facebook tracking Amputation for musculoskeletal system and connective tissue disorders with complications cost in Alabama: 1 hospitals compared (DRG 475)

Amputation for musculoskeletal system and connective tissue disorders with complications in Alabama

What 1 hospital in Alabama charged and were paid for a Medicare hospital stay for amputation for musculoskeletal system and connective tissue disorders with complications (DRG 475), from 2024 Medicare claims.

DRG 475 Inpatient 2024 Medicare data
Average charge $103,047 Hospital list price billed
Average payment $21,186 Medicare + patient + other payers
Medicare paid $13,663 Average per stay
Volume 11 Medicare hospital stays

Hospitals in Alabama billed an average of $103,047 for amputation for musculoskeletal system and connective tissue disorders with complications, about 4.9 times the average total payment of $21,186. That payment is 26% below the U.S. average of $28,590.

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 $21,186Billed $103,047

About 21¢ was paid for every $1 hospitals in Alabama billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Alabama:

Alabama hospitals: amputation for musculoskeletal system and connective tissue disorders with complications

Every Alabama hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
University of Alabama HospitalBirmingham 11 $103,047 $21,186 $13,663
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Amputation for musculoskeletal system and connective tissue disorders with complications in other states

Questions

How much does amputation for musculoskeletal system and connective tissue disorders with complications cost in Alabama?

In 2024 Medicare data, a hospital stay for amputation for musculoskeletal system and connective tissue disorders with complications (DRG 475) at 1 hospital in Alabama was billed at $103,047 on average, while the average total payment was $21,186, of which Medicare paid $13,663. Your own cost depends on your insurance, deductible and the hospital.

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 Alabama, average charges were 4.9 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.