $48,106 | $37,464 – $167,043 |
| Michigan | 8 | $49,526 | $38,008 – $75,931 |
| Mississippi | 4 | $50,604 | $34,804 – $78,283 |
| Minnesota | 9 | $50,702 | $32,819 – $88,315 |
| Idaho | 3 | $51,672 | $48,300 – $108,024 |
| Tennessee | 3 | $54,651 | $38,227 – $59,269 |
| Oregon | 3 | $55,241 | $38,421 – $65,020 |
| North Carolina | 18 | $56,943 | $32,863 – $126,186 |
| Kentucky | 6 | $62,548 | $45,045 – $119,472 |
| Virginia | 14 | $62,597 | $35,390 – $148,934 |
| Illinois | 12 | $64,839 | $32,369 – $106,781 |
| South Carolina | 7 | $72,258 | $48,155 – $150,505 |
| Indiana | 4 | $73,372 | $60,839 – $116,973 |
| New Hampshire | 4 | $75,412 | $42,750 – $93,198 |
| Georgia | 5 | $77,802 | $66,209 – $146,505 |
| Washington | 5 | $79,449 | $60,889 – $89,671 |
| Oklahoma | 3 | $79,907 | $42,466 – $124,354 |
| Connecticut | 4 | $82,161 | $71,966 – $98,452 |
| Kansas | 4 | $82,848 | $69,799 – $113,023 |
| Texas | 16 | $83,807 | $51,827 – $201,242 |
| Ohio | 8 | $84,519 | $35,180 – $113,001 |
| Arizona | 5 | $84,974 | $55,941 – $95,084 |
| Pennsylvania | 21 | $87,819 | $50,358 – $194,017 |
| Florida | 17 | $101,830 | $60,552 – $209,801 |
| New York | 11 | $110,588 | $43,224 – $245,759 |
| California | 24 | $111,956 | $70,530 – $352,064 |
| New Jersey | 9 | $133,694 | $76,842 – $198,498 |
Where Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Meritus Medical Center
Hagerstown, MD |
$18,611 | $17,411 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$20,697 | $19,087 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$21,550 | $19,126 |
|
Frederick Health Hospital
Frederick, MD |
$21,623 | $19,412 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$22,911 | $21,198 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$22,972 | $20,491 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$23,203 | $20,979 |
|
Sturdy Memorial Hospital
Attleboro, MA |
$23,304 | $15,411 |
|
Union Hospital Of Cecil County
Elkton, MD |
$23,665 | $21,370 |
|
Mercy Medical Center Inc
Baltimore, MD |
$24,181 | $21,070 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$27,898 | $25,150 |
|
Southcoast Hospitals Group
Fall River, MA |
$28,993 | $15,085 |
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 |
|---|---|---|
|
Stanford Health Care
Stanford, CA |
$352,064 | $39,918 |
|
Nyu Langone Hospitals
New York, NY |
$245,759 | $30,842 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$209,801 | $23,208 |
|
Baptist Medical Center
San Antonio, TX |
$201,242 | $17,634 |
|
Robert Wood Johnson University Hospital
New Brunswick, NJ |
$198,498 | $29,426 |
|
Penn Presbyterian Medical Center
Philadelphia, PA |
$194,017 | $21,537 |
|
John Muir Medical Center - Concord Campus
Concord, CA |
$193,904 | $20,470 |
|
Tampa General Hospital
Tampa, FL |
$189,514 | $27,781 |
|
Salinas Valley Health Medical Center
Salinas, CA |
$186,169 | $23,602 |
|
Mountainview Hospital
Las Vegas, NV |
$185,123 | $19,561 |
|
The Nebraska Medical Center
Omaha, NE |
$181,840 | $37,449 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$180,477 | $26,452 |
Questions people ask
What do U.S. hospitals charge for Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with?
Across 284 U.S. hospitals, the middle charge for Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with is $73,749. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $51,841 and the dearest quarter over $103,537.
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 of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with, the hospitals in the dearest tenth charge about 3.8x 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. $18,999 is roughly what Medicare actually paid per case, against an average charge of $83,896. 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 617: “AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC”. 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.