Inpatient stays / DRG 493
MS-DRG 493 · 493 hospitals · 16,774 stays
DRG 493: Lower Extremity and Humerus Procedures except Hip, Foot and Femur with CC
Medicare patients had 16,774 stays in DRG 493 in 2024. Hospitals charged an average of $119,061 per stay and were paid $22,375 — a ratio of 5.3 to 1 — of which Medicare's own share averaged $18,629. Average charges ran from $22,004 at the least expensive hospital to $705,736 at the most; half of hospitals charged between $77,356 and $146,614.
- 1Average charge $119,061
- 2Average paid $22,375
- 3Reporting hospitals 493
- 4Medicare stays 16,774
By state
Average charges for DRG 493 were highest in Nevada ($186,292) and lowest in Maryland ($39,238). Payments vary far less than charges, because Medicare sets them: they range across states from $17,209 to $35,535.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 120 | $186,292 | $22,791 | 8.2× |
| California | 1,398 | $184,803 | $29,810 | 6.2× |
| Florida | 1,464 | $172,512 | $19,218 | 9× |
| District of Columbia | 51 | $162,389 | $29,780 | 5.5× |
| New Jersey | 439 | $150,553 | $27,200 | 5.5× |
| Colorado | 231 | $150,336 | $23,981 | 6.3× |
| Texas | 1,325 | $148,212 | $21,265 | 7× |
| Arizona | 360 | $136,619 | $20,721 | 6.6× |
| Georgia | 405 | $134,446 | $21,998 | 6.1× |
| Alaska | 47 | $132,969 | $31,103 | 4.3× |
| New York | 823 | $128,989 | $28,822 | 4.5× |
| Pennsylvania | 788 | $124,212 | $20,861 | 6× |
| South Carolina | 346 | $121,391 | $19,795 | 6.1× |
| Oklahoma | 251 | $112,701 | $19,324 | 5.8× |
| Washington | 317 | $112,365 | $22,655 | 5× |
| New Hampshire | 90 | $111,789 | $21,424 | 5.2× |
| Alabama | 292 | $106,825 | $19,044 | 5.6× |
| Kentucky | 249 | $106,317 | $20,337 | 5.2× |
| Virginia | 509 | $106,040 | $19,757 | 5.4× |
| Illinois | 668 | $103,102 | $21,930 | 4.7× |
| Kansas | 198 | $103,065 | $18,936 | 5.4× |
| Louisiana | 208 | $102,696 | $18,294 | 5.6× |
| Tennessee | 444 | $102,304 | $19,228 | 5.3× |
| New Mexico | 81 | $101,959 | $22,390 | 4.6× |
| Hawaii | 35 | $101,829 | $31,681 | 3.2× |
| Indiana | 384 | $99,877 | $19,425 | 5.1× |
| Ohio | 603 | $96,382 | $19,960 | 4.8× |
| North Carolina | 457 | $90,218 | $21,112 | 4.3× |
| Connecticut | 144 | $89,662 | $25,174 | 3.6× |
| Idaho | 95 | $88,041 | $19,314 | 4.6× |
| Missouri | 429 | $87,931 | $19,572 | 4.5× |
| Oregon | 200 | $86,466 | $24,394 | 3.5× |
| Nebraska | 182 | $84,440 | $19,727 | 4.3× |
| Wyoming | 38 | $84,245 | $27,693 | 3× |
| Wisconsin | 316 | $84,048 | $20,662 | 4.1× |
| Delaware | 81 | $82,447 | $23,026 | 3.6× |
| South Dakota | 82 | $81,050 | $19,474 | 4.2× |
| Iowa | 169 | $79,293 | $18,522 | 4.3× |
| Mississippi | 154 | $77,766 | $17,209 | 4.5× |
| Maine | 62 | $76,527 | $21,028 | 3.6× |
| West Virginia | 134 | $76,439 | $18,551 | 4.1× |
| Michigan | 435 | $72,626 | $20,898 | 3.5× |
| Utah | 145 | $72,616 | $22,199 | 3.3× |
| Vermont | 26 | $70,853 | $17,732 | 4× |
| Montana | 74 | $70,227 | $18,867 | 3.7× |
| Minnesota | 385 | $69,896 | $21,465 | 3.3× |
| Massachusetts | 419 | $68,337 | $25,874 | 2.6× |
| Arkansas | 192 | $65,448 | $17,709 | 3.7× |
| Rhode Island | 43 | $59,084 | $23,915 | 2.5× |
| North Dakota | 61 | $58,763 | $18,486 | 3.2× |
| Maryland | 325 | $39,238 | $35,535 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 11 stays | $705,736 | $60,665 |
| Medical City Arlington Arlington, TX · 15 stays | $418,145 | $24,192 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 17 stays | $411,328 | $23,024 |
| Westchester Medical Center Valhalla, NY · 20 stays | $367,278 | $33,347 |
| Cedars-Sinai Medical Center Los Angeles, CA · 49 stays | $365,418 | $29,870 |
| HCA Florida Osceola Hospital Kissimmee, FL · 12 stays | $357,184 | $26,826 |
| HCA Florida Kendall Hospital Miami, FL · 13 stays | $337,942 | $23,263 |
| Stanford Health Care Stanford, CA · 49 stays | $334,706 | $42,079 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 19 stays | $328,510 | $30,451 |
| Cjw Medical Center Richmond, VA · 26 stays | $327,566 | $17,634 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Suburban Hospital Bethesda, MD · 16 stays | $22,004 | $19,639 |
| University of MD St Joseph Medical Center Towson, MD · 11 stays | $22,937 | $20,474 |
| Mercy Medical Center Inc Baltimore, MD · 12 stays | $26,564 | $22,933 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 14 stays | $28,668 | $23,796 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 21 stays | $29,008 | $26,731 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 13 stays | $30,013 | $27,587 |
| South Shore Hospital South Weymouth, MA · 30 stays | $34,948 | $19,211 |
| White River Medical Center Batesville, AR · 11 stays | $41,681 | $17,672 |
| Lakeview Memorial Hospital Stillwater, MN · 13 stays | $41,693 | $15,870 |
| University of MD Capital Region Medical Center Upper Marlboro, MD · 15 stays | $41,784 | $41,476 |
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.