Hip replacement with principal diagnosis of hip fracture without major complications
What 1,414 hospitals in the U.S. charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$102,629
Hospital list price billed
Average payment
$18,301
Medicare + patient + other payers
Medicare paid
$15,768
Average per stay
Volume
37,275
Medicare hospital stays
Hospitals in the U.S. billed an average of $102,629 for hip replacement with principal diagnosis of hip fracture without major complications, about 5.6 times the average total payment of $18,301.
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 $18,301Billed $102,629
About 18¢ 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
| Southwest General Health CenterMiddleburg Heights, OH | $12,984 |
|---|---|
| Parkwest Medical CenterKnoxville, TN | $13,019 |
| Boone Hospital CenterColumbia, MO | $13,133 |
| Crestwood Medical CenterHuntsville, AL | $13,151 |
| Mount Pleasant HospitalMount Pleasant, SC | $13,169 |
| Baxter Regional Medical CenterMountain Home, AR | $13,173 |
| Parma Community General HospitalParma, OH | $13,240 |
| Roper HospitalCharleston, SC | $13,245 |
| Thibodaux Regional Medical CenterThibodaux, LA | $13,255 |
| St Bernards Medical CenterJonesboro, AR | $13,372 |
Highest
| University of MD Capital Region Medical CenterHyattsville, MD | $42,971 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $37,059 |
| University of California San Diego Medical CenterSan Diego, CA | $36,702 |
| UCI Health-OrangeOrange, CA | $35,820 |
| University of MD Charles Regional Medical CenterLa Plata, MD | $35,747 |
| Grady Memorial HospitalAtlanta, GA | $35,430 |
| Stanford HospitalPalo Alto, CA | $34,232 |
| University Health SystemSan Antonio, TX | $33,392 |
| Sinai Hospital of BaltimoreBaltimore, MD | $32,999 |
| University of California Davis Medical CenterSacramento, CA | $32,992 |
Hip replacement with principal diagnosis of hip fracture without 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 | 28 | $90,323 | $15,276 | $13,151 – $26,477 |
| Alaska | 5 | $152,057 | $25,551 | $18,587 – $33,631 |
| Arizona | 33 | $115,413 | $17,936 | $14,921 – $31,817 |
| Arkansas | 20 | $57,231 | $14,959 | $13,173 – $19,069 |
| California | 117 | $160,833 | $23,321 | $16,292 – $43,218 |
| Colorado | 15 | $149,674 | $17,350 | $15,005 – $26,175 |
| Connecticut | 18 | $75,824 | $22,117 | $18,028 – $30,618 |
| Delaware | 5 | $59,691 | $18,354 | $15,742 – $20,643 |
| Florida | 106 | $142,986 | $16,370 | $10,839 – $25,722 |
| Georgia | 44 | $103,183 | $18,252 | $13,454 – $35,430 |
| Hawaii | 6 | $72,213 | $24,426 | $20,517 – $33,976 |
| Idaho | 4 | $79,117 | $16,888 | $16,088 – $19,680 |
| Illinois | 50 | $86,870 | $17,567 | $14,407 – $48,287 |
| Indiana | 34 | $93,186 | $16,267 | $13,683 – $24,874 |
| Iowa | 18 | $64,921 | $15,691 | $13,545 – $20,865 |
| Kansas | 19 | $91,664 | $15,646 | $12,584 – $18,572 |
| Kentucky | 21 | $101,959 | $16,061 | $14,145 – $21,529 |
| Louisiana | 22 | $89,727 | $14,973 | $12,916 – $17,921 |
| Maine | 5 | $67,449 | $19,116 | $14,886 – $21,385 |
| Maryland | 34 | $30,718 | $27,815 | $20,445 – $49,614 |
| Massachusetts | 33 | $54,932 | $20,773 | $15,943 – $32,130 |
| Michigan | 38 | $68,572 | $17,615 | $14,140 – $25,677 |
