Hip replacement with principal diagnosis of hip fracture with major complications
What 440 hospitals in the U.S. charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$135,818
Hospital list price billed
Average payment
$25,727
Medicare + patient + other payers
Medicare paid
$22,764
Average per stay
Volume
7,531
Medicare hospital stays
Hospitals in the U.S. billed an average of $135,818 for hip replacement with principal diagnosis of hip fracture with major complications, about 5.3 times the average total payment of $25,727.
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 $25,727Billed $135,818
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
| Delray Medical CenterDelray Beach, FL | $17,587 |
|---|---|
| Memorial Healthcare System, INCChattanooga, TN | $17,768 |
| Huntsville HospitalHuntsville, AL | $18,874 |
| Bryan Medical CenterLincoln, NE | $18,892 |
| Mercy Health Center, INCOklahoma City, OK | $18,941 |
| Baptist Medical CenterSan Antonio, TX | $18,978 |
| Cleveland Community HospitalCleveland, TN | $19,127 |
| Deaconess Hospital INCEvansville, IN | $19,434 |
| Saint Francis Hospital, INCTulsa, OK | $19,471 |
| Methodist HospitalSan Antonio, TX | $19,789 |
Highest
| University HospitalStony Brook, NY | $50,232 |
|---|---|
| Stanford HospitalPalo Alto, CA | $47,673 |
| NYU Hospitals CenterNew York, NY | $45,577 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $41,294 |
| Mary Hitchcock Mem HospitalLebanon, NH | $40,288 |
| Yale-New Haven HospitalNew Haven, CT | $39,480 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $39,453 |
| Memorial Hermann Texas Medical CenterHouston, TX | $39,156 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | $39,088 |
| Massachusetts General HospitalBoston, MA | $38,566 |
Hip replacement with principal diagnosis of hip fracture 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 | 7 | $156,666 | $28,511 | $18,166 – $70,573 |
| Alaska | 1 | $218,252 | $31,834 | – |
| Arizona | 13 | $136,171 | $24,295 | $19,600 – $33,397 |
| Arkansas | 6 | $78,797 | $20,996 | $18,327 – $24,730 |
| California | 34 | $233,415 | $33,000 | $26,640 – $54,792 |
| Colorado | 5 | $183,237 | $21,784 | $20,773 – $22,929 |
| Connecticut | 6 | $100,832 | $31,079 | $23,152 – $39,480 |
| Delaware | 2 | $87,848 | $25,972 | $22,851 – $26,809 |
| Florida | 35 | $166,500 | $21,634 | $17,587 – $28,567 |
| Georgia | 7 | $136,138 | $25,725 | $20,500 – $30,263 |
| Hawaii | 1 | $140,095 | $33,768 | – |
| Idaho | 3 | $90,581 | $22,013 | $21,415 – $22,962 |
| Illinois | 13 | $130,200 | $25,513 | $18,580 – $41,855 |
| Indiana | 9 | $115,769 | $24,130 | $19,434 – $33,462 |
| Iowa | 7 | $80,755 | $21,831 | $19,558 – $28,256 |
| Kansas | 9 | $133,103 | $23,132 | $18,392 – $30,984 |
| Kentucky | 7 | $137,009 | $21,868 | $18,276 – $26,140 |
| Louisiana | 6 | $120,871 | $20,414 | $17,670 – $23,161 |
| Maine | 1 | $99,712 | $24,928 | – |
| Maryland | 10 | $37,544 | $33,588 | $21,156 – $53,709 |
| Massachusetts | 18 | $80,189 | $29,893 | $21,894 – $38,566 |
| Michigan | 8 | $94,435 | $24,918 | $19,950 – $33,345 |
| Minnesota | 9 | $87,990 | $26,885 | $20,478 – $41,294 |
| Mississippi | 10 | $79,334 | $19,996 | $17,618 – $25,570 |
| Missouri | 10 | $86,363 | $21,913 | $17,823 – $36,729 |
| Montana | 4 | $67,186 | $22,900 | $22,536 – $23,431 |
| Nebraska | 3 | $99,517 | $19,283 | $18,892 – $20,022 |
| Nevada | 6 | $212,716 | $25,625 | $22,725 – $28,147 |
| New Hampshire | 2 | $114,490 | $35,447 | $25,764 – $40,288 |
| New Jersey | 12 | $160,674 | $28,685 | $23,929 – $38,019 |
| New Mexico | 2 | $116,423 | $25,279 | $20,473 – $29,868 |
| New York | 24 | $208,618 | $35,599 | $24,012 – $50,232 |
| North Carolina | 10 | $96,930 | $26,391 | $20,245 – $37,270 |
| North Dakota | 4 | $75,559 | $25,594 | $21,320 – $31,467 |
| Ohio | 12 | $114,703 | $21,526 | $17,402 – $24,042 |
| Oklahoma | 7 | $84,989 | $20,074 | $18,941 – $22,451 |
| Oregon | 4 | $90,220 | $30,537 | $27,959 – $34,727 |
| Pennsylvania | 13 | $155,028 | $23,809 | $19,561 – $32,660 |
| Rhode Island | 1 | $63,606 | $27,150 | – |
| South Carolina | 9 | $131,234 | $22,570 | $18,625 – $27,422 |
| South Dakota | 3 | $97,502 | $24,333 | $20,301 – $28,557 |
| Tennessee | 18 | $100,348 | $20,970 | $16,113 – $26,720 |
| Texas | 24 | $193,444 | $23,821 | $18,978 – $39,156 |
| Utah | 2 | $83,042 | $24,958 | $23,861 – $26,056 |
| Vermont | 1 | $79,825 | $17,543 | – |
| Virginia | 18 | $108,938 | $22,758 | $18,781 – $37,529 |
| Washington | 14 | $132,024 | $25,952 | $21,802 – $30,538 |
| West Virginia | 4 | $105,274 | $23,439 | $19,192 – $28,614 |
| Wisconsin | 6 | $111,042 | $26,632 | $21,959 – $40,192 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 78 | $330,842 | $45,577 |
| New York-Presbyterian HospitalNew York, NY | 55 | $227,511 | $36,458 |
| New Hanover Regional Medical CenterWilmington, NC | 43 | $89,025 | $23,989 |
| Iowa Methodist Medical CenterDes Moines, IA | 42 | $78,701 | $20,959 |
| Christiana Care Health Services, INC.Newark, DE | 41 | $84,784 | $26,809 |
| Adventhealth OrlandoOrlando, FL | 41 | $198,942 | $21,203 |
| Baptist Medical CenterJacksonville, FL | 41 | $137,649 | $26,282 |
| Saint Francis Hospital, INCTulsa, OK | 41 | $83,270 | $19,471 |
| Mem Hermann Southwest HospHouston, TX | 41 | $112,478 | $24,074 |
| Mercy Hospital SouthSt Louis, MO | 37 | $67,683 | $20,353 |
| Cape Cod HospitalHyannis, MA | 35 | $54,167 | $31,329 |
| Altru Health SystemGrand Forks, ND | 33 | $67,611 | $24,552 |
| Yale-New Haven HospitalNew Haven, CT | 32 | $116,567 | $39,480 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 32 | $118,424 | $41,294 |
| North Mississippi Medical CenterTupelo, MS | 32 | $62,993 | $20,520 |
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 440 hospitals in the U.S. was billed at $135,818 on average, while the average total payment was $25,727, of which Medicare paid $22,764. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for hip replacement with principal diagnosis of hip fracture with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($35,599), Maryland ($33,588), California ($33,000) and lowest in Nebraska ($19,283), Mississippi ($19,996), Oklahoma ($20,074).
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.