Major joint or limb reattachment procedures of upper extremities
What 389 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major joint or limb reattachment procedures of upper extremities (DRG 483), from 2024 Medicare claims.
Average charge
$124,843
Hospital list price billed
Average payment
$22,521
Medicare + patient + other payers
Medicare paid
$19,439
Average per stay
Volume
8,966
Medicare hospital stays
Hospitals in the U.S. billed an average of $124,843 for major joint or limb reattachment procedures of upper extremities, about 5.5 times the average total payment of $22,521.
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 $22,521Billed $124,843
About 18¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Summit Surgical LLCHutchinson, KS | $15,316 |
|---|---|
| Physicians Centre,TheBryan, TX | $15,638 |
| Parkwest Medical CenterKnoxville, TN | $15,654 |
| Institute for Orthopedic SurgeryLima, OH | $15,668 |
| Kansas Surgery & Recovery CenterWichita, KS | $15,697 |
| Crystal Clinic Orthopaedic CenterAkron, OH | $15,710 |
| McBride Clinic Orthopedic Hospital, L L COklahoma City, OK | $16,058 |
| The Hospital at Westlake Medical CenterAustin, TX | $16,063 |
| Boone Hospital CenterColumbia, MO | $16,090 |
| Kansas City Orthopaedic InstituteLeawood, KS | $16,097 |
Highest
| UCSF Medical CenterSan Francisco, CA | $40,438 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $40,082 |
| Stanford HospitalPalo Alto, CA | $38,587 |
| UCI Health-OrangeOrange, CA | $37,477 |
| California Pacific Medical Ctr - St. Luke's CampusSan Francisco, CA | $35,948 |
| Union Memorial HospitalBaltimore, MD | $35,723 |
| NYU Hospitals CenterNew York, NY | $35,083 |
| Alaska Native Medical CenterAnchorage, AK | $34,664 |
| USC University HospitalLos Angeles, CA | $33,239 |
| Campbell County Memorial HospitalGillette, WY | $33,084 |
Major joint or limb reattachment procedures of upper extremities cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 6 | $126,812 | $17,545 | $15,754 – $21,349 |
| Alaska | 2 | $183,631 | $32,056 | $29,675 – $34,664 |
| Arizona | 10 | $130,648 | $22,566 | $17,749 – $32,353 |
| Arkansas | 4 | $99,982 | $18,655 | $15,912 – $22,376 |
| California | 28 | $186,421 | $29,973 | $23,031 – $40,438 |
| Colorado | 8 | $234,473 | $21,849 | $17,882 – $41,357 |
| Connecticut | 5 | $82,752 | $24,679 | $22,354 – $26,873 |
| Delaware | 1 | $97,994 | $24,465 | – |
| Florida | 32 | $185,140 | $19,800 | $14,980 – $24,662 |
| Georgia | 7 | $108,537 | $23,108 | $17,160 – $28,037 |
| Idaho | 1 | $125,516 | $19,148 | – |
| Illinois | 16 | $115,566 | $21,374 | $17,155 – $31,307 |
| Indiana | 10 | $102,396 | $18,719 | $16,416 – $21,912 |
| Iowa | 5 | $87,675 | $18,774 | $17,087 – $23,405 |
| Kansas | 9 | $58,607 | $17,831 | $15,316 – $25,600 |
| Kentucky | 7 | $138,092 | $18,663 | $16,136 – $25,818 |
| Louisiana | 4 | $137,646 | $19,042 | $16,104 – $21,070 |
| Maine | 3 | $89,676 | $21,253 | $17,108 – $24,793 |
| Maryland | 6 | $34,538 | $31,121 | $23,995 – $37,955 |
| Massachusetts | 14 | $68,196 | $24,938 | $20,212 – $32,324 |
| Michigan | 13 | $79,104 | $21,992 | $17,191 – $27,367 |
| Minnesota | 8 | $78,686 | $27,384 | $18,275 – $40,082 |
| Mississippi | 4 | $128,790 | $18,302 | $16,058 – $24,052 |
