Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC
Hospital inpatient stay cost data from CMS
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
Cost by Severity Level
NY SPARCS hospital discharge data (2022) — costs reflect New York State hospitals
| Severity | Discharges | Avg LOS | Avg Charges | Avg Costs | Median Costs |
|---|---|---|---|---|---|
| Extreme | 53 | 17.8 days | $172,823 | $63,190 | $55,028 |
| Major | 308 | 7.8 days | $95,985 | $34,132 | $28,371 |
| Minor | 205 | 3.2 days | $48,137 | $15,362 | $13,339 |
| Moderate | 465 | 4.7 days | $61,502 | $21,180 | $17,299 |
Frequently Asked Questions
How much does a hospital stay for shoulder, elbow or forearm procedures, except major joint procedures with cc cost?
The average Medicare payment for DRG 511 is $13,516. Average hospital costs are $16,634. Commercial insurance typically pays 150-250% of Medicare rates ($20,274 — $33,790).
How long is the hospital stay for DRG 511?
The average length of stay is 3.5 days. This varies by severity — NY data shows stays from 3.2 to 17.8 days depending on severity.
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.