Amputation for circulatory system disorders except upper limb and toe with complications
What 58 hospitals in the U.S. charged and were paid for a Medicare hospital stay for amputation for circulatory system disorders except upper limb and toe with complications (DRG 240), from 2024 Medicare claims.
Average charge
$126,789
Hospital list price billed
Average payment
$28,370
Medicare + patient + other payers
Medicare paid
$23,016
Average per stay
Volume
848
Medicare hospital stays
Hospitals in the U.S. billed an average of $126,789 for amputation for circulatory system disorders except upper limb and toe with complications, about 4.5 times the average total payment of $28,370.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $28,370Billed $126,789
About 22¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Baptist Medical CenterSan Antonio, TX | $15,543 |
|---|---|
| Rex HospitalRaleigh, NC | $18,152 |
| Methodist HospitalSan Antonio, TX | $19,501 |
| New Hanover Regional Medical CenterWilmington, NC | $24,943 |
| Lehigh Valley HospitalAllentown, PA | $25,045 |
| Baystate Medical CenterSpringfield, MA | $28,875 |
| Beth Israel Deaconess Medical CenterBoston, MA | $37,617 |
| New York-Presbyterian HospitalNew York, NY | $39,822 |
| Montefiore Medical CenterBronx, NY | $41,496 |
Highest
| Montefiore Medical CenterBronx, NY | $41,496 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $39,822 |
| Beth Israel Deaconess Medical CenterBoston, MA | $37,617 |
| Baystate Medical CenterSpringfield, MA | $28,875 |
| Lehigh Valley HospitalAllentown, PA | $25,045 |
| New Hanover Regional Medical CenterWilmington, NC | $24,943 |
| Methodist HospitalSan Antonio, TX | $19,501 |
| Rex HospitalRaleigh, NC | $18,152 |
| Baptist Medical CenterSan Antonio, TX | $15,543 |
Amputation for circulatory system disorders except upper limb and toe with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 1 | $198,980 | $32,909 | – |
| Arizona | 1 | $102,004 | $19,342 | – |
| California | 4 | $138,087 | $38,885 | $28,195 – $63,412 |
| Florida | 3 | $134,411 | $23,202 | $18,936 – $27,842 |
| Georgia | 1 | $153,258 | $39,321 | – |
| Illinois | 2 | $112,578 | $27,433 | $25,518 – $29,075 |
| Kentucky | 1 | $153,954 | $19,680 | – |
| Maryland | 1 | $40,237 | $35,168 | – |
| Massachusetts | 4 | $92,347 | $32,705 | $28,875 – $37,617 |
| Michigan | 1 | $40,482 | $23,770 | – |
| Minnesota | 2 | $136,687 | $39,843 | $24,376 – $48,797 |
| Mississippi | 1 | $69,180 | $16,032 | – |
| Missouri | 2 | $105,543 | $29,108 | $18,860 – $39,356 |
| New Hampshire | 1 | $120,090 | $35,875 | – |
| New Jersey | 1 | $284,181 | $21,854 | – |
| New York | 6 | $190,454 | $38,311 | $30,524 – $41,780 |
| North Carolina | 8 | $76,994 | $25,183 | $18,152 – $35,979 |
| Ohio | 1 | $131,137 | $30,416 | – |
| Oklahoma | 1 | $139,114 | $17,511 | – |
| Oregon | 1 | $80,649 | $28,168 | – |
| Pennsylvania | 2 | $190,064 | $24,744 | $24,166 – $25,045 |
| South Carolina | 3 | $71,045 | $19,599 | $17,470 – $21,751 |
| Texas | 4 | $174,495 | $18,964 | $15,543 – $24,160 |
| Virginia | 2 | $75,656 | $19,598 | $18,717 – $20,479 |
| Washington | 1 | $117,615 | $25,182 | – |
| Wisconsin | 2 | $89,722 | $25,429 | $21,615 – $29,243 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 28 | $208,585 | $39,822 |
| Baystate Medical CenterSpringfield, MA | 26 | $76,262 | $28,875 |
| Methodist HospitalSan Antonio, TX | 25 | $210,612 | $19,501 |
| Lehigh Valley HospitalAllentown, PA | 23 | $167,905 | $25,045 |
| Montefiore Medical CenterBronx, NY | 21 | $241,043 | $41,496 |
| Rex HospitalRaleigh, NC | 21 | $51,488 | $18,152 |
| Baptist Medical CenterSan Antonio, TX | 21 | $151,535 | $15,543 |
| Beth Israel Deaconess Medical CenterBoston, MA | 20 | $78,428 | $37,617 |
| New Hanover Regional Medical CenterWilmington, NC | 20 | $75,784 | $24,943 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 19 | $126,331 | $48,797 |
| Adventhealth OrlandoOrlando, FL | 17 | $196,441 | $23,648 |
| Tallahassee Memorial HealthcareTallahassee, FL | 17 | $92,880 | $18,936 |
| Mississippi Baptist Medical CenterJackson, MS | 17 | $69,180 | $16,032 |
| Carolina East Medical CenterNew Bern, NC | 17 | $60,270 | $24,906 |
| Kaweah Delta Medical CenterVisalia, CA | 16 | $87,347 | $36,234 |
Questions
How much does amputation for circulatory system disorders except upper limb and toe with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for amputation for circulatory system disorders except upper limb and toe with complications (DRG 240) at 58 hospitals in the U.S. was billed at $126,789 on average, while the average total payment was $28,370, of which Medicare paid $23,016. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for amputation for circulatory system disorders except upper limb and toe with complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($38,885), New York ($38,311), Massachusetts ($32,705) and lowest in Texas ($18,964), South Carolina ($19,599), Florida ($23,202).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 4.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.