Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications — what U.S. hospitals charge
MS-DRG 493 · Inpatient stay · 493 U.S. hospitals publish a price
Cheapest quarter
under $77,412
Typical charge
$101,739
Dearest quarter
over $146,368
Actually paid
$22,516
The middle U.S. hospital bills $101,739 for Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $22,516 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.
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications 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 | 11 | $30,013 | $22,004 – $50,603 |
| Arkansas | 6 | $55,406 | $41,681 – $86,858 |
| Massachusetts | 10 | $58,052 | $34,948 – $125,325 |
| Mississippi | 4 | $58,798 | $55,405 – $80,153 |
| New Mexico | 3 | $60,679 | $56,241 – $119,005 |
| Michigan | 12 | $61,403 | $47,099 – $98,726 |
| Missouri | 14 | $65,911 | $53,920 – $193,377 |
| Idaho | 3 | $67,390 | $64,743 – $103,270 |
| Utah | 5 | $68,295 | $51,255 – $83,251 |
| Minnesota | 14 | $68,508 | $41,693 – $118,927 |
| West Virginia | 5 | $71,873 | $47,425 – $100,206 |
| South Dakota | 3 | $76,235 | $69,315 – $104,898 |
| Kansas | 5 | $76,358 | $58,222 – $238,581 |
| Virginia | 18 | $79,139 | $45,590 – $327,566 |
| Nebraska | 5 | $80,375 | $54,093 – $111,358 |
| Wisconsin | 8 | $80,805 | $70,125 – $126,448 |
| Connecticut | 4 | $85,643 | $77,412 – $107,230 |
| North Carolina | 12 | $89,977 | $63,485 – $135,572 |
| Tennessee | 14 | $90,717 | $45,898 – $261,529 |
| Alabama | 7 | $91,738 | $63,049 – $245,072 |
| Iowa | 3 | $94,500 | $81,582 – $110,093 |
| Oregon | 8 | $96,113 | $58,486 – $103,761 |
| Oklahoma | 5 | $96,614 | $86,603 – $267,391 |
| Ohio | 17 | $98,466 | $62,029 – $214,781 |
| Louisiana | 6 | $100,048 | $67,872 – $166,301 |
| Indiana | 10 | $101,415 | $68,473 – $143,240 |
| South Carolina | 13 | $102,014 | $68,073 – $266,589 |
| Illinois | 25 | $102,680 | $56,620 – $157,652 |
| Washington | 6 | $103,697 | $80,590 – $146,061 |
| Kentucky | 6 | $113,055 | $60,099 – $132,480 |
| Pennsylvania | 26 | $115,212 | $65,949 – $223,288 |
| Arizona | 14 | $117,660 | $59,909 – $291,836 |
| New Jersey | 14 | $127,615 | $87,401 – $705,736 |
| Colorado | 7 | $129,205 | $100,508 – $241,625 |
| Georgia | 8 | $134,992 | $93,712 – $260,823 |
| New York | 19 | $136,689 | $52,902 – $367,278 |
| Texas | 38 | $136,832 | $68,941 – $418,145 |
| District of Columbia | 3 | $153,680 | $145,080 – $228,512 |
| California | 40 | $158,994 | $80,549 – $365,418 |
| Florida | 45 | $166,907 | $83,742 – $357,184 |
| Nevada | 3 | $190,958 | $84,145 – $303,900 |
Where Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Suburban Hospital
Bethesda, MD |
$22,004 | $19,639 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$22,937 | $20,474 |
|
Mercy Medical Center Inc
Baltimore, MD |
$26,564 | $22,933 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$28,668 | $23,796 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$29,008 | $26,731 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$30,013 | $27,587 |
|
South Shore Hospital
South Weymouth, MA |
$34,948 | $19,211 |
|
White River Medical Center
Batesville, AR |
$41,681 | $17,672 |
|
Lakeview Memorial Hospital
Stillwater, MN |
$41,693 | $15,870 |
|
University Of Md Capital Region Medical Center
Upper Marlboro, MD |
$41,784 | $41,476 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$42,191 | $29,638 |
|
Inova Mount Vernon Hospital
Alexandria, VA |
$45,590 | $17,153 |
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 |
|---|---|---|
|
Capital Health Regional Medical Center
Trenton, NJ |
$705,736 | $60,665 |
|
Medical City Arlington
Arlington, TX |
$418,145 | $24,192 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$411,328 | $23,024 |
|
Westchester Medical Center
Valhalla, NY |
$367,278 | $33,347 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$365,418 | $29,870 |
|
Hca Florida Osceola Hospital
Kissimmee, FL |
$357,184 | $26,826 |
|
Hca Florida Kendall Hospital
Miami, FL |
$337,942 | $23,263 |
|
Stanford Health Care
Stanford, CA |
$334,706 | $42,079 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$328,510 | $30,451 |
|
Cjw Medical Center
Richmond, VA |
$327,566 | $17,634 |
|
Medical City Denton
Denton, TX |
$326,198 | $21,885 |
|
Desert Regional Medical Center
Palm Springs, CA |
$325,603 | $26,964 |
Questions people ask
What do U.S. hospitals charge for Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications?
Across 493 U.S. hospitals, the middle charge for Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications is $101,739. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $77,412 and the dearest quarter over $146,368.
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 Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications, 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. $22,516 is roughly what Medicare actually paid per case, against an average charge of $124,600. 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 493: “LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR 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.