Inpatient stays / DRG 239
MS-DRG 239 · 96 hospitals · 6,368 stays
DRG 239: Amputation for Circulatory System Disorders except Upper Limb and Toe with MCC
Medicare patients had 6,368 stays in DRG 239 in 2024. Hospitals charged an average of $214,912 per stay and were paid $44,938 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $38,189. Average charges ran from $74,364 at the least expensive hospital to $597,793 at the most; half of hospitals charged between $142,010 and $286,744.
- 1Average charge $214,912
- 2Average paid $44,938
- 3Reporting hospitals 96
- 4Medicare stays 6,368
By state
Average charges for DRG 239 were highest in District of Columbia ($399,108) and lowest in Maryland ($71,202). Payments vary far less than charges, because Medicare sets them: they range across states from $27,731 to $78,544.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| District of Columbia | 46 | $399,108 | $78,544 | 5.1× |
| Alaska | 12 | $365,160 | $71,068 | 5.1× |
| Nevada | 35 | $329,068 | $44,687 | 7.4× |
| California | 699 | $309,681 | $56,485 | 5.5× |
| New Jersey | 233 | $293,609 | $47,301 | 6.2× |
| New York | 485 | $287,411 | $60,872 | 4.7× |
| Texas | 548 | $273,730 | $37,086 | 7.4× |
| Florida | 371 | $264,550 | $37,351 | 7.1× |
| Colorado | 43 | $261,431 | $41,563 | 6.3× |
| Pennsylvania | 278 | $256,393 | $42,801 | 6× |
| New Mexico | 30 | $214,679 | $41,611 | 5.2× |
| Connecticut | 60 | $206,951 | $55,628 | 3.7× |
| Washington | 139 | $205,762 | $47,605 | 4.3× |
| Oregon | 67 | $199,985 | $55,975 | 3.6× |
| Arizona | 65 | $196,972 | $39,811 | 4.9× |
| Kansas | 50 | $196,112 | $33,904 | 5.8× |
| New Hampshire | 37 | $194,812 | $53,995 | 3.6× |
| Hawaii | 30 | $188,022 | $51,430 | 3.7× |
| Illinois | 295 | $186,368 | $45,988 | 4.1× |
| Minnesota | 98 | $182,415 | $51,467 | 3.5× |
| Georgia | 179 | $176,592 | $41,947 | 4.2× |
| Indiana | 120 | $175,269 | $41,095 | 4.3× |
| Massachusetts | 135 | $175,108 | $59,249 | 3× |
| Oklahoma | 96 | $171,891 | $32,511 | 5.3× |
| Iowa | 44 | $170,544 | $39,569 | 4.3× |
| Delaware | 30 | $170,039 | $48,847 | 3.5× |
| Missouri | 136 | $168,574 | $41,528 | 4.1× |
| Ohio | 193 | $164,842 | $40,648 | 4.1× |
| Arkansas | 67 | $161,379 | $29,934 | 5.4× |
| South Carolina | 148 | $157,065 | $35,715 | 4.4× |
| Virginia | 193 | $156,736 | $41,245 | 3.8× |
| Wisconsin | 93 | $153,881 | $39,298 | 3.9× |
| Louisiana | 123 | $152,212 | $33,175 | 4.6× |
| Alabama | 121 | $150,701 | $32,936 | 4.6× |
| Michigan | 182 | $148,868 | $45,196 | 3.3× |
| Nebraska | 44 | $148,864 | $41,245 | 3.6× |
| Maine | 19 | $148,624 | $39,126 | 3.8× |
| Tennessee | 137 | $147,297 | $35,178 | 4.2× |
| West Virginia | 36 | $140,193 | $36,754 | 3.8× |
| Utah | 24 | $139,205 | $37,253 | 3.7× |
| South Dakota | 22 | $137,982 | $33,687 | 4.1× |
| Kentucky | 77 | $134,766 | $35,585 | 3.8× |
| North Carolina | 206 | $125,612 | $38,314 | 3.3× |
| Idaho | 18 | $121,554 | $35,591 | 3.4× |
| Montana | 18 | $121,112 | $39,534 | 3.1× |
| Mississippi | 102 | $115,163 | $27,731 | 4.2× |
| North Dakota | 28 | $91,769 | $34,905 | 2.6× |
| Rhode Island | 17 | $74,909 | $37,668 | 2× |
| Maryland | 126 | $71,202 | $63,237 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 20 stays | $597,793 | $60,580 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 13 stays | $567,096 | $78,044 |
| University of California Davis Medical Center Sacramento, CA · 15 stays | $558,395 | $91,996 |
| Temple University Hospital Philadelphia, PA · 13 stays | $557,099 | $59,899 |
| Medstar Georgetown University Hospital Washington, DC · 17 stays | $542,263 | $111,183 |
| HCA Houston Healthcare Clear Lake Webster, TX · 13 stays | $519,675 | $38,886 |
| UCSF Medical Center San Francisco, CA · 13 stays | $467,999 | $83,315 |
| Houston Methodist Hospital Houston, TX · 18 stays | $440,820 | $48,378 |
| NYU Langone Hospitals New York, NY · 30 stays | $409,242 | $63,362 |
| St Luke's Hospital Bethlehem Bethlehem, PA · 17 stays | $403,839 | $48,180 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Riverside Regional Medical Center Newport News, VA · 12 stays | $74,364 | $28,225 |
| Munson Medical Center Traverse City, MI · 11 stays | $77,971 | $38,269 |
| Jackson-Madison County General Hospital Jackson, TN · 17 stays | $80,280 | $38,499 |
| Forrest General Hospital Hattiesburg, MS · 11 stays | $81,864 | $23,234 |
| Novant Health New Hanover Regional Medical Center Wilmington, NC · 13 stays | $84,154 | $37,749 |
| Cone Health Greensboro, NC · 12 stays | $86,786 | $31,063 |
| Baystate Medical Center Springfield, MA · 12 stays | $89,957 | $48,753 |
| Rex Hospital Raleigh, NC · 14 stays | $93,513 | $30,729 |
| Kaweah Health Medical Center Visalia, CA · 12 stays | $103,212 | $46,169 |
| Boston Medical Center Corporation- Boston, MA · 11 stays | $106,193 | $71,877 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.