Hip and femur procedures except major joint with complications
What 1,700 hospitals in the U.S. charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.
Average charge
$101,431
Hospital list price billed
Average payment
$18,473
Medicare + patient + other payers
Medicare paid
$15,801
Average per stay
Volume
62,753
Medicare hospital stays
Hospitals in the U.S. billed an average of $101,431 for hip and femur procedures except major joint with complications, about 5.5 times the average total payment of $18,473.
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 $18,473Billed $101,431
About 18¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| Saint Francis Bartlett Medical CenterBartlett, TN | $11,033 |
|---|---|
| Rutland Regional Medical CenterRutland, VT | $11,626 |
| Central Vermont Medical CenterGraniteville-East Barre, VT | $11,914 |
| Fletcher Allen Hospital of VermontBurlington, VT | $11,933 |
| Coastal Carolina HospitalHardeeville, SC | $12,095 |
| Lake Hospital SystemPainesville, OH | $12,265 |
| Helen Keller Memorial HospitalSheffield, AL | $12,850 |
| Baxter Regional Medical CenterMountain Home, AR | $12,890 |
| Boone Hospital CenterColumbia, MO | $12,900 |
| Medina HospitalMedina, OH | $12,911 |
Highest
| Parkland Health and Hospital SystemDallas, TX | $61,851 |
|---|---|
| Bellevue Hospital CenterNew York, NY | $49,960 |
| Jps Health NetworkFort Worth, TX | $47,919 |
| The Johns Hopkins HospitalBaltimore, MD | $45,611 |
| University of MD Capital Region Medical CenterHyattsville, MD | $45,437 |
| University of Maryland Medical CenterBaltimore, MD | $42,488 |
| Los Angeles General Medical CenterLos Angeles, CA | $42,270 |
| Elmhurst Hospital CenterNew York, NY | $41,399 |
| San Francisco General HospitalSan Francisco, CA | $39,820 |
| Sinai Hospital of BaltimoreBaltimore, MD | $39,597 |
Hip and femur procedures except major joint with 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 | 32 | $93,497 | $15,630 | $12,321 – $26,186 |
| Alaska | 6 | $139,082 | $25,519 | $18,210 – $33,038 |
| Arizona | 35 | $117,411 | $17,476 | $14,514 – $26,791 |
| Arkansas | 23 | $58,547 | $14,904 | $12,890 – $19,401 |
| California | 150 | $155,668 | $23,404 | $17,710 – $48,358 |
| Colorado | 23 | $129,240 | $16,871 | $14,165 – $26,125 |
| Connecticut | 20 | $73,375 | $21,587 | $17,438 – $29,958 |
| Delaware | 5 | $68,706 | $18,585 | $16,656 – $20,276 |
| Florida | 123 | $143,900 | $16,329 | $13,176 – $26,844 |
| Georgia | 52 | $108,872 | $18,178 | $12,218 – $36,427 |
| Hawaii | 8 | $68,306 | $23,852 | $20,440 – $33,513 |
| Idaho | 10 | $86,589 | $16,744 | $13,899 – $19,351 |
| Illinois | 64 | $88,757 | $17,728 | $13,867 – $27,765 |
| Indiana | 42 | $88,329 | $16,495 | $13,674 – $26,457 |
| Iowa | 22 | $65,551 | $15,540 | $13,412 – $21,081 |
| Kansas | 20 | $90,258 | $16,323 | $13,187 – $22,308 |
| Kentucky | 27 | $86,634 | $15,839 | $13,391 – $20,093 |
| Louisiana | 27 | $93,960 | $15,338 | $12,652 – $29,814 |
| Maine | 10 | $64,895 | $18,043 | $13,919 – $21,904 |
| Maryland | 34 | $32,380 | $29,182 | $18,709 – $45,611 |
| Massachusetts | 42 | $56,945 | $20,951 | $15,999 – $32,924 |
| Michigan | 49 | $68,984 | $17,554 | $13,437 – $26,983 |
| Minnesota | 24 | $64,112 | $18,501 | $14,224 – $26,842 |
| Mississippi | 22 | $70,185 | $14,837 | $13,066 – $21,153 |
