facebook tracking Lower extremity and humerus procedures except hip, foot and femur with complications cost in Arkansas: 6 hospitals compared (DRG 493)

Lower extremity and humerus procedures except hip, foot and femur with complications in Arkansas

What 6 hospitals in Arkansas charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.

DRG 493 Inpatient 2024 Medicare data
Average charge $63,024 Hospital list price billed
Average payment $18,143 Medicare + patient + other payers
Medicare paid $14,831 Average per stay
State rank #1 of 40 1 = lowest average payment

Hospitals in Arkansas billed an average of $63,024 for lower extremity and humerus procedures except hip, foot and femur with complications, about 3.5 times the average total payment of $18,143. That payment is 20% below the U.S. average of $22,820.

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 $18,143Billed $63,024

About 29¢ was paid for every $1 hospitals in Arkansas billed for this stay.

Arkansas hospitals: lower extremity and humerus procedures except hip, foot and femur with complications

Every Arkansas 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 Arkansas Medical SciencesLittle Rock 30 $51,540 $22,154 $17,957
Baptist Health Medical Center-Little RockLittle Rock 23 $86,858 $16,555 $13,667
Washington Regional Med CenterFayetteville 15 $80,689 $16,559 $11,502
Saline Memorial HospitalBenton 13 $59,272 $15,579 $14,702
Mercy Hospital Fort SmithFort Smith 11 $46,199 $16,187 $12,642
White River Medical CenterBatesville 11 $41,681 $17,672 $15,617
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Lowest and highest payments in Arkansas

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Saline Memorial HospitalBenton, AR$15,579
Mercy Hospital Fort SmithFort Smith, AR$16,187
Baptist Health Medical Center-Little RockLittle Rock, AR$16,555
Washington Regional Med CenterFayetteville, AR$16,559
White River Medical CenterBatesville, AR$17,672

Highest

University of Arkansas Medical SciencesLittle Rock, AR$22,154
White River Medical CenterBatesville, AR$17,672
Washington Regional Med CenterFayetteville, AR$16,559
Baptist Health Medical Center-Little RockLittle Rock, AR$16,555
Mercy Hospital Fort SmithFort Smith, AR$16,187

Lower extremity and humerus procedures except hip, foot and femur with complications in other states

Questions

How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Arkansas?

In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 6 hospitals in Arkansas was billed at $63,024 on average, while the average total payment was $18,143, of which Medicare paid $14,831. 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 Arkansas, average charges were 3.5 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.