Amputation for circulatory system disorders except upper limb and toe with major complications
What 96 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 major complications (DRG 239), from 2024 Medicare claims.
Average charge
$241,346
Hospital list price billed
Average payment
$50,891
Medicare + patient + other payers
Medicare paid
$40,809
Average per stay
Volume
1,489
Medicare hospital stays
Hospitals in the U.S. billed an average of $241,346 for amputation for circulatory system disorders except upper limb and toe with major complications, about 4.7 times the average total payment of $50,891.
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 $50,891Billed $241,346
About 21¢ 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 | $29,533 |
|---|---|
| Saint Francis Hospital, INCTulsa, OK | $36,238 |
| Methodist HospitalSan Antonio, TX | $36,595 |
| Lehigh Valley HospitalAllentown, PA | $39,585 |
| Adventhealth OrlandoOrlando, FL | $41,419 |
| Montefiore Medical CenterBronx, NY | $54,895 |
| Christiana Care Health Services, INC.Newark, DE | $54,904 |
| Barnes Jewish HospitalSt Louis, MO | $55,912 |
| Medstar Washington Hospital CenterWashington, DC | $58,112 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $60,580 |
Highest
| New York-Presbyterian HospitalNew York, NY | $89,005 |
|---|---|
| Northwestern Memorial HospitalChicago, IL | $65,711 |
| North Shore University HospitalManhasset, NY | $64,200 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $63,511 |
| NYU Hospitals CenterNew York, NY | $63,362 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $60,580 |
| Medstar Washington Hospital CenterWashington, DC | $58,112 |
| Barnes Jewish HospitalSt Louis, MO | $55,912 |
| Christiana Care Health Services, INC.Newark, DE | $54,904 |
| Montefiore Medical CenterBronx, NY | $54,895 |
Amputation for circulatory system disorders except upper limb and toe with major 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 |
|---|---|---|---|---|
| Arkansas | 1 | $176,421 | $28,283 | – |
| California | 9 | $324,611 | $58,786 | $39,343 – $91,996 |
| Connecticut | 2 | $265,094 | $77,769 | $56,108 – $99,430 |
| Delaware | 1 | $183,052 | $54,904 | – |
| Florida | 2 | $281,033 | $40,082 | $37,765 – $41,419 |
| Hawaii | 1 | $254,806 | $56,354 | – |
| Illinois | 4 | $205,646 | $60,817 | $29,315 – $74,179 |
| Indiana | 3 | $141,061 | $34,753 | $31,522 – $40,467 |
| Kentucky | 2 | $161,297 | $37,137 | $36,981 – $37,272 |
| Louisiana | 2 | $140,090 | $34,908 | $28,564 – $41,781 |
| Massachusetts | 5 | $227,945 | $70,910 | $48,753 – $82,868 |
| Michigan | 2 | $136,324 | $54,554 | $38,269 – $70,840 |
| Minnesota | 2 | $180,236 | $60,215 | $47,996 – $70,398 |
| Mississippi | 2 | $105,498 | $24,694 | $23,234 – $25,765 |
| Missouri | 2 | $169,473 | $47,127 | $33,323 – $55,912 |
| Nebraska | 1 | $112,445 | $40,433 | – |
| New Hampshire | 1 | $233,898 | $88,083 | – |
| New Jersey | 2 | $271,442 | $48,900 | $39,923 – $57,403 |
| New York | 11 | $321,296 | $64,430 | $40,130 – $89,005 |
| North Carolina | 5 | $111,077 | $38,536 | $30,729 – $54,822 |
| Ohio | 3 | $183,028 | $41,992 | $32,276 – $49,796 |
| Oklahoma | 1 | $165,753 | $36,238 | – |
| Oregon | 1 | $324,759 | $84,760 | – |
| Pennsylvania | 4 | $403,495 | $53,806 | $39,585 – $78,044 |
| South Carolina | 6 | $157,806 | $35,630 | $28,323 – $45,360 |
| South Dakota | 1 | $146,492 | $32,431 | – |
| Tennessee | 4 | $141,162 | $37,301 | $35,150 – $38,499 |
| Texas | 9 | $292,976 | $36,665 | $25,304 – $74,092 |
| Virginia | 4 | $184,988 | $53,187 | $28,225 – $67,399 |
| Washington | 1 | $216,503 | $57,561 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 42 | $381,286 | $89,005 |
| Baptist Medical CenterSan Antonio, TX | 36 | $289,830 | $29,533 |
| Methodist HospitalSan Antonio, TX | 34 | $298,675 | $36,595 |
| NYU Hospitals CenterNew York, NY | 30 | $409,242 | $63,362 |
| Adventhealth OrlandoOrlando, FL | 26 | $287,763 | $41,419 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | 26 | $190,711 | $63,511 |
| North Shore University HospitalManhasset, NY | 24 | $362,760 | $64,200 |
| Montefiore Medical CenterBronx, NY | 23 | $333,901 | $54,895 |
| Barnes Jewish HospitalSt Louis, MO | 22 | $192,694 | $55,912 |
| Christiana Care Health Services, INC.Newark, DE | 21 | $183,052 | $54,904 |
| Northwestern Memorial HospitalChicago, IL | 21 | $261,697 | $65,711 |
| Lehigh Valley HospitalAllentown, PA | 21 | $206,851 | $39,585 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 20 | $597,793 | $60,580 |
| Medstar Washington Hospital CenterWashington, DC | 20 | $243,981 | $58,112 |
| Saint Francis Hospital, INCTulsa, OK | 20 | $165,753 | $36,238 |
Questions
How much does amputation for circulatory system disorders except upper limb and toe with major 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 major complications (DRG 239) at 96 hospitals in the U.S. was billed at $241,346 on average, while the average total payment was $50,891, of which Medicare paid $40,809. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Massachusetts ($70,910), New York ($64,430), Illinois ($60,817) and lowest in Indiana ($34,753), South Carolina ($35,630), Texas ($36,665).
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 4.7 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.