Pathological fractures and musculoskeletal and connective tissue malignancy with complications
What 404 hospitals in the U.S. charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$49,225
Hospital list price billed
Average payment
$10,379
Medicare + patient + other payers
Medicare paid
$8,054
Average per stay
Volume
8,898
Medicare hospital stays
Hospitals in the U.S. billed an average of $49,225 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 4.7 times the average total payment of $10,379.
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 $10,379Billed $49,225
About 21¢ 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
| Martin Memorial Health SystemsStuart, FL | $6,671 |
|---|---|
| Missouri Baptist Medical CenterTown and Country, MO | $7,035 |
| Baptist Hospital EastLouisville, KY | $7,204 |
| Physicians Regional Medical Center - Pine RidgeNaples, FL | $7,312 |
| Palos Community HospitalPalos Heights, IL | $7,332 |
| SSM Health St Mary's Hospital - JanesvilleJanesville, WI | $7,652 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $7,717 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $7,741 |
| Ohiohealth Mansfield HospitalMansfield, OH | $7,764 |
| Norton Healthcare PavilionLouisville, KY | $7,811 |
Highest
| Stanford HospitalPalo Alto, CA | $19,238 |
|---|---|
| University of California Davis Medical CenterSacramento, CA | $18,444 |
| Mayo Clinic HospitalPhoenix, AZ | $17,803 |
| Yale-New Haven HospitalNew Haven, CT | $17,771 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $16,943 |
| Vanderbilt University HospitalNashville, TN | $16,683 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $15,917 |
| Beth Israel Deaconess Medical CenterBoston, MA | $15,661 |
| Hackensack University Medical CenterHackensack, NJ | $15,561 |
| NYU Hospitals CenterNew York, NY | $15,544 |
Pathological fractures and musculoskeletal and connective tissue malignancy with 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 | 2 | $30,764 | $8,379 | $8,138 – $8,796 |
| Alaska | 1 | $101,910 | $11,018 | – |
| Arizona | 11 | $57,350 | $9,726 | $7,503 – $17,803 |
| Arkansas | 3 | $23,190 | $8,308 | $7,862 – $8,668 |
| California | 35 | $98,022 | $13,310 | $9,941 – $25,609 |
| Colorado | 3 | $65,808 | $8,112 | $7,790 – $8,728 |
| Connecticut | 4 | $47,199 | $13,797 | $9,434 – $17,771 |
| Delaware | 1 | $34,378 | $10,038 | – |
| Florida | 32 | $57,635 | $8,753 | $6,671 – $12,724 |
| Georgia | 6 | $39,019 | $11,055 | $9,897 – $12,075 |
| Idaho | 2 | $30,122 | $8,486 | $8,131 – $8,855 |
| Illinois | 22 | $41,723 | $9,589 | $7,332 – $20,691 |
| Indiana | 7 | $31,271 | $8,151 | $6,803 – $8,976 |
| Iowa | 4 | $38,675 | $8,632 | $7,066 – $13,178 |
| Kansas | 5 | $54,285 | $8,988 | $8,147 – $10,229 |
| Kentucky | 3 | $45,644 | $9,168 | $7,204 – $11,788 |
| Louisiana | 2 | $44,994 | $8,382 | $7,320 – $9,526 |
| Maine | 3 | $33,098 | $9,880 | $8,490 – $10,516 |
| Maryland | 8 | $14,698 | $13,217 | $9,493 – $22,001 |
| Massachusetts | 26 | $27,990 | $10,922 | $8,241 – $19,776 |
| Michigan | 8 | $34,201 | $10,169 | $8,316 – $13,949 |
| Minnesota | 13 | $31,321 | $10,311 | $7,521 – $15,917 |
| Mississippi | 2 | $32,607 | $11,214 | $8,234 – $12,704 |
| Missouri | 10 | $35,011 | $9,090 | $6,417 – $17,088 |
| Montana | 1 | $18,932 | $8,084 | – |
| Nebraska | 2 | $35,310 | $10,190 | $8,287 – $12,926 |
| Nevada | 2 | $50,854 | $12,827 | $11,458 – $14,300 |
| New Hampshire | 3 | $38,702 | $9,785 | $8,021 – $13,189 |
| New Jersey | 20 | $73,671 | $10,261 | $8,061 – $15,561 |
| New Mexico | 2 | $39,869 | $9,757 | $8,592 – $10,861 |
| New York | 23 | $71,273 | $13,086 | $8,938 – $16,870 |
| North Carolina | 16 | $36,476 | $11,080 | $7,869 – $20,132 |
| North Dakota | 2 | $31,812 | $9,025 | $8,998 – $9,065 |
| Ohio | 25 | $38,514 | $9,254 | $6,485 – $14,192 |
| Oklahoma | 4 | $29,701 | $8,446 | $7,300 – $9,092 |
| Oregon | 4 | $30,673 | $10,588 | $9,994 – $10,933 |
| Pennsylvania | 24 | $58,818 | $9,915 | $7,406 – $14,237 |
| Rhode Island | 2 | $33,322 | $11,730 | $9,997 – $12,214 |
| South Carolina | 6 | $31,335 | $9,943 | $7,373 – $11,133 |
| South Dakota | 3 | $43,471 | $9,683 | $9,061 – $10,489 |
| Tennessee | 6 | $46,706 | $10,637 | $6,966 – $16,683 |
| Texas | 11 | $56,153 | $9,381 | $7,565 – $14,210 |
| Utah | 3 | $40,421 | $11,928 | $8,766 – $13,558 |
| Vermont | 2 | $51,947 | $8,051 | $4,921 – $10,939 |
| Virginia | 12 | $35,442 | $9,599 | $7,419 – $16,581 |
| Washington | 10 | $38,275 | $10,269 | $8,960 – $12,623 |
| West Virginia | 1 | $41,057 | $10,664 | – |
| Wisconsin | 6 | $45,830 | $10,500 | $7,652 – $15,170 |
| Wyoming | 1 | $21,701 | $10,052 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Lehigh Valley HospitalAllentown, PA | 138 | $60,996 | $9,880 |
| Riverside Methodist HospitalColumbus, OH | 95 | $33,569 | $9,276 |
| Evanston HospitalEvanston, IL | 93 | $33,893 | $9,676 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | 88 | $27,440 | $9,434 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale, AZ | 77 | $72,005 | $8,892 |
| New York-Presbyterian HospitalNew York, NY | 77 | $96,205 | $15,391 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | 75 | $27,193 | $8,472 |
| Palos Community HospitalPalos Heights, IL | 74 | $31,330 | $7,332 |
| Rhode Island HospitalProvidence, RI | 68 | $34,548 | $12,214 |
| Grant Medical CenterColumbus, OH | 66 | $37,685 | $11,004 |
| Union HospitalLynn, MA | 63 | $25,420 | $9,740 |
| Carilion Medical CenterRoanoke, VA | 62 | $27,205 | $9,187 |
| St Mary's HospitalMadison, WI | 61 | $38,596 | $8,224 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 60 | $51,634 | $7,817 |
| Northwestern Medicine McHenryMcHenry, IL | 59 | $43,407 | $8,454 |
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 404 hospitals in the U.S. was billed at $49,225 on average, while the average total payment was $10,379, of which Medicare paid $8,054. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for pathological fractures and musculoskeletal and connective tissue malignancy with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Connecticut ($13,797), California ($13,310), Maryland ($13,217) and lowest in Colorado ($8,112), Indiana ($8,151), Arkansas ($8,308).
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 4.7 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.