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Hip Replacement with Principal Diagnosis of Hip Fracture with major complications
Medicare DRG 521. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$133,912
Avg total payment
$25,484
Avg Medicare pays
$22,604
Hospitals reporting
440
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 34 | $230,754 | $30,749 |
| Nevada | 6 | $228,087 | $23,984 |
| Alaska | 1 | $218,252 | $28,721 |
| Colorado | 5 | $192,449 | $20,503 |
| New York | 24 | $188,222 | $29,885 |
| Texas | 24 | $187,831 | $20,636 |
| Florida | 35 | $164,344 | $19,672 |
| Pennsylvania | 13 | $161,153 | $21,850 |
| New Jersey | 12 | $158,950 | $25,335 |
| Alabama | 7 | $155,246 | $17,884 |
| Hawaii | 1 | $140,095 | $26,061 |
| Arizona | 13 | $138,518 | $21,351 |
| South Carolina | 9 | $135,264 | $20,364 |
| Illinois | 13 | $131,187 | $21,244 |
| Kentucky | 7 | $130,650 | $19,298 |
| Washington | 14 | $129,724 | $23,580 |
| Georgia | 7 | $129,268 | $21,926 |
| Kansas | 9 | $120,246 | $20,591 |
| Louisiana | 6 | $119,378 | $18,623 |
| Indiana | 9 | $116,813 | $21,595 |
| New Mexico | 2 | $115,621 | $23,350 |
| Wisconsin | 6 | $113,865 | $23,123 |
| Ohio | 12 | $113,670 | $19,153 |
| Virginia | 18 | $106,055 | $19,735 |
| New Hampshire | 2 | $103,661 | $25,202 |
| West Virginia | 4 | $103,198 | $20,234 |
| Tennessee | 18 | $101,085 | $17,728 |
| North Carolina | 10 | $99,974 | $21,698 |
| Maine | 1 | $99,712 | $22,127 |
| Connecticut | 6 | $97,208 | $25,708 |
| Missouri | 10 | $95,820 | $20,206 |
| South Dakota | 3 | $95,538 | $22,092 |
| Nebraska | 3 | $93,899 | $18,054 |
| Idaho | 3 | $93,878 | $20,558 |
| Delaware | 2 | $92,027 | $22,931 |
| Michigan | 8 | $91,285 | $21,666 |
| Oregon | 4 | $89,520 | $26,485 |
| Oklahoma | 7 | $86,558 | $18,747 |
| Minnesota | 9 | $85,604 | $22,719 |
| Utah | 2 | $83,042 | $20,841 |
| Iowa | 7 | $81,900 | $19,373 |
| Mississippi | 10 | $80,152 | $17,991 |
| Vermont | 1 | $79,825 | $14,444 |
| North Dakota | 4 | $79,381 | $20,535 |
| Arkansas | 6 | $79,299 | $18,844 |
| Massachusetts | 18 | $77,974 | $26,374 |
| Montana | 4 | $70,291 | $20,842 |
| Rhode Island | 1 | $63,606 | $25,253 |
| Maryland | 10 | $38,224 | $32,821 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.