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Hip Replacement with Principal Diagnosis of Hip Fracture without with major complications
Medicare DRG 522. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$101,867
Avg total payment
$18,447
Avg Medicare pays
$15,920
Hospitals reporting
1,412
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 |
|---|---|---|---|
| Nevada | 12 | $181,515 | $16,802 |
| California | 117 | $158,507 | $20,723 |
| Colorado | 15 | $155,057 | $15,038 |
| Florida | 105 | $149,549 | $14,308 |
| Alaska | 5 | $147,561 | $24,016 |
| Texas | 106 | $138,467 | $15,307 |
| New Mexico | 8 | $124,188 | $16,277 |
| Arizona | 33 | $123,064 | $15,776 |
| District of Columbia | 4 | $122,495 | $18,110 |
| New Jersey | 39 | $120,215 | $17,112 |
| South Carolina | 28 | $104,126 | $14,197 |
| Georgia | 44 | $102,163 | $14,934 |
| Pennsylvania | 53 | $102,018 | $14,957 |
| Washington | 30 | $97,497 | $16,472 |
| New York | 67 | $96,111 | $19,305 |
| Tennessee | 39 | $95,139 | $13,447 |
| Oklahoma | 29 | $94,567 | $13,985 |
| Alabama | 28 | $93,783 | $12,983 |
| Indiana | 34 | $93,566 | $13,901 |
| Kentucky | 21 | $91,651 | $13,544 |
| Virginia | 43 | $91,520 | $14,072 |
| Louisiana | 22 | $90,431 | $12,763 |
| Illinois | 50 | $90,357 | $14,899 |
| New Hampshire | 8 | $83,521 | $15,710 |
| Kansas | 19 | $82,065 | $13,734 |
| Utah | 8 | $80,405 | $14,821 |
| North Carolina | 44 | $79,702 | $14,710 |
| Oregon | 17 | $77,918 | $18,077 |
| Ohio | 53 | $77,475 | $13,986 |
| Idaho | 4 | $76,833 | $15,381 |
| Missouri | 32 | $75,877 | $13,852 |
| Wyoming | 3 | $75,872 | $20,771 |
| Mississippi | 17 | $75,834 | $13,175 |
| West Virginia | 13 | $75,062 | $13,306 |
| Connecticut | 18 | $75,018 | $19,112 |
| Wisconsin | 19 | $74,907 | $14,770 |
| Nebraska | 16 | $70,321 | $14,796 |
| Hawaii | 6 | $69,257 | $21,497 |
| Michigan | 38 | $68,767 | $15,311 |
| Maine | 5 | $66,912 | $16,040 |
| South Dakota | 7 | $66,478 | $16,102 |
| Minnesota | 20 | $63,682 | $15,382 |
| Iowa | 18 | $60,872 | $13,549 |
| Arkansas | 20 | $59,355 | $13,173 |
| Delaware | 5 | $58,263 | $16,152 |
| Vermont | 4 | $56,185 | $10,350 |
| Montana | 8 | $56,077 | $14,586 |
| North Dakota | 6 | $53,014 | $14,438 |
| Massachusetts | 33 | $51,183 | $17,780 |
| Rhode Island | 5 | $46,809 | $16,524 |
| Maryland | 34 | $32,360 | $27,522 |
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.