Fractures of hip and pelvis without major complications
What 563 hospitals in the U.S. charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.
Average charge
$40,162
Hospital list price billed
Average payment
$7,596
Medicare + patient + other payers
Medicare paid
$5,686
Average per stay
Volume
10,120
Medicare hospital stays
Hospitals in the U.S. billed an average of $40,162 for fractures of hip and pelvis without major complications, about 5.3 times the average total payment of $7,596.
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 $7,596Billed $40,162
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 | $4,869 |
|---|---|
| Martin Memorial Health SystemsStuart, FL | $4,995 |
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $5,084 |
| Baptist Hospital EastLouisville, KY | $5,189 |
| Jupiter Medical CenterJupiter, FL | $5,217 |
| St Lukes HospitalChesterfield, MO | $5,333 |
| Physicians Regional Medical Center - Pine RidgeNaples, FL | $5,378 |
| Fawcett Memorial HospitalPort Charlotte, FL | $5,405 |
| Mease Countryside HospitalSafety Harbor, FL | $5,452 |
| Norton Healthcare PavilionLouisville, KY | $5,529 |
Highest
| Sinai Hospital of BaltimoreBaltimore, MD | $16,238 |
|---|---|
| Carolinas Medical Center/Behav HealthCharlotte, NC | $14,735 |
| Stanford HospitalPalo Alto, CA | $13,794 |
| NYU Hospitals CenterNew York, NY | $12,992 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $12,635 |
| New York-Presbyterian HospitalNew York, NY | $11,629 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $11,329 |
| MUSC Medical CenterCharleston, SC | $11,213 |
| North Shore University HospitalManhasset, NY | $10,901 |
| University HospitalStony Brook, NY | $10,814 |
Fractures of hip and pelvis 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 | 8 | $34,336 | $6,799 | $4,956 – $12,999 |
| Arizona | 12 | $41,761 | $6,201 | $5,343 – $7,554 |
| Arkansas | 7 | $21,242 | $5,766 | $5,492 – $6,066 |
| California | 47 | $64,056 | $9,139 | $6,642 – $19,987 |
| Colorado | 5 | $61,373 | $6,371 | $5,721 – $6,643 |
| Connecticut | 3 | $37,534 | $8,748 | $8,139 – $9,178 |
| Delaware | 2 | $34,164 | $9,279 | $6,886 – $9,976 |
| Florida | 64 | $49,393 | $6,717 | $4,994 – $15,591 |
| Georgia | 17 | $36,922 | $8,628 | $5,289 – $23,091 |
| Hawaii | 1 | $43,537 | $10,950 | – |
| Idaho | 4 | $25,926 | $6,988 | $6,727 – $7,156 |
| Illinois | 22 | $28,750 | $6,524 | $5,270 – $10,117 |
| Indiana | 9 | $27,308 | $6,332 | $5,298 – $7,674 |
| Iowa | 6 | $24,969 | $5,765 | $5,373 – $6,110 |
| Kansas | 5 | $53,921 | $6,663 | $5,137 – $8,139 |
| Kentucky | 3 | $26,341 | $5,340 | $5,189 – $5,529 |
| Louisiana | 8 | $27,812 | $5,798 | $4,745 – $7,662 |
| Maine | 1 | $20,676 | $7,618 | – |
| Maryland | 23 | $11,219 | $10,173 | $6,844 – $20,769 |
| Massachusetts | 21 | $16,674 | $7,508 | $6,010 – $12,421 |
| Michigan | 10 | $26,677 | $7,024 | $5,573 – $8,220 |
| Minnesota | 5 | $27,669 | $6,343 | $6,038 – $7,023 |
| Mississippi | 7 | $21,557 | $5,904 | $5,278 – $6,449 |
| Missouri | 11 | $31,900 | $6,907 | $5,078 – $10,478 |
| Montana | 2 | $20,082 | $6,805 | $6,042 – $7,568 |
| Nebraska | 5 | $25,752 | $7,696 | $6,265 – $10,937 |
| Nevada | 5 | $71,027 | $8,235 | $6,740 – $10,897 |
| New Hampshire | 5 | $25,625 | $6,561 | $5,830 – $7,501 |
| New Jersey | 24 | $50,288 | $7,432 | $5,876 – $10,215 |
| New Mexico | 1 | $28,365 | $7,492 | – |
| New York | 42 | $55,855 | $9,280 | $6,268 – $13,242 |
| North Carolina | 24 | $26,858 | $7,518 | $5,132 – $14,735 |
| North Dakota | 1 | $29,152 | $6,595 | – |
| Ohio | 11 | $30,251 | $6,751 | $4,869 – $11,855 |
| Oklahoma | 8 | $36,116 | $6,823 | $5,662 – $10,741 |
| Oregon | 2 | $47,504 | $8,700 | $7,083 – $10,586 |
| Pennsylvania | 29 | $39,819 | $6,848 | $5,322 – $10,363 |
| South Carolina | 14 | $36,067 | $7,397 | $5,525 – $11,213 |
| South Dakota | 1 | $21,519 | $6,698 | – |
| Tennessee | 15 | $30,599 | $7,749 | $4,857 – $19,356 |
| Texas | 34 | $45,285 | $7,750 | $4,982 – $20,858 |
| Utah | 1 | $24,698 | $6,371 | – |
| Vermont | 1 | $34,632 | $4,812 | – |
| Virginia | 19 | $31,964 | $6,584 | $5,025 – $13,844 |
| Washington | 7 | $35,851 | $7,664 | $6,334 – $9,970 |
| West Virginia | 3 | $22,114 | $6,290 | $5,212 – $7,776 |
| Wisconsin | 5 | $29,090 | $8,160 | $6,775 – $9,643 |
| Wyoming | 2 | $29,247 | $8,381 | $7,686 – $8,760 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Sarasota Memorial HospitalSarasota, FL | 70 | $33,568 | $6,039 |
| Adventhealth OrlandoOrlando, FL | 69 | $47,199 | $6,769 |
| NYU Hospitals CenterNew York, NY | 63 | $88,961 | $12,992 |
| University HospitalStony Brook, NY | 62 | $82,575 | $10,814 |
| Anne Arundel Medical CenterAnnapolis, MD | 58 | $9,074 | $8,418 |
| New York-Presbyterian HospitalNew York, NY | 58 | $80,578 | $11,629 |
| South Shore HospitalSouth Weymouth, MA | 57 | $14,826 | $6,479 |
| Naples Community HospitalNaples, FL | 53 | $40,839 | $6,302 |
| Ocala Regional Medical CenterOcala, FL | 51 | $71,835 | $7,066 |
| Valley HospitalRidgewood, NJ | 50 | $44,081 | $6,587 |
| North Shore University HospitalManhasset, NY | 50 | $76,193 | $10,901 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 49 | $35,498 | $6,154 |
| Christiana Care Health Services, INC.Newark, DE | 48 | $37,028 | $9,976 |
| New Hanover Regional Medical CenterWilmington, NC | 47 | $24,325 | $6,769 |
| Methodist HospitalSan Antonio, TX | 46 | $44,683 | $6,750 |
Questions
How much does fractures of hip and pelvis without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 563 hospitals in the U.S. was billed at $40,162 on average, while the average total payment was $7,596, of which Medicare paid $5,686. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for fractures of hip and pelvis without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($10,173), New York ($9,280), California ($9,139) and lowest in Kentucky ($5,340), Iowa ($5,765), Arkansas ($5,766).
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.