Pathological fractures and musculoskeletal and connective tissue malignancy without complications/m
What 27 hospitals in the U.S. charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m (DRG 544), from 2024 Medicare claims.
Average charge
$35,633
Hospital list price billed
Average payment
$6,558
Medicare + patient + other payers
Medicare paid
$4,937
Average per stay
Volume
467
Medicare hospital stays
Hospitals in the U.S. billed an average of $35,633 for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m, about 5.4 times the average total payment of $6,558.
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 $6,558Billed $35,633
About 18¢ 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
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $5,098 |
|---|---|
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $6,035 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale, AZ | $6,439 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale, AZ | $6,457 |
| Lehigh Valley HospitalAllentown, PA | $7,041 |
| Evanston HospitalEvanston, IL | $7,144 |
Highest
| Evanston HospitalEvanston, IL | $7,144 |
|---|---|
| Lehigh Valley HospitalAllentown, PA | $7,041 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale, AZ | $6,457 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale, AZ | $6,439 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $6,035 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | $5,098 |
Pathological fractures and musculoskeletal and connective tissue malignancy without complications/m 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 |
|---|---|---|---|---|
| Arizona | 4 | $43,774 | $6,062 | $5,098 – $6,457 |
| California | 1 | $50,638 | $7,510 | – |
| Florida | 3 | $49,832 | $5,904 | $5,658 – $6,347 |
| Illinois | 4 | $23,311 | $6,204 | $5,234 – $7,144 |
| Massachusetts | 3 | $19,656 | $6,912 | $6,373 – $7,524 |
| Minnesota | 2 | $23,635 | $6,602 | $6,035 – $7,535 |
| New Jersey | 3 | $55,331 | $6,779 | $6,268 – $7,710 |
| New York | 1 | $36,421 | $9,173 | – |
| Ohio | 2 | $28,939 | $7,621 | $6,648 – $8,534 |
| Pennsylvania | 1 | $49,176 | $7,041 | – |
| Virginia | 1 | $22,675 | $7,108 | – |
| Washington | 1 | $31,120 | $6,481 | – |
| Wisconsin | 1 | $28,717 | $5,934 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Evanston HospitalEvanston, IL | 35 | $24,712 | $7,144 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale, AZ | 30 | $32,196 | $6,457 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale, AZ | 29 | $58,595 | $6,439 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ | 28 | $33,304 | $5,098 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | 23 | $21,561 | $6,035 |
| Lehigh Valley HospitalAllentown, PA | 20 | $49,176 | $7,041 |
| John C Lincoln North Mountain HospitalPhoenix, AZ | 19 | $54,864 | $6,285 |
| Beverly Hospital CorporationBeverly, MA | 19 | $16,074 | $6,373 |
| Palos Community HospitalPalos Heights, IL | 18 | $24,296 | $5,234 |
| St Mary's HospitalMadison, WI | 18 | $28,717 | $5,934 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | 17 | $50,638 | $7,510 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 16 | $42,347 | $5,658 |
| Grant Medical CenterColumbus, OH | 16 | $27,807 | $8,534 |
| Northwest Community HospitalArlington Heights, IL | 15 | $15,517 | $5,427 |
| Riverside Methodist HospitalColumbus, OH | 15 | $30,146 | $6,648 |
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy without complications/m cost in the U.S.?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m (DRG 544) at 27 hospitals in the U.S. was billed at $35,633 on average, while the average total payment was $6,558, of which Medicare paid $4,937. 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 without complications/m?
Among states with at least three hospitals reporting, the average total payment was highest in Massachusetts ($6,912), New Jersey ($6,779), Illinois ($6,204) and lowest in Florida ($5,904), Arizona ($6,062), Illinois ($6,204).
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 5.4 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.