Major Joint or Limb Reattachment Procedures of Upper Extremities — what U.S. hospitals charge
MS-DRG 483 · Inpatient stay · 389 U.S. hospitals publish a price
Cheapest quarter
under $74,100
Typical charge
$102,672
Dearest quarter
over $144,041
Actually paid
$21,957
The middle U.S. hospital bills $102,672 for Major Joint or Limb Reattachment Procedures of Upper Extremities. The dearest hospitals charge about 3.9x what the cheapest do for the same coded work. Medicare actually paid about $21,957 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.
Major Joint or Limb Reattachment Procedures of Upper Extremities 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 | 6 | $34,110 | $26,596 – $42,990 |
| Kansas | 9 | $52,140 | $35,786 – $148,684 |
| South Dakota | 4 | $61,434 | $45,719 – $90,299 |
| Massachusetts | 14 | $61,591 | $36,552 – $127,699 |
| Nebraska | 5 | $67,751 | $42,537 – $90,635 |
| Missouri | 11 | $69,675 | $51,858 – $132,261 |
| Minnesota | 8 | $71,620 | $53,702 – $95,873 |
| Oklahoma | 6 | $72,802 | $46,988 – $195,133 |
| Michigan | 13 | $74,100 | $41,390 – $131,060 |
| Indiana | 10 | $74,567 | $49,589 – $193,125 |
| Iowa | 5 | $75,388 | $64,597 – $118,533 |
| Tennessee | 9 | $79,282 | $66,677 – $145,839 |
| Montana | 4 | $79,529 | $61,717 – $90,692 |
| New Hampshire | 3 | $84,611 | $66,144 – $87,879 |
| Maine | 3 | $88,611 | $83,772 – $93,939 |
| Ohio | 12 | $89,708 | $61,646 – $118,401 |
| Arkansas | 4 | $90,321 | $59,151 – $193,719 |
| Georgia | 7 | $90,515 | $53,378 – $198,935 |
| Mississippi | 4 | $90,739 | $76,067 – $271,786 |
| Connecticut | 5 | $92,783 | $61,217 – $132,134 |
| Pennsylvania | 14 | $92,825 | $63,017 – $191,372 |
| Washington | 10 | $92,971 | $60,661 – $154,349 |
| North Carolina | 19 | $98,768 | $49,465 – $143,469 |
| Alabama | 6 | $101,446 | $57,899 – $333,257 |
| Wisconsin | 8 | $102,839 | $69,938 – $129,023 |
| Virginia | 11 | $105,795 | $52,690 – $406,916 |
| New York | 18 | $108,020 | $43,711 – $270,829 |
| Oregon | 4 | $112,052 | $103,013 – $131,430 |
| Illinois | 16 | $115,062 | $60,313 – $164,293 |
| Louisiana | 4 | $115,696 | $93,439 – $199,941 |
| New Jersey | 5 | $134,494 | $129,050 – $359,973 |
| Arizona | 10 | $136,342 | $74,849 – $187,829 |
| Kentucky | 7 | $140,815 | $84,740 – $189,516 |
| South Carolina | 7 | $147,387 | $83,999 – $232,111 |
| Colorado | 8 | $160,170 | $88,553 – $387,769 |
| California | 28 | $174,217 | $50,402 – $398,201 |
| Texas | 23 | $181,462 | $49,314 – $566,682 |
| Florida | 32 | $188,589 | $92,852 – $384,312 |
| Nevada | 6 | $231,429 | $92,709 – $306,845 |
Where Major Joint or Limb Reattachment Procedures of Upper Extremities is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$26,596 | $23,995 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$26,989 | $24,002 |
|
Medstar Saint Mary's Hospital
Leonardtown, MD |
$31,233 | $29,396 |
|
Kansas Surgery & Recovery Center
Wichita, KS |
$35,786 | $15,697 |
|
Northeast Hospital Corporation
Beverly, MA |
$36,552 | $20,430 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$36,988 | $32,727 |
|
Salina Surgical Hospital
Salina, KS |
$39,279 | $19,124 |
|
Medstar Union Memorial Hospital
Baltimore, MD |
$39,817 | $35,723 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$41,182 | $30,336 |
|
Bronson Methodist Hospital
Kalamazoo, MI |
$41,390 | $25,222 |
|
Lincoln Surgical Hospital
Lincoln, NE |
$42,537 | $16,877 |
|
Adventist Healthcare Shady Grove Medical Center
Rockville, MD |
$42,990 | $37,955 |
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 |
|---|---|---|
|
Medical City Plano
Plano, TX |
$566,682 | $26,692 |
|
Medical Center Of Mckinney
Mckinney, TX |
$541,264 | $18,651 |
|
Henrico Doctors' Hospital
Richmond, VA |
$406,916 | $17,582 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$398,201 | $33,010 |
|
Hca Healthone Rose
Denver, CO |
$387,769 | $19,822 |
|
Delray Medical Center
Delray Beach, FL |
$384,312 | $14,980 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$370,882 | $26,455 |
|
Cjw Medical Center
Richmond, VA |
$365,522 | $23,235 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$359,973 | $23,022 |
|
Grandview Medical Center
Birmingham, AL |
$333,257 | $16,690 |
|
Hca Florida Lawnwood Hospital
Fort Pierce, FL |
$324,500 | $19,871 |
|
Hca Florida Oak Hill Hospital
Brooksville, FL |
$318,677 | $21,310 |
Questions people ask
What do U.S. hospitals charge for Major Joint or Limb Reattachment Procedures of Upper Extremities?
Across 389 U.S. hospitals, the middle charge for Major Joint or Limb Reattachment Procedures of Upper Extremities is $102,672. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $74,100 and the dearest quarter over $144,041.
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 Major Joint or Limb Reattachment Procedures of Upper Extremities, the hospitals in the dearest tenth charge about 3.9x 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. $21,957 is roughly what Medicare actually paid per case, against an average charge of $124,843. 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 483: “MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES”. 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.