facebook tracking Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Alabama: 2 hospitals compared (DRG 617)

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in Alabama

What 2 hospitals in Alabama charged and were paid for a Medicare hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617), from 2024 Medicare claims.

DRG 617 Inpatient 2024 Medicare data
Average charge $124,307 Hospital list price billed
Average payment $16,069 Medicare + patient + other payers
Medicare paid $10,422 Average per stay
Volume 31 Medicare hospital stays

Hospitals in Alabama billed an average of $124,307 for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications, about 7.7 times the average total payment of $16,069. That payment is 15% below the U.S. average of $18,910.

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 $16,069Billed $124,307

About 13¢ 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 of lower limb for endocrine, nutritional and metabolic 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
Grandview Medical CenterBirmingham 18 $145,721 $12,227 $7,518
University of Alabama HospitalBirmingham 13 $94,657 $21,388 $14,443
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Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in other states

Questions

How much does amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Alabama?

In 2024 Medicare data, a hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617) at 2 hospitals in Alabama was billed at $124,307 on average, while the average total payment was $16,069, of which Medicare paid $10,422. 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 7.7 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.