Lower extremity and humerus procedures except hip, foot and femur with major complications in Maryland
What 2 hospitals in Maryland charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with major complications (DRG 492), from 2024 Medicare claims.
Average charge
$56,339
Hospital list price billed
Average payment
$51,053
Medicare + patient + other payers
Medicare paid
$49,362
Average per stay
Volume
29
Medicare hospital stays
Hospitals in Maryland billed an average of $56,339 for lower extremity and humerus procedures except hip, foot and femur with major complications, about 1.1 times the average total payment of $51,053. That payment is 49% above the U.S. average of $34,208.
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 $51,053Billed $56,339
About 91¢ was paid for every $1 hospitals in Maryland billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Maryland:
Maryland hospitals: lower extremity and humerus procedures except hip, foot and femur with major complications
Every Maryland 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 Maryland Medical CenterBaltimore | 18 | $62,254 | $57,414 | $56,048 |
| Johns Hopkins Bayview Medical CenterBaltimore | 11 | $46,660 | $40,646 | $38,420 |
Lower extremity and humerus procedures except hip, foot and femur with major complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with major complications cost in Maryland?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with major complications (DRG 492) at 2 hospitals in Maryland was billed at $56,339 on average, while the average total payment was $51,053, of which Medicare paid $49,362. 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 Maryland, average charges were 1.1 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.