Fractures of hip and pelvis with major complications
What 72 hospitals in the U.S. charged and were paid for a Medicare hospital stay for fractures of hip and pelvis with major complications (DRG 535), from 2024 Medicare claims.
Average charge
$64,102
Hospital list price billed
Average payment
$12,153
Medicare + patient + other payers
Medicare paid
$9,989
Average per stay
Volume
1,062
Medicare hospital stays
Hospitals in the U.S. billed an average of $64,102 for fractures of hip and pelvis with major complications, about 5.3 times the average total payment of $12,153.
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 $12,153Billed $64,102
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
| Adventhealth OrlandoOrlando, FL | $9,983 |
|---|---|
| Baptist Memorial HospitalMemphis, TN | $10,179 |
| Southcoast Hospital Group, INCFall River, MA | $10,538 |
| Baptist Medical CenterJacksonville, FL | $10,556 |
| Huntington HospitalHuntington, NY | $11,503 |
| North Shore University HospitalManhasset, NY | $15,801 |
| Yale-New Haven HospitalNew Haven, CT | $16,990 |
| NYU Hospitals CenterNew York, NY | $17,671 |
| New York-Presbyterian HospitalNew York, NY | $18,605 |
Highest
| New York-Presbyterian HospitalNew York, NY | $18,605 |
|---|---|
| NYU Hospitals CenterNew York, NY | $17,671 |
| Yale-New Haven HospitalNew Haven, CT | $16,990 |
| North Shore University HospitalManhasset, NY | $15,801 |
| Huntington HospitalHuntington, NY | $11,503 |
| Baptist Medical CenterJacksonville, FL | $10,556 |
| Southcoast Hospital Group, INCFall River, MA | $10,538 |
| Baptist Memorial HospitalMemphis, TN | $10,179 |
| Adventhealth OrlandoOrlando, FL | $9,983 |
Fractures of hip and pelvis 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 |
|---|---|---|---|---|
| Alabama | 1 | $37,283 | $9,432 | – |
| Arkansas | 1 | $34,922 | $8,022 | – |
| California | 3 | $131,042 | $14,572 | $12,645 – $16,953 |
| Connecticut | 2 | $52,536 | $15,222 | $12,276 – $16,990 |
| Delaware | 1 | $35,975 | $12,245 | – |
| Florida | 14 | $64,253 | $9,699 | $7,148 – $14,455 |
| Georgia | 2 | $83,321 | $13,685 | $13,250 – $13,967 |
| Illinois | 3 | $41,489 | $11,044 | $9,541 – $12,634 |
| Indiana | 1 | $55,083 | $12,328 | – |
| Iowa | 1 | $36,992 | $10,714 | – |
| Kentucky | 1 | $32,405 | $8,811 | – |
| Louisiana | 2 | $45,475 | $8,957 | $8,370 – $9,593 |
| Maryland | 1 | $16,292 | $14,856 | – |
| Massachusetts | 5 | $24,476 | $11,511 | $8,887 – $14,223 |
| Michigan | 2 | $46,647 | $11,133 | $10,402 – $11,864 |
| Minnesota | 1 | $25,166 | $12,626 | – |
| Mississippi | 2 | $38,216 | $9,720 | $9,556 – $9,858 |
| Missouri | 1 | $31,017 | $10,363 | – |
| Nevada | 2 | $65,021 | $11,458 | $11,113 – $11,832 |
| New Jersey | 1 | $75,583 | $12,450 | – |
| New York | 9 | $101,756 | $16,260 | $11,503 – $18,692 |
| North Carolina | 2 | $30,974 | $11,454 | $11,397 – $11,522 |
| Ohio | 1 | $16,585 | $9,211 | – |
| Oklahoma | 1 | $120,940 | $13,871 | – |
| Pennsylvania | 1 | $52,871 | $11,558 | – |
| South Carolina | 1 | $60,161 | $12,446 | – |
| Tennessee | 3 | $47,138 | $11,845 | $10,179 – $13,870 |
| Texas | 3 | $102,302 | $12,600 | $9,787 – $16,608 |
| Virginia | 2 | $34,666 | $11,282 | $9,373 – $13,191 |
| Washington | 1 | $46,280 | $9,927 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 43 | $121,788 | $18,605 |
| Adventhealth OrlandoOrlando, FL | 38 | $70,526 | $9,983 |
| NYU Hospitals CenterNew York, NY | 27 | $105,807 | $17,671 |
| Huntington HospitalHuntington, NY | 25 | $65,970 | $11,503 |
| Baptist Medical CenterJacksonville, FL | 21 | $62,137 | $10,556 |
| Southcoast Hospital Group, INCFall River, MA | 21 | $24,617 | $10,538 |
| Baptist Memorial HospitalMemphis, TN | 21 | $67,742 | $10,179 |
| Yale-New Haven HospitalNew Haven, CT | 20 | $55,041 | $16,990 |
| North Shore University HospitalManhasset, NY | 20 | $88,471 | $15,801 |
| South Shore HospitalSouth Weymouth, MA | 19 | $23,820 | $10,675 |
| Sarasota Memorial HospitalSarasota, FL | 18 | $42,463 | $9,739 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 18 | $43,434 | $8,347 |
| Memorial Hermann Texas Medical CenterHouston, TX | 18 | $81,162 | $16,608 |
| Orlando Regional HealthcareOrlando, FL | 17 | $70,352 | $11,471 |
| Wellstar Kennestone HospitalMarietta, GA | 17 | $92,130 | $13,967 |
Questions
How much does fractures of hip and pelvis with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for fractures of hip and pelvis with major complications (DRG 535) at 72 hospitals in the U.S. was billed at $64,102 on average, while the average total payment was $12,153, of which Medicare paid $9,989. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for fractures of hip and pelvis with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($16,260), California ($14,572), Texas ($12,600) and lowest in Florida ($9,699), Illinois ($11,044), Massachusetts ($11,511).
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 5.3 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.