Lower extremity and humerus procedures except hip, foot and femur with major complications in Washington
What 1 hospital in Washington 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
$113,982
Hospital list price billed
Average payment
$30,135
Medicare + patient + other payers
Medicare paid
$27,182
Average per stay
Volume
20
Medicare hospital stays
Hospitals in Washington billed an average of $113,982 for lower extremity and humerus procedures except hip, foot and femur with major complications, about 3.8 times the average total payment of $30,135. That payment is 12% below 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 $30,135Billed $113,982
About 26¢ was paid for every $1 hospitals in Washington billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Washington:
Washington hospitals: lower extremity and humerus procedures except hip, foot and femur with major complications
Every Washington hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Providence Sacred Heart Medical CenterSpokane | 20 | $113,982 | $30,135 | $27,182 |
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 Washington?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with major complications (DRG 492) at 1 hospital in Washington was billed at $113,982 on average, while the average total payment was $30,135, of which Medicare paid $27,182. 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 Washington, average charges were 3.8 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.