LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC
Medicare inpatient claims for MS-DRG 493. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 493?
MS-DRG 493 is the Medicare Severity Diagnosis-Related Group for LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 600 hospitals reported 19,706 discharges for MS-DRG 493. The average hospital submitted charge was $119K, while the average amount Medicare actually paid was $18K — a 6.6× gap between list price and reimbursement, which is typical for Medicare inpatient claims.