Hip replacement with principal diagnosis of hip fracture with major complications in Delaware
What 2 hospitals in Delaware 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
$87,848
Hospital list price billed
Average payment
$25,972
Medicare + patient + other payers
Medicare paid
$23,598
Average per stay
Volume
52
Medicare hospital stays
Hospitals in Delaware billed an average of $87,848 for hip replacement with principal diagnosis of hip fracture with major complications, about 3.4 times the average total payment of $25,972. That payment is about the same as the U.S. average 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 $25,972Billed $87,848
About 30¢ was paid for every $1 hospitals in Delaware billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Delaware:
Delaware hospitals: hip replacement with principal diagnosis of hip fracture with major complications
Every Delaware hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Christiana Care Health Services, INC.Newark | 41 | $84,784 | $26,809 | $24,087 |
| Bayhealth - Kent General HospitalDover | 11 | $99,270 | $22,851 | $21,775 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Delaware?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 2 hospitals in Delaware was billed at $87,848 on average, while the average total payment was $25,972, of which Medicare paid $23,598. Your own cost depends on your insurance, deductible and the hospital.
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 Delaware, average charges were 3.4 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.