| Missouri | 11 | $84,145 | $19,116 | $16,044 – $25,456 |
| Montana | 4 | $77,137 | $18,833 | $18,291 – $19,524 |
| Nebraska | 5 | $64,358 | $17,150 | $16,739 – $17,956 |
| Nevada | 6 | $206,151 | $22,835 | $20,942 – $27,009 |
| New Hampshire | 3 | $77,657 | $22,580 | $19,360 – $26,707 |
| New Jersey | 5 | $167,684 | $24,201 | $21,586 – $27,083 |
| New York | 18 | $135,225 | $29,943 | $21,498 – $36,593 |
| North Carolina | 19 | $98,579 | $21,803 | $16,519 – $50,140 |
| North Dakota | 1 | $77,860 | $19,977 | – |
| Ohio | 12 | $92,044 | $19,345 | $15,668 – $25,919 |
| Oklahoma | 6 | $80,821 | $18,694 | $16,058 – $24,216 |
| Oregon | 4 | $114,638 | $25,048 | $21,731 – $30,597 |
| Pennsylvania | 14 | $104,209 | $21,016 | $17,369 – $30,225 |
| Rhode Island | 2 | $53,979 | $21,397 | $18,931 – $23,282 |
| South Carolina | 7 | $136,836 | $19,517 | $16,687 – $27,604 |
| South Dakota | 4 | $54,408 | $17,529 | $17,016 – $19,068 |
| Tennessee | 9 | $89,621 | $18,366 | $15,654 – $24,118 |
| Texas | 23 | $185,225 | $19,134 | $15,638 – $26,692 |
| Utah | 2 | $60,166 | $22,888 | $20,213 – $25,273 |
| Virginia | 11 | $170,108 | $22,524 | $17,097 – $31,014 |
| Washington | 10 | $94,706 | $24,641 | $20,806 – $27,742 |
| West Virginia | 1 | $83,356 | $20,898 | – |
| Wisconsin | 8 | $96,735 | $22,158 | $18,836 – $27,757 |
| Wyoming | 1 | $85,340 | $33,084 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Hospital for Special SurgeryNew York, NY | 117 | $125,160 | $30,712 |
| Black Hills Surgical Hospital LLPRapid City, SD | 106 | $45,719 | $17,371 |
| Orlando Regional HealthcareOrlando, FL | 100 | $206,490 | $20,968 |
| New England Baptist HospitalBoston, MA | 91 | $57,764 | $22,411 |
| NYU Hospitals CenterNew York, NY | 91 | $270,829 | $35,083 |
| Stanford HospitalPalo Alto, CA | 86 | $257,528 | $38,587 |
| The Johns Hopkins HospitalBaltimore, MD | 82 | $36,988 | $32,727 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | 80 | $211,787 | $29,210 |
| Rose Medical CenterDenver, CO | 75 | $387,769 | $19,822 |
| Kansas City Orthopaedic InstituteLeawood, KS | 75 | $56,322 | $16,097 |
| Texas Orthopedic HospitalHouston, TX | 72 | $274,190 | $18,016 |
| New York-Presbyterian HospitalNew York, NY | 68 | $130,401 | $31,381 |
| Institute for Orthopedic SurgeryLima, OH | 67 | $88,085 | $15,668 |
| The Hospital at Westlake Medical CenterAustin, TX | 67 | $144,041 | $16,063 |
| Crystal Clinic Orthopaedic CenterAkron, OH | 65 | $69,987 | $15,710 |
Questions
How much does major joint or limb reattachment procedures of upper extremities cost in the U.S.?
In 2024 Medicare data, a hospital stay for major joint or limb reattachment procedures of upper extremities (DRG 483) at 389 hospitals in the U.S. was billed at $124,843 on average, while the average total payment was $22,521, of which Medicare paid $19,439. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for major joint or limb reattachment procedures of upper extremities?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($31,121), California ($29,973), New York ($29,943) and lowest in Nebraska ($17,150), South Dakota ($17,529), Alabama ($17,545).
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 the U.S., average charges were 5.5 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.