Inpatient stays / DRG 494
MS-DRG 494 · 112 hospitals · 7,345 stays
DRG 494: Lower Extremity and Humerus Procedures except Hip, Foot and Femur without CC/MCC
Medicare patients had 7,345 stays in DRG 494 in 2024. Hospitals charged an average of $95,089 per stay and were paid $17,608 — a ratio of 5.4 to 1 — of which Medicare's own share averaged $14,148. Average charges ran from $18,550 at the least expensive hospital to $314,546 at the most; half of hospitals charged between $60,877 and $127,865.
- 1Average charge $95,089
- 2Average paid $17,608
- 3Reporting hospitals 112
- 4Medicare stays 7,345
By state
Average charges for DRG 494 were highest in District of Columbia ($154,898) and lowest in Maryland ($28,115). Payments vary far less than charges, because Medicare sets them: they range across states from $13,422 to $25,283.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| District of Columbia | 24 | $154,898 | $21,899 | 7.1× |
| Nevada | 59 | $140,173 | $17,329 | 8.1× |
| California | 672 | $138,364 | $22,589 | 6.1× |
| Florida | 647 | $133,344 | $16,006 | 8.3× |
| New Mexico | 28 | $131,821 | $16,700 | 7.9× |
| Texas | 507 | $125,253 | $16,442 | 7.6× |
| Colorado | 91 | $120,341 | $17,278 | 7× |
| Virginia | 204 | $120,219 | $16,581 | 7.3× |
| Arizona | 207 | $117,612 | $16,463 | 7.1× |
| New Jersey | 198 | $114,818 | $18,985 | 6× |
| Alaska | 31 | $114,513 | $23,238 | 4.9× |
| Georgia | 142 | $102,990 | $19,276 | 5.3× |
| South Carolina | 168 | $95,819 | $14,864 | 6.4× |
| Alabama | 126 | $90,006 | $16,655 | 5.4× |
| New York | 424 | $89,884 | $21,955 | 4.1× |
| Washington | 134 | $89,376 | $17,815 | 5× |
| Indiana | 189 | $87,453 | $15,351 | 5.7× |
| Kentucky | 100 | $87,292 | $14,426 | 6.1× |
| Oklahoma | 101 | $86,979 | $14,419 | 6× |
| Illinois | 227 | $86,630 | $18,580 | 4.7× |
| Pennsylvania | 335 | $86,479 | $16,355 | 5.3× |
| New Hampshire | 56 | $85,016 | $15,717 | 5.4× |
| Louisiana | 102 | $81,136 | $14,252 | 5.7× |
| North Carolina | 194 | $80,778 | $17,893 | 4.5× |
| Tennessee | 204 | $79,909 | $15,092 | 5.3× |
| Ohio | 279 | $77,998 | $15,348 | 5.1× |
| Kansas | 114 | $76,972 | $14,363 | 5.4× |
| Idaho | 54 | $76,055 | $17,559 | 4.3× |
| Missouri | 167 | $72,630 | $16,006 | 4.5× |
| South Dakota | 40 | $69,358 | $17,178 | 4× |
| Maine | 26 | $68,253 | $17,906 | 3.8× |
| Wyoming | 21 | $66,926 | $21,347 | 3.1× |
| Wisconsin | 113 | $66,736 | $16,313 | 4.1× |
| Connecticut | 63 | $66,515 | $18,999 | 3.5× |
| Mississippi | 89 | $65,968 | $13,720 | 4.8× |
| West Virginia | 59 | $64,464 | $14,861 | 4.3× |
| Nebraska | 60 | $64,009 | $16,213 | 3.9× |
| Oregon | 66 | $63,652 | $21,077 | 3× |
| Utah | 60 | $61,809 | $18,359 | 3.4× |
| Michigan | 159 | $60,979 | $16,522 | 3.7× |
| Delaware | 40 | $60,851 | $17,655 | 3.4× |
| Iowa | 80 | $60,309 | $14,025 | 4.3× |
| Hawaii | 21 | $54,804 | $21,951 | 2.5× |
| Minnesota | 97 | $53,192 | $16,570 | 3.2× |
| Montana | 36 | $51,825 | $14,897 | 3.5× |
| Massachusetts | 213 | $51,303 | $19,416 | 2.6× |
| Arkansas | 102 | $48,035 | $13,422 | 3.6× |
| North Dakota | 28 | $47,135 | $14,768 | 3.2× |
| Vermont | 17 | $46,441 | $16,047 | 2.9× |
| Rhode Island | 18 | $44,151 | $18,096 | 2.4× |
| Maryland | 153 | $28,115 | $25,283 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cjw Medical Center Richmond, VA · 15 stays | $314,546 | $12,786 |
| HCA Florida Fort Walton-Destin Hospital Fort Walton Beach, FL · 12 stays | $306,027 | $15,506 |
| Cedars-Sinai Medical Center Los Angeles, CA · 15 stays | $298,632 | $27,479 |
| Medical City Denton Denton, TX · 16 stays | $276,015 | $15,685 |
| Grand Strand Regional Medical Center Myrtle Beach, SC · 16 stays | $211,846 | $15,202 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 11 stays | $211,085 | $20,575 |
| Scripps Mercy Hospital San Diego, CA · 12 stays | $183,942 | $21,507 |
| Honorhealth John C. Lincoln Medical Center Phoenix, AZ · 13 stays | $181,151 | $14,859 |
| HCA Florida Ocala Hospital Ocala, FL · 32 stays | $174,480 | $15,321 |
| Mercy Health St Vincent Medical Center Toledo, OH · 14 stays | $174,328 | $17,179 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Suburban Hospital Bethesda, MD · 12 stays | $18,550 | $16,438 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 13 stays | $25,746 | $23,901 |
| CHI St Vincent Hospital Hot Springs Hot Springs, AR · 15 stays | $26,279 | $13,316 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 11 stays | $28,011 | $26,249 |
| South Shore Hospital South Weymouth, MA · 14 stays | $31,813 | $16,330 |
| Baystate Medical Center Springfield, MA · 23 stays | $36,341 | $19,467 |
| Bronson Methodist Hospital Kalamazoo, MI · 11 stays | $38,325 | $19,616 |
| Erie County Medical Center Buffalo, NY · 16 stays | $39,310 | $22,870 |
| University of Utah Hospital and Clinics Salt Lake City, UT · 11 stays | $41,605 | $19,663 |
| Riverside Regional Medical Center Newport News, VA · 11 stays | $45,006 | $16,430 |
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.