facebook tracking Other musculoskeletal system and connective tissue operating room procedures with complications cost in Alaska: 2 hospitals compared (DRG 516)

Other musculoskeletal system and connective tissue operating room procedures with complications in Alaska

What 2 hospitals in Alaska charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516), from 2024 Medicare claims.

DRG 516 Inpatient 2024 Medicare data
Average charge $144,831 Hospital list price billed
Average payment $19,990 Medicare + patient + other payers
Medicare paid $16,528 Average per stay
Volume 29 Medicare hospital stays

Hospitals in Alaska billed an average of $144,831 for other musculoskeletal system and connective tissue operating room procedures with complications, about 7.2 times the average total payment of $19,990. That payment is 5% above the U.S. average of $18,981.

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 $19,990Billed $144,831

About 14¢ was paid for every $1 hospitals in Alaska billed for this stay.

Alaska hospitals: other musculoskeletal system and connective tissue operating room procedures with complications

Every Alaska 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 Alaska Medical CtrAnchorage 17 $122,509 $19,295 $17,377
Alaska Regional HospitalAnchorage 12 $176,454 $20,976 $15,324
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Other musculoskeletal system and connective tissue operating room procedures with complications in other states

Questions

How much does other musculoskeletal system and connective tissue operating room procedures with complications cost in Alaska?

In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516) at 2 hospitals in Alaska was billed at $144,831 on average, while the average total payment was $19,990, of which Medicare paid $16,528. 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 Alaska, average charges were 7.2 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.