Inpatient stays / DRG 492
MS-DRG 492 · 85 hospitals · 5,717 stays
DRG 492: Lower Extremity and Humerus Procedures except Hip, Foot and Femur with MCC
Medicare patients had 5,717 stays in DRG 492 in 2024. Hospitals charged an average of $164,409 per stay and were paid $31,824 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $27,295. Average charges ran from $43,678 at the least expensive hospital to $538,939 at the most; half of hospitals charged between $104,939 and $194,806.
- 1Average charge $164,409
- 2Average paid $31,824
- 3Reporting hospitals 85
- 4Medicare stays 5,717
By state
Average charges for DRG 492 were highest in Alaska ($301,536) and lowest in Maryland ($48,532). Payments vary far less than charges, because Medicare sets them: they range across states from $23,719 to $44,603.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 25 | $301,536 | $42,017 | 7.2× |
| California | 531 | $249,194 | $40,637 | 6.1× |
| District of Columbia | 14 | $227,346 | $38,255 | 5.9× |
| Florida | 448 | $226,132 | $27,810 | 8.1× |
| Nevada | 58 | $212,484 | $32,433 | 6.6× |
| New Jersey | 110 | $211,038 | $36,186 | 5.8× |
| Colorado | 89 | $208,542 | $30,866 | 6.8× |
| Texas | 451 | $206,523 | $29,450 | 7× |
| New York | 240 | $201,140 | $41,197 | 4.9× |
| Georgia | 145 | $177,853 | $30,483 | 5.8× |
| Arizona | 128 | $176,736 | $28,604 | 6.2× |
| Pennsylvania | 211 | $170,680 | $30,240 | 5.6× |
| South Carolina | 113 | $168,527 | $28,003 | 6× |
| Virginia | 149 | $153,955 | $29,794 | 5.2× |
| Oklahoma | 100 | $152,990 | $26,070 | 5.9× |
| Alabama | 86 | $152,300 | $29,463 | 5.2× |
| Tennessee | 147 | $150,767 | $27,547 | 5.5× |
| Idaho | 35 | $148,658 | $24,243 | 6.1× |
| New Hampshire | 35 | $146,979 | $30,943 | 4.7× |
| Washington | 121 | $146,690 | $32,751 | 4.5× |
| Illinois | 230 | $143,441 | $31,176 | 4.6× |
| Kansas | 93 | $138,127 | $25,835 | 5.3× |
| Missouri | 149 | $136,604 | $29,443 | 4.6× |
| Kentucky | 101 | $135,107 | $31,714 | 4.3× |
| Ohio | 222 | $133,769 | $29,620 | 4.5× |
| Indiana | 149 | $129,353 | $26,888 | 4.8× |
| Wisconsin | 97 | $128,013 | $33,764 | 3.8× |
| New Mexico | 36 | $127,113 | $35,993 | 3.5× |
| Louisiana | 75 | $126,069 | $25,490 | 4.9× |
| Oregon | 69 | $125,872 | $34,815 | 3.6× |
| North Carolina | 154 | $124,349 | $31,328 | 4× |
| Delaware | 35 | $123,576 | $38,496 | 3.2× |
| West Virginia | 58 | $116,746 | $28,983 | 4× |
| Iowa | 69 | $116,326 | $26,779 | 4.3× |
| Michigan | 164 | $114,345 | $30,338 | 3.8× |
| Utah | 57 | $112,525 | $29,376 | 3.8× |
| Connecticut | 49 | $112,385 | $35,086 | 3.2× |
| Nebraska | 49 | $110,123 | $28,394 | 3.9× |
| Minnesota | 96 | $108,412 | $31,797 | 3.4× |
| Maine | 17 | $107,432 | $28,226 | 3.8× |
| Rhode Island | 12 | $106,013 | $44,276 | 2.4× |
| Arkansas | 66 | $101,957 | $23,719 | 4.3× |
| South Dakota | 33 | $97,187 | $28,612 | 3.4× |
| Mississippi | 50 | $95,457 | $24,323 | 3.9× |
| Massachusetts | 162 | $95,079 | $38,737 | 2.5× |
| North Dakota | 30 | $82,654 | $26,428 | 3.1× |
| Montana | 36 | $77,104 | $27,485 | 2.8× |
| Maryland | 103 | $48,532 | $44,603 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 12 stays | $538,939 | $66,487 |
| Cedars-Sinai Medical Center Los Angeles, CA · 13 stays | $516,187 | $44,149 |
| Westchester Medical Center Valhalla, NY · 11 stays | $426,187 | $42,509 |
| University of California Davis Medical Center Sacramento, CA · 22 stays | $420,765 | $57,842 |
| HCA Florida Ocala Hospital Ocala, FL · 17 stays | $362,943 | $27,396 |
| Scripps Memorial Hospital La Jolla La Jolla, CA · 13 stays | $346,318 | $37,721 |
| NYU Langone Hospitals New York, NY · 17 stays | $335,133 | $57,299 |
| Trident Medical Center Charleston, SC · 11 stays | $314,241 | $25,480 |
| Providence Santa Rosa Memorial Hospital Santa Rosa, CA · 15 stays | $307,644 | $45,644 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 14 stays | $293,061 | $29,283 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| South Shore Hospital South Weymouth, MA · 12 stays | $43,678 | $26,523 |
| Johns Hopkins Bayview Medical Center Baltimore, MD · 11 stays | $46,660 | $40,646 |
| Beth Israel Deaconess Medical Center Boston, MA · 18 stays | $58,065 | $42,336 |
| Baystate Medical Center Springfield, MA · 15 stays | $61,067 | $35,280 |
| University of Maryland Medical Center Baltimore, MD · 18 stays | $62,254 | $57,414 |
| Riverside Regional Medical Center Newport News, VA · 12 stays | $67,323 | $29,106 |
| Bethesda North Cincinnati, OH · 18 stays | $69,003 | $23,359 |
| Essentia Health St Mary's Medical Center Duluth, MN · 12 stays | $70,180 | $25,543 |
| St Patrick Hospital Missoula, MT · 11 stays | $75,154 | $26,152 |
| Inova Fairfax Hospital Falls Church, VA · 14 stays | $83,769 | $32,892 |
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.