Lower extremity and humerus procedures except hip, foot and femur with major complications in Nevada
What 2 hospitals in Nevada 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
$215,690
Hospital list price billed
Average payment
$34,586
Medicare + patient + other payers
Medicare paid
$29,756
Average per stay
Volume
29
Medicare hospital stays
Hospitals in Nevada billed an average of $215,690 for lower extremity and humerus procedures except hip, foot and femur with major complications, about 6.2 times the average total payment of $34,586. That payment is 1% 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 $34,586Billed $215,690
About 16¢ was paid for every $1 hospitals in Nevada billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Nevada:
Nevada hospitals: lower extremity and humerus procedures except hip, foot and femur with major complications
Every Nevada hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Renown Regional Medical CenterReno | 15 | $143,477 | $39,536 | $33,543 |
| Sunrise Hospital and Medical CenterLas Vegas | 14 | $293,061 | $29,283 | $25,698 |
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 Nevada?
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 Nevada was billed at $215,690 on average, while the average total payment was $34,586, of which Medicare paid $29,756. 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 Nevada, average charges were 6.2 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.