DRG 492 Surgical

Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC

Hospital inpatient stay cost data from CMS

Avg Medicare Payment
$23,865
National average
Avg Total Costs
$33,481
CMS Inpatient data
Avg Length of Stay
6.6 days
CMS MS-DRG
Est. Commercial Insurance
$35,798 — $59,664
1.5x — 2.5x Medicare
Annual Discharges
1,135
Medicare beneficiaries

CMS Inpatient National Data

From CMS Medicare Provider Utilization & Payment Data (FY 2023)

1,135
Total Discharges
$33,481
Avg Total Costs
$27,770
Avg Medicare Payment

Frequently Asked Questions

How much does a hospital stay for lower extremity and humerus procedures except hip, foot and femur with mcc cost?

The average Medicare payment for DRG 492 is $23,865. Average hospital costs are $33,481. Commercial insurance typically pays 150-250% of Medicare rates ($35,798 — $59,664).

How long is the hospital stay for DRG 492?

The average length of stay is 6.6 days. This varies by severity — patients with complications or comorbidities may stay longer.

How much does this hospital stay cost without insurance?

Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.

My Cost List

0 procedures

No procedures added yet

Click "Add to My List" on any procedure to start building your estimate.