Bilateral or multiple major joint procedures of lower extremity without major complications in Alabama
What 1 hospital in Alabama charged and were paid for a Medicare hospital stay for bilateral or multiple major joint procedures of lower extremity without major complications (DRG 462), from 2024 Medicare claims.
Average charge
$43,360
Hospital list price billed
Average payment
$21,512
Medicare + patient + other payers
Medicare paid
$17,198
Average per stay
Volume
12
Medicare hospital stays
Hospitals in Alabama billed an average of $43,360 for bilateral or multiple major joint procedures of lower extremity without major complications, about 2.0 times the average total payment of $21,512. That payment is 26% below the U.S. average of $29,055.
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 $21,512Billed $43,360
About 50¢ was paid for every $1 hospitals in Alabama billed for this stay.
Alabama hospitals: bilateral or multiple major joint procedures of lower extremity without major 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 |
|---|---|---|---|---|
| East Alabama Medical Center and SnfOpelika | 12 | $43,360 | $21,512 | $17,198 |
Bilateral or multiple major joint procedures of lower extremity without major complications in other states
Questions
How much does bilateral or multiple major joint procedures of lower extremity without major complications cost in Alabama?
In 2024 Medicare data, a hospital stay for bilateral or multiple major joint procedures of lower extremity without major complications (DRG 462) at 1 hospital in Alabama was billed at $43,360 on average, while the average total payment was $21,512, of which Medicare paid $17,198. 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 2.0 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.