| Missouri | 40 | $80,717 | $16,491 | $12,900 – $26,137 |
| Montana | 8 | $55,376 | $16,231 | $15,212 – $19,839 |
| Nebraska | 17 | $73,589 | $17,196 | $13,112 – $23,830 |
| Nevada | 14 | $144,838 | $19,257 | $16,260 – $23,807 |
| New Hampshire | 12 | $92,748 | $18,109 | $15,102 – $23,428 |
| New Jersey | 46 | $115,852 | $19,756 | $15,575 – $35,234 |
| New Mexico | 9 | $91,503 | $18,784 | $14,082 – $23,840 |
| New York | 86 | $114,705 | $23,676 | $15,931 – $49,960 |
| North Carolina | 52 | $77,452 | $17,428 | $13,734 – $27,451 |
| North Dakota | 6 | $55,110 | $16,807 | $15,021 – $17,822 |
| Ohio | 66 | $84,289 | $16,449 | $11,241 – $25,815 |
| Oklahoma | 26 | $89,796 | $15,499 | $12,939 – $22,110 |
| Oregon | 17 | $74,055 | $20,771 | $17,464 – $31,817 |
| Pennsylvania | 70 | $105,642 | $17,470 | $13,703 – $26,293 |
| Rhode Island | 6 | $52,423 | $20,813 | $15,668 – $22,882 |
| South Carolina | 33 | $100,316 | $16,933 | $12,095 – $23,985 |
| South Dakota | 7 | $72,840 | $17,680 | $14,262 – $20,930 |
| Tennessee | 41 | $88,840 | $16,008 | $11,033 – $29,523 |
| Texas | 120 | $130,003 | $17,702 | $12,638 – $61,851 |
| Utah | 10 | $70,782 | $17,185 | $15,001 – $21,778 |
| Vermont | 5 | $61,970 | $13,071 | $10,364 – $23,722 |
| Virginia | 44 | $91,235 | $16,709 | $13,451 – $26,907 |
| Washington | 39 | $96,657 | $19,123 | $16,405 – $27,922 |
| West Virginia | 14 | $73,288 | $16,049 | $12,956 – $19,542 |
| Wisconsin | 33 | $72,664 | $17,163 | $13,216 – $24,452 |
| Wyoming | 5 | $77,382 | $22,220 | $19,214 – $25,786 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Evanston HospitalEvanston, IL | 224 | $66,274 | $18,177 |
| NYU Hospitals CenterNew York, NY | 216 | $218,662 | $28,575 |
| New York-Presbyterian HospitalNew York, NY | 214 | $156,488 | $27,376 |
| Adventhealth OrlandoOrlando, FL | 183 | $164,502 | $16,849 |
| Inova Fairfax HospitalFalls Church, VA | 177 | $57,741 | $19,283 |
| Sarasota Memorial HospitalSarasota, FL | 173 | $118,352 | $16,137 |
| Northeast Georgia Medical Center, INCGainesville, GA | 168 | $132,053 | $19,508 |
| University HospitalStony Brook, NY | 167 | $162,985 | $26,404 |
| Christiana Care Health Services, INC.Newark, DE | 166 | $74,474 | $19,741 |
| North Shore University HospitalManhasset, NY | 162 | $131,967 | $23,170 |
| Morristown Memorial HospitalMorristown, NJ | 161 | $98,954 | $20,366 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 155 | $105,182 | $14,779 |
| Carilion Medical CenterRoanoke, VA | 148 | $80,070 | $16,730 |
| New Hanover Regional Medical CenterWilmington, NC | 146 | $76,207 | $17,683 |
| Baystate Medical CenterSpringfield, MA | 145 | $40,363 | $22,328 |
Questions
How much does hip and femur procedures except major joint with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 1,700 hospitals in the U.S. was billed at $101,431 on average, while the average total payment was $18,473, of which Medicare paid $15,801. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for hip and femur procedures except major joint with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($29,182), Alaska ($25,519), Hawaii ($23,852) and lowest in Vermont ($13,071), Mississippi ($14,837), Arkansas ($14,904).
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 5.5 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.