Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications
What 87 hospitals in the U.S. charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications (DRG 562), from 2024 Medicare claims.
Average charge
$73,074
Hospital list price billed
Average payment
$14,612
Medicare + patient + other payers
Medicare paid
$12,148
Average per stay
Volume
1,309
Medicare hospital stays
Hospitals in the U.S. billed an average of $73,074 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications, about 5.0 times the average total payment of $14,612.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $14,612Billed $73,074
About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Martin Memorial Health SystemsStuart, FL | $9,604 |
|---|---|
| Naples Community HospitalNaples, FL | $10,764 |
| Sarasota Memorial HospitalSarasota, FL | $10,875 |
| South Shore HospitalSouth Weymouth, MA | $11,668 |
| Adventhealth OrlandoOrlando, FL | $11,949 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | $17,631 |
| North Shore University HospitalManhasset, NY | $19,907 |
| New York-Presbyterian HospitalNew York, NY | $20,522 |
| NYU Hospitals CenterNew York, NY | $20,926 |
| University HospitalStony Brook, NY | $24,284 |
Highest
| University HospitalStony Brook, NY | $24,284 |
|---|---|
| NYU Hospitals CenterNew York, NY | $20,926 |
| New York-Presbyterian HospitalNew York, NY | $20,522 |
| North Shore University HospitalManhasset, NY | $19,907 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | $17,631 |
| Adventhealth OrlandoOrlando, FL | $11,949 |
| South Shore HospitalSouth Weymouth, MA | $11,668 |
| Sarasota Memorial HospitalSarasota, FL | $10,875 |
| Naples Community HospitalNaples, FL | $10,764 |
| Martin Memorial Health SystemsStuart, FL | $9,604 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Arizona | 2 | $57,611 | $9,882 | $8,949 – $10,682 |
| California | 8 | $114,603 | $16,651 | $13,397 – $26,635 |
| Connecticut | 1 | $37,737 | $15,784 | – |
| Delaware | 1 | $52,210 | $13,615 | – |
| Florida | 10 | $76,176 | $11,054 | $8,412 – $12,892 |
| Georgia | 3 | $80,418 | $19,662 | $14,546 – $29,646 |
| Illinois | 2 | $61,320 | $12,298 | $11,011 – $13,703 |
| Iowa | 1 | $50,943 | $10,475 | – |
| Kansas | 2 | $118,242 | $11,760 | $11,171 – $12,349 |
| Maryland | 2 | $32,441 | $28,884 | $18,145 – $35,446 |
| Massachusetts | 8 | $31,967 | $13,921 | $11,668 – $17,771 |
| Michigan | 4 | $33,328 | $11,908 | $9,684 – $13,030 |
| Minnesota | 2 | $54,403 | $12,250 | $11,034 – $13,366 |
| Missouri | 1 | $33,514 | $10,400 | – |
| New Jersey | 4 | $75,854 | $14,196 | $11,694 – $16,018 |
| New Mexico | 1 | $53,198 | $15,825 | – |
| New York | 11 | $109,535 | $19,231 | $12,239 – $24,284 |
| North Carolina | 3 | $54,213 | $14,949 | $11,268 – $21,264 |
| Ohio | 3 | $29,519 | $11,347 | $9,241 – $14,839 |
| Oklahoma | 1 | $29,164 | $10,810 | – |
| Pennsylvania | 4 | $46,458 | $12,772 | $12,619 – $13,079 |
| South Carolina | 1 | $85,344 | $12,448 | – |
| Tennessee | 3 | $50,048 | $15,018 | $11,065 – $23,434 |
| Texas | 6 | $89,658 | $12,552 | $9,900 – $18,024 |
| Virginia | 2 | $87,686 | $10,717 | $10,165 – $11,670 |
| Washington | 1 | $48,163 | $13,585 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 39 | $82,332 | $11,949 |
| New York-Presbyterian HospitalNew York, NY | 36 | $117,092 | $20,522 |
| Sarasota Memorial HospitalSarasota, FL | 31 | $57,947 | $10,875 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 31 | $112,726 | $17,631 |
| NYU Hospitals CenterNew York, NY | 31 | $119,563 | $20,926 |
| South Shore HospitalSouth Weymouth, MA | 27 | $23,461 | $11,668 |
| Naples Community HospitalNaples, FL | 23 | $52,425 | $10,764 |
| Martin Memorial Health SystemsStuart, FL | 23 | $49,932 | $9,604 |
| North Shore University HospitalManhasset, NY | 22 | $148,062 | $19,907 |
| University HospitalStony Brook, NY | 21 | $149,991 | $24,284 |
| Baptist Memorial HospitalMemphis, TN | 19 | $51,261 | $11,065 |
| Cjw Medical CenterRichmond, VA | 19 | $118,491 | $10,165 |
| Los Angeles Community HospitalLos Angeles, CA | 18 | $39,874 | $15,821 |
| Orlando Regional HealthcareOrlando, FL | 18 | $72,693 | $12,434 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | 18 | $40,194 | $35,446 |
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications (DRG 562) at 87 hospitals in the U.S. was billed at $73,074 on average, while the average total payment was $14,612, of which Medicare paid $12,148. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Georgia ($19,662), New York ($19,231), California ($16,651) and lowest in Florida ($11,054), Ohio ($11,347), Michigan ($11,908).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 5.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.