DRG 494 Surgical
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$13,042
National average
Avg Total Costs
$17,571
CMS Inpatient data
Avg Length of Stay
2.8 days
CMS MS-DRG
Est. Commercial Insurance
$19,563 — $32,606
1.5x — 2.5x Medicare
Annual Discharges
1,928
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
1,928
Total Discharges
$17,571
Avg Total Costs
$14,090
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for lower extremity and humerus procedures except hip, foot and femur without cc/mcc cost?
The average Medicare payment for DRG 494 is $13,042. Average hospital costs are $17,571. Commercial insurance typically pays 150-250% of Medicare rates ($19,563 — $32,606).
How long is the hospital stay for DRG 494?
The average length of stay is 2.8 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.