| Minnesota | 20 | $63,434 | $18,325 | $14,730 – $26,301 |
| Mississippi | 17 | $72,403 | $14,821 | $13,414 – $21,404 |
| Missouri | 32 | $73,314 | $15,970 | $12,995 – $21,554 |
| Montana | 8 | $53,800 | $17,058 | $15,482 – $20,313 |
| Nebraska | 16 | $68,546 | $16,618 | $13,465 – $21,646 |
| Nevada | 12 | $163,509 | $19,854 | $17,358 – $26,597 |
| New Hampshire | 8 | $82,524 | $18,790 | $15,539 – $24,489 |
| New Jersey | 39 | $115,486 | $19,513 | $15,490 – $26,281 |
| New Mexico | 8 | $109,365 | $19,453 | $14,463 – $24,336 |
| New York | 67 | $112,486 | $23,438 | $16,836 – $41,728 |
| North Carolina | 44 | $79,454 | $17,324 | $13,877 – $27,540 |
| North Dakota | 6 | $55,173 | $16,958 | $15,582 – $17,678 |
| Ohio | 53 | $80,402 | $16,438 | $12,984 – $26,163 |
| Oklahoma | 29 | $93,073 | $15,744 | $13,531 – $21,602 |
| Oregon | 17 | $77,637 | $20,929 | $17,178 – $33,605 |
| Pennsylvania | 54 | $101,821 | $17,741 | $13,874 – $26,696 |
| Rhode Island | 5 | $47,138 | $19,611 | $16,013 – $22,664 |
| South Carolina | 28 | $100,872 | $17,276 | $13,100 – $23,554 |
| South Dakota | 7 | $67,746 | $17,507 | $14,740 – $21,749 |
| Tennessee | 39 | $86,666 | $15,743 | $13,019 – $29,850 |
| Texas | 106 | $136,982 | $17,371 | $12,880 – $64,729 |
| Utah | 8 | $72,139 | $17,290 | $14,731 – $22,247 |
| Vermont | 4 | $63,001 | $12,868 | $7,937 – $15,187 |
| Virginia | 43 | $96,641 | $16,859 | $13,529 – $27,279 |
| Washington | 30 | $98,965 | $18,886 | $16,691 – $23,451 |
| West Virginia | 13 | $77,760 | $17,129 | $13,557 – $21,385 |
| Wisconsin | 19 | $73,574 | $17,169 | $13,604 – $22,260 |
| Wyoming | 3 | $81,089 | $22,845 | $19,686 – $25,150 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 143 | $146,795 | $28,345 |
| Adventhealth OrlandoOrlando, FL | 113 | $144,994 | $16,863 |
| Christiana Care Health Services, INC.Newark, DE | 107 | $62,714 | $19,343 |
| Sarasota Memorial HospitalSarasota, FL | 102 | $115,094 | $15,558 |
| NYU Hospitals CenterNew York, NY | 101 | $236,070 | $29,210 |
| Carilion Medical CenterRoanoke, VA | 99 | $83,133 | $16,484 |
| Northeast Georgia Medical Center, INCGainesville, GA | 96 | $124,121 | $21,275 |
| Huntsville HospitalHuntsville, AL | 92 | $74,785 | $14,966 |
| North Mississippi Medical CenterTupelo, MS | 90 | $50,216 | $15,326 |
| Methodist HospitalSan Antonio, TX | 86 | $154,391 | $15,813 |
| Naples Community HospitalNaples, FL | 85 | $86,706 | $15,630 |
| Evanston HospitalEvanston, IL | 84 | $69,374 | $18,209 |
| Greenville Memorial HospitalGreenville, SC | 83 | $98,303 | $19,252 |
| Baptist Memorial HospitalMemphis, TN | 82 | $73,163 | $15,281 |
| Ocala Regional Medical CenterOcala, FL | 80 | $228,855 | $16,912 |
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 1,414 hospitals in the U.S. was billed at $102,629 on average, while the average total payment was $18,301, of which Medicare paid $15,768. 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 without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($27,815), Alaska ($25,551), Hawaii ($24,426) and lowest in Vermont ($12,868), Mississippi ($14,821), Arkansas ($14,959).
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 5.6 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.