Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications
What 735 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 without major complications (DRG 563), from 2024 Medicare claims.
Average charge
$45,159
Hospital list price billed
Average payment
$8,749
Medicare + patient + other payers
Medicare paid
$6,629
Average per stay
Volume
15,402
Medicare hospital stays
Hospitals in the U.S. billed an average of $45,159 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 5.2 times the average total payment of $8,749.
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 $8,749Billed $45,159
About 19¢ 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
| Southwest General Health CenterMiddleburg Heights, OH | $5,514 |
|---|---|
| Delray Medical CenterDelray Beach, FL | $5,768 |
| Missouri Baptist Medical CenterTown and Country, MO | $5,851 |
| Martin Memorial Health SystemsStuart, FL | $5,856 |
| Hillcrest HospitalCleveland, OH | $5,935 |
| Weirton Medical CenterWeirton, WV | $5,940 |
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $6,015 |
| Baptist Hospital EastLouisville, KY | $6,016 |
| Banner Boswell Medical CenterSun City, AZ | $6,052 |
| Advocate Good Shepherd HospitalBarrington, IL | $6,056 |
Highest
| Grady Memorial HospitalAtlanta, GA | $23,153 |
|---|---|
| Jacobi Medical CenterBronx, NY | $22,873 |
| Sinai Hospital of BaltimoreBaltimore, MD | $18,896 |
| UCSF Medical CenterSan Francisco, CA | $17,017 |
| Stanford HospitalPalo Alto, CA | $16,643 |
| South Brooklyn HealthBrooklyn, NY | $16,288 |
| Hackensack University Medical CenterHackensack, NJ | $16,019 |
| Montefiore Medical CenterBronx, NY | $15,950 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $15,262 |
| Nassau University Medical CenterEast Meadow, NY | $15,182 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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 |
|---|---|---|---|---|
| Alabama | 6 | $24,880 | $7,253 | $6,246 – $10,159 |
| Arizona | 16 | $50,292 | $7,047 | $6,052 – $8,101 |
| Arkansas | 4 | $20,081 | $6,614 | $5,854 – $7,655 |
| California | 72 | $73,947 | $10,671 | $6,350 – $25,901 |
| Colorado | 4 | $73,186 | $7,059 | $6,751 – $7,250 |
| Connecticut | 8 | $36,912 | $9,709 | $8,216 – $11,802 |
| Delaware | 1 | $26,279 | $8,897 | – |
| Florida | 79 | $55,252 | $7,742 | $5,764 – $18,138 |
| Georgia | 18 | $45,315 | $10,122 | $6,137 – $23,153 |
| Idaho | 3 | $34,379 | $7,802 | $7,007 – $8,907 |
| Illinois | 34 | $33,025 | $7,825 | $6,056 – $12,208 |
| Indiana | 20 | $37,618 | $9,861 | $6,015 – $49,766 |
| Iowa | 7 | $28,104 | $7,051 | $5,986 – $9,436 |
| Kansas | 6 | $58,396 | $7,480 | $6,419 – $8,630 |
| Kentucky | 7 | $34,234 | $7,135 | $5,913 – $10,078 |
| Louisiana | 3 | $23,130 | $6,439 | $5,712 – $7,017 |
| Maine | 2 | $20,628 | $7,850 | $6,704 – $8,548 |
| Maryland | 24 | $12,347 | $11,080 | $8,010 – $19,326 |
| Massachusetts | 33 | $19,149 | $8,311 | $6,692 – $11,750 |
| Michigan | 23 | $26,571 | $7,875 | $5,938 – $11,169 |
| Minnesota | 10 | $28,470 | $8,531 | $6,867 – $15,262 |
| Mississippi | 4 | $23,591 | $6,796 | $6,232 – $7,350 |
| Missouri | 16 | $34,523 | $7,230 | $5,763 – $10,464 |
| Montana | 1 | $17,175 | $6,745 | – |
| Nebraska | 4 | $26,947 | $8,576 | $6,956 – $11,159 |
| Nevada | 8 | $86,562 | $8,525 | $7,295 – $11,400 |
| New Hampshire | 6 | $41,286 | $7,317 | $6,501 – $8,384 |
| New Jersey | 36 | $55,519 | $9,213 | $6,613 – $16,019 |
| New York | 59 | $59,028 | $11,387 | $7,424 – $35,961 |
| North Carolina | 16 | $28,864 | $8,380 | $6,024 – $12,800 |
| North Dakota | 3 | $26,849 | $7,377 | $7,160 – $7,487 |
| Ohio | 26 | $30,821 | $7,172 | $5,442 – $11,446 |
| Oklahoma | 7 | $27,815 | $7,080 | $6,353 – $8,159 |
| Oregon | 5 | $34,419 | $10,871 | $8,984 – $13,209 |
| Pennsylvania | 45 | $42,988 | $7,959 | $5,881 – $10,555 |
| Rhode Island | 1 | $23,405 | $10,096 | – |
| South Carolina | 9 | $44,761 | $7,932 | $6,951 – $9,694 |
| South Dakota | 2 | $32,602 | $7,360 | $7,260 – $7,451 |
| Tennessee | 17 | $36,395 | $7,923 | $5,282 – $13,727 |
| Texas | 37 | $55,169 | $8,190 | $5,723 – $21,491 |
| Utah | 1 | $24,116 | $7,245 | – |
| Virginia | 21 | $38,453 | $7,444 | $5,661 – $12,693 |
| Washington | 10 | $37,743 | $9,038 | $7,449 – $11,380 |
| West Virginia | 8 | $23,849 | $6,784 | $5,736 – $8,530 |
| Wisconsin | 11 | $31,625 | $7,970 | $5,932 – $11,075 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 127 | $94,680 | $14,042 |
| Sarasota Memorial HospitalSarasota, FL | 111 | $41,210 | $6,919 |
| Adventhealth OrlandoOrlando, FL | 105 | $50,002 | $7,618 |
| South Shore HospitalSouth Weymouth, MA | 104 | $14,923 | $7,150 |
| University HospitalStony Brook, NY | 99 | $75,055 | $11,864 |
| NYU Hospitals CenterNew York, NY | 91 | $90,412 | $13,669 |
| Lehigh Valley HospitalAllentown, PA | 84 | $48,715 | $8,100 |
| North Shore University HospitalManhasset, NY | 82 | $72,066 | $10,808 |
| Naples Community HospitalNaples, FL | 65 | $36,673 | $6,958 |
| Christiana Care Health Services, INC.Newark, DE | 63 | $26,279 | $8,897 |
| Delray Medical CenterDelray Beach, FL | 59 | $82,567 | $5,768 |
| Morristown Memorial HospitalMorristown, NJ | 59 | $56,213 | $10,279 |
| Abington Memorial HospitalAbington, PA | 57 | $35,400 | $7,712 |
| Grand View HospitalSellersville, PA | 55 | $28,968 | $6,852 |
| Virtua West Jersey HospitalVoorhees, NJ | 54 | $63,887 | $7,297 |
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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 without major complications (DRG 563) at 735 hospitals in the U.S. was billed at $45,159 on average, while the average total payment was $8,749, of which Medicare paid $6,629. 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 without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($11,387), Maryland ($11,080), Oregon ($10,871) and lowest in Louisiana ($6,439), Arkansas ($6,614), West Virginia ($6,784).
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 5.2 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.