Lower extremity and humerus procedures except hip, foot and femur with complications in New Hampshire
What 2 hospitals in New Hampshire 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.
Average charge
$170,682
Hospital list price billed
Average payment
$24,633
Medicare + patient + other payers
Medicare paid
$21,644
Average per stay
Volume
31
Medicare hospital stays
Hospitals in New Hampshire billed an average of $170,682 for lower extremity and humerus procedures except hip, foot and femur with complications, about 6.9 times the average total payment of $24,633. That payment is 8% above 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 $24,633Billed $170,682
About 14¢ was paid for every $1 hospitals in New Hampshire billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New Hampshire:
New Hampshire hospitals: lower extremity and humerus procedures except hip, foot and femur with complications
Every New Hampshire hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Mary Hitchcock Mem HospitalLebanon | 16 | $100,570 | $27,928 | $24,236 |
| Portsmouth Regional HospitalPortsmouth | 15 | $245,470 | $21,117 | $18,880 |
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 New Hampshire?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 2 hospitals in New Hampshire was billed at $170,682 on average, while the average total payment was $24,633, of which Medicare paid $21,644. 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 New Hampshire, average charges were 6.9 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.