Hip and femur procedures except major joint with major complications
What 970 hospitals in the U.S. charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$141,996
Hospital list price billed
Average payment
$26,284
Medicare + patient + other payers
Medicare paid
$23,191
Average per stay
Volume
21,607
Medicare hospital stays
Hospitals in the U.S. billed an average of $141,996 for hip and femur procedures except major joint with major complications, about 5.4 times the average total payment of $26,284.
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 $26,284Billed $141,996
About 19¢ 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
| Baptist Hospital EastLouisville, KY | $17,803 |
|---|---|
| Boone Hospital CenterColumbia, MO | $17,875 |
| Camden Clark Memorial HospitalParkersburg, WV | $17,904 |
| Memorial Healthcare System, INCChattanooga, TN | $17,992 |
| St Dominic-Jackson Memorial HospitalJackson, MS | $18,198 |
| Williamson Medical CenterFranklin, TN | $18,212 |
| Genesis Medical Center-DavenportDavenport, IA | $18,314 |
| Hardin Memorial HospitalElizabethtown, KY | $18,366 |
| Parkwest Medical CenterKnoxville, TN | $18,495 |
| Martin Memorial Health SystemsStuart, FL | $18,508 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $62,848 |
|---|---|
| Stanford HospitalPalo Alto, CA | $60,855 |
| University of California Davis Medical CenterSacramento, CA | $58,066 |
| Sinai Hospital of BaltimoreBaltimore, MD | $56,026 |
| University of MD Capital Region Medical CenterHyattsville, MD | $54,082 |
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $52,904 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $51,234 |
| University of California San Diego Medical CenterSan Diego, CA | $47,550 |
| Grady Memorial HospitalAtlanta, GA | $46,358 |
| Mount Sinai HospitalNew York, NY | $45,308 |
Hip and femur procedures except major joint 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 | 14 | $124,267 | $21,784 | $16,763 – $33,830 |
| Alaska | 3 | $174,276 | $35,087 | $29,718 – $40,471 |
| Arizona | 28 | $152,096 | $25,810 | $17,786 – $57,530 |
| Arkansas | 13 | $74,122 | $20,214 | $16,803 – $27,527 |
| California | 88 | $229,893 | $33,634 | $20,921 – $63,779 |
| Colorado | 13 | $187,076 | $22,939 | $20,212 – $34,862 |
| Connecticut | 14 | $105,281 | $30,803 | $24,385 – $44,495 |
| Delaware | 3 | $95,938 | $25,478 | $21,297 – $26,437 |
| Florida | 84 | $190,356 | $22,179 | $17,596 – $37,451 |
| Georgia | 26 | $156,357 | $26,806 | $17,861 – $46,358 |
| Hawaii | 1 | $142,051 | $32,418 | – |
| Idaho | 5 | $95,080 | $22,815 | $21,044 – $24,935 |
| Illinois | 45 | $121,769 | $24,447 | $19,402 – $41,049 |
| Indiana | 25 | $117,271 | $22,617 | $19,562 – $30,973 |
| Iowa | 13 | $85,637 | $21,898 | $18,314 – $33,637 |
| Kansas | 10 | $140,456 | $22,778 | $18,878 – $35,563 |
| Kentucky | 15 | $113,277 | $21,755 | $17,803 – $26,896 |
| Louisiana | 12 | $122,138 | $20,658 | $18,667 – $25,926 |
| Maine | 3 | $89,388 | $24,269 | $21,907 – $26,209 |
| Maryland | 19 | $45,868 | $41,128 | $22,434 – $66,471 |
| Massachusetts | 25 | $81,142 | $31,351 | $21,968 – $63,586 |
| Michigan | 28 | $93,375 | $24,873 | $20,902 – $31,452 |
| Minnesota | 15 | $122,857 | $31,617 | $20,669 – $184,408 |
