facebook tracking Hip and femur procedures except major joint without complications cost: hospital prices by state (DRG 482)

Hip and femur procedures except major joint without complications

What 407 hospitals in the U.S. charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint without complications (DRG 482), from 2024 Medicare claims.

DRG 482 Inpatient 2024 Medicare data
Average charge $80,844 Hospital list price billed
Average payment $14,276 Medicare + patient + other payers
Medicare paid $11,718 Average per stay
Volume 6,826 Medicare hospital stays

Hospitals in the U.S. billed an average of $80,844 for hip and femur procedures except major joint without complications, about 5.7 times the average total payment of $14,276.

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 $14,276Billed $80,844

About 18¢ was paid for every $1 hospitals in the U.S. billed for this stay.

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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.

Highest

Jackson Health SystemMiami, FL$22,612
Shady Grove Adventist HospitalRockville, MD$22,588
NYU Hospitals CenterNew York, NY$21,674
University of Virginia Medical CenterCharlottesville, VA$21,027
Meritus Medical CenterHagerstown, MD$20,941
University HospitalStony Brook, NY$19,985
Montgomery General Hospital INCOlney, MD$19,459
North Shore University HospitalManhasset, NY$18,221
Maine Medical CenterPortland, ME$17,905
Kaweah Delta Medical CenterVisalia, CA$17,878

Hip and femur procedures except major joint without 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 10 $91,105 $12,061 $10,009 – $19,107
Alaska 1 $66,155 $30,202 –
Arizona 17 $81,923 $14,010 $11,623 – $20,483
Arkansas 11 $41,719 $11,629 $10,123 – $14,328
California 43 $117,545 $17,614 $14,967 – $25,966
Colorado 2 $82,470 $12,409 $11,522 – $13,637
Connecticut 4 $59,976 $17,533 $14,896 – $21,130
Delaware 3 $52,974 $14,096 $12,687 – $15,580
Florida 42 $103,902 $12,811 $10,002 – $22,612
Georgia 8 $80,276 $13,899 $10,139 – $18,622
Hawaii 1 $54,951 $15,654 –
Idaho 3 $71,066 $13,014 $12,486 – $13,301
Illinois 9 $58,970 $13,439 $11,069 – $23,136
Indiana 9 $67,516 $12,890 $10,695 – $17,218
Iowa 3 $50,951 $11,723 $11,177 – $12,186
Kansas 3 $97,149 $12,736 $11,016 – $13,827
Kentucky 6 $64,750 $12,656 $10,345 – $15,346
Louisiana 10 $72,229 $11,907 $10,259 – $14,045
Maine 2 $55,380 $17,301 $16,094 – $17,905
Maryland 15 $23,329 $21,089 $14,340 – $34,913
Massachusetts 12 $39,576 $16,014 $13,049 – $19,285
Michigan 4 $45,526 $13,554 $11,763 – $14,224
Minnesota 1 $50,521 $14,414 –
Mississippi 9 $58,604 $11,069 $10,142 – $12,388
Missouri 10 $63,090 $12,787 $10,048 – $17,428
Montana 3 $43,087 $12,192 $11,881 – $12,429
Nebraska 2 $51,552 $11,832 $11,823 – $11,844
Nevada 5 $101,043 $16,036 $14,740 – $19,553
New Hampshire 1 $53,414 $12,776 –
New Jersey 10 $86,903 $15,142 $12,159 – $24,177
New Mexico 3 $58,928 $12,975 $10,968 – $14,849
New York 18 $94,381 $18,379 $13,430 – $25,117
North Carolina 10 $63,429 $12,723 $10,933 – $15,118
North Dakota 1 $39,508 $15,187 –
Ohio 3 $57,541 $12,615 $10,431 – $14,229
Oklahoma 7 $87,436 $12,558 $10,686 – $16,398
Oregon 3 $57,683 $16,093 $15,270 – $16,945
Pennsylvania 9 $61,638 $13,099 $10,910 – $16,350
Rhode Island 1 $39,820 $12,067 –
South Carolina 12 $77,915 $13,757 $10,758 – $16,767
South Dakota 2 $62,771 $14,533 $13,579 – $15,151
Tennessee 10 $60,227 $12,333 $10,703 – $14,524
Texas 41 $105,504 $12,835 $10,716 – $17,737
Utah 2 $43,964 $14,150 $12,841 – $15,962
Vermont 1 $53,548 $14,639 –
Virginia 13 $92,558 $13,660 $10,636 – $21,027
Washington 6 $83,604 $14,037 $12,868 – $16,311
West Virginia 3 $69,710 $11,746 $10,672 – $13,069
Wisconsin 2 $41,612 $12,825 $12,287 – $13,411
Wyoming 1 $46,270 $18,976 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Ocala Regional Medical CenterOcala, FL76$165,473$13,363
North Shore University HospitalManhasset, NY42$92,090$18,221
Methodist HospitalSan Antonio, TX40$121,046$12,483
NYU Hospitals CenterNew York, NY39$141,593$21,674
Hoag Memorial Hospital PresbyterianNewport Beach, CA38$70,516$15,132
Christiana Care Health Services, INC.Newark, DE38$55,758$15,580
Evanston HospitalEvanston, IL37$49,590$14,033
Morristown Memorial HospitalMorristown, NJ37$72,004$16,838
Beebe Medical CenterLewes, DE36$46,968$12,687
Banner Baywood Medical CenterMesa, AZ35$59,019$13,983
St Joseph's HospitalTampa, FL35$76,874$14,665
Baptist Medical CenterJacksonville, FL35$82,582$12,379
Sarasota Memorial HospitalSarasota, FL34$91,032$12,492
Baystate Medical CenterSpringfield, MA34$28,959$17,193
Meritus Medical CenterHagerstown, MD31$22,737$20,941

Questions

How much does hip and femur procedures except major joint without complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint without complications (DRG 482) at 407 hospitals in the U.S. was billed at $80,844 on average, while the average total payment was $14,276, of which Medicare paid $11,718. 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 without complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($21,089), New York ($18,379), California ($17,614) and lowest in Mississippi ($11,069), Arkansas ($11,629), Iowa ($11,723).

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 5.7 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.