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Fractures of Hip and Pelvis with major complications
Medicare DRG 535. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$61,915
Avg total payment
$11,944
Avg Medicare pays
$9,805
Hospitals reporting
72
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 | 3 | $128,707 | $12,422 |
| Oklahoma | 1 | $120,940 | $11,279 |
| Texas | 3 | $109,661 | $10,164 |
| District of Columbia | 1 | $105,533 | $15,168 |
| New York | 9 | $100,481 | $13,001 |
| Georgia | 2 | $80,918 | $10,819 |
| New Jersey | 1 | $75,583 | $10,427 |
| Florida | 14 | $63,974 | $8,093 |
| Nevada | 2 | $63,526 | $9,890 |
| South Carolina | 1 | $60,161 | $10,393 |
| Indiana | 1 | $55,083 | $9,506 |
| Pennsylvania | 1 | $52,871 | $7,533 |
| Connecticut | 2 | $51,701 | $12,326 |
| Michigan | 2 | $46,647 | $8,734 |
| Washington | 1 | $46,280 | $7,965 |
| Louisiana | 2 | $45,297 | $7,412 |
| Tennessee | 3 | $44,235 | $8,712 |
| Illinois | 3 | $41,470 | $9,308 |
| Alabama | 1 | $37,283 | $7,285 |
| Mississippi | 2 | $36,995 | $8,168 |
| Iowa | 1 | $36,992 | $7,038 |
| Delaware | 1 | $35,975 | $10,205 |
| Arkansas | 1 | $34,922 | $6,516 |
| Virginia | 2 | $34,666 | $9,067 |
| Kentucky | 1 | $32,405 | $6,460 |
| Missouri | 1 | $31,017 | $8,603 |
| North Carolina | 2 | $29,902 | $9,868 |
| Minnesota | 1 | $25,166 | $11,143 |
| Massachusetts | 5 | $24,660 | $10,155 |
| Ohio | 1 | $16,585 | $7,486 |
| Maryland | 1 | $16,292 | $13,524 |
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.