| Mississippi | 12 | $85,680 | $20,526 | $17,569 – $30,322 |
| Missouri | 22 | $106,939 | $23,439 | $17,875 – $33,387 |
| Montana | 6 | $78,794 | $22,445 | $21,307 – $23,080 |
| Nebraska | 9 | $94,755 | $23,338 | $17,651 – $37,458 |
| Nevada | 9 | $178,984 | $26,090 | $22,041 – $31,403 |
| New Hampshire | 8 | $101,735 | $26,810 | $20,956 – $35,786 |
| New Jersey | 31 | $175,163 | $27,847 | $21,009 – $36,472 |
| New Mexico | 6 | $115,649 | $27,020 | $20,218 – $31,898 |
| New York | 42 | $182,691 | $34,260 | $22,970 – $65,663 |
| North Carolina | 24 | $103,816 | $24,986 | $18,664 – $39,374 |
| North Dakota | 5 | $75,151 | $23,348 | $21,843 – $25,513 |
| Ohio | 38 | $118,993 | $23,250 | $17,216 – $37,071 |
| Oklahoma | 16 | $120,283 | $21,526 | $18,908 – $34,299 |
| Oregon | 14 | $104,835 | $30,459 | $24,273 – $36,925 |
| Pennsylvania | 33 | $171,348 | $26,767 | $18,364 – $66,506 |
| Rhode Island | 1 | $86,576 | $31,982 | – |
| South Carolina | 18 | $145,340 | $23,735 | $17,642 – $34,614 |
| South Dakota | 4 | $113,437 | $26,014 | $19,338 – $30,331 |
| Tennessee | 25 | $111,580 | $21,805 | $16,140 – $36,704 |
| Texas | 62 | $172,063 | $24,092 | $18,409 – $57,834 |
| Utah | 6 | $98,686 | $24,865 | $20,350 – $30,884 |
| Vermont | 1 | $95,736 | $22,942 | – |
| Virginia | 26 | $119,421 | $23,906 | $18,048 – $40,209 |
| Washington | 26 | $128,185 | $26,996 | $22,196 – $44,109 |
| West Virginia | 8 | $97,642 | $23,202 | $17,904 – $31,352 |
| Wisconsin | 11 | $118,123 | $27,499 | $19,572 – $39,427 |
| Wyoming | 2 | $118,307 | $29,189 | $27,279 – $32,053 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 173 | $280,644 | $39,649 |
| Adventhealth OrlandoOrlando, FL | 105 | $230,476 | $23,395 |
| New York-Presbyterian HospitalNew York, NY | 90 | $237,066 | $40,267 |
| Via Christi Hospitals Wichita INCWichita, KS | 88 | $73,206 | $21,611 |
| Saint Francis Hospital, INCTulsa, OK | 80 | $96,050 | $20,397 |
| Orlando Regional HealthcareOrlando, FL | 79 | $250,170 | $23,814 |
| Cape Cod HospitalHyannis, MA | 77 | $50,281 | $32,118 |
| Memorial Hermann Texas Medical CenterHouston, TX | 77 | $176,032 | $30,522 |
| Inova Fairfax HospitalFalls Church, VA | 75 | $82,396 | $27,676 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 72 | $128,466 | $19,724 |
| Mem Hermann Southwest HospHouston, TX | 72 | $102,891 | $23,264 |
| Christiana Care Health Services, INC.Newark, DE | 66 | $102,476 | $26,437 |
| Wellstar Kennestone HospitalMarietta, GA | 66 | $174,843 | $31,694 |
| Bryan Medical CenterLincoln, NE | 66 | $91,946 | $21,192 |
| Baptist Medical CenterJacksonville, FL | 64 | $150,643 | $23,629 |
Questions
How much does hip and femur procedures except major joint with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 970 hospitals in the U.S. was billed at $141,996 on average, while the average total payment was $26,284, of which Medicare paid $23,191. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($41,128), Alaska ($35,087), New York ($34,260) and lowest in Arkansas ($20,214), Mississippi ($20,526), Louisiana ($20,658).
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 5.4 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.