Home / Procedures / Fractures of Hip and Pelvis without with major complications
Fractures of Hip and Pelvis without with major complications
Medicare DRG 536. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$38,473
Avg total payment
$7,536
Avg Medicare pays
$5,651
Hospitals reporting
561
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 | 5 | $73,737 | $6,494 |
| California | 47 | $61,559 | $7,140 |
| Colorado | 5 | $58,088 | $4,861 |
| New Jersey | 24 | $51,112 | $5,619 |
| Florida | 63 | $49,916 | $5,177 |
| New York | 42 | $49,745 | $6,705 |
| Oregon | 2 | $48,495 | $7,275 |
| Kansas | 5 | $47,858 | $4,748 |
| Texas | 34 | $45,138 | $6,087 |
| Arizona | 12 | $43,600 | $4,665 |
| Hawaii | 1 | $43,537 | $5,675 |
| Pennsylvania | 28 | $39,467 | $4,969 |
| Oklahoma | 8 | $38,302 | $5,074 |
| Connecticut | 3 | $37,814 | $6,771 |
| Washington | 7 | $36,038 | $5,905 |
| Alabama | 8 | $36,028 | $4,614 |
| Georgia | 17 | $35,891 | $6,514 |
| South Carolina | 14 | $34,934 | $5,404 |
| Vermont | 1 | $34,632 | $2,434 |
| Missouri | 11 | $32,559 | $4,761 |
| Tennessee | 15 | $32,220 | $5,475 |
| Ohio | 11 | $30,908 | $4,565 |
| Delaware | 2 | $30,687 | $5,773 |
| Wyoming | 2 | $30,550 | $6,716 |
| Virginia | 19 | $30,540 | $4,759 |
| Wisconsin | 5 | $29,250 | $5,605 |
| North Dakota | 1 | $29,152 | $4,772 |
| Illinois | 22 | $29,009 | $4,664 |
| Louisiana | 8 | $28,463 | $4,209 |
| New Mexico | 1 | $28,365 | $6,159 |
| Minnesota | 5 | $27,598 | $4,653 |
| Indiana | 9 | $27,555 | $4,878 |
| Kentucky | 3 | $27,373 | $3,909 |
| District of Columbia | 1 | $26,906 | $4,932 |
| Michigan | 10 | $26,733 | $5,033 |
| North Carolina | 24 | $26,608 | $5,248 |
| Nebraska | 5 | $26,294 | $5,530 |
| New Hampshire | 5 | $25,757 | $4,783 |
| Idaho | 4 | $25,673 | $5,259 |
| Utah | 1 | $24,698 | $5,054 |
| Iowa | 6 | $23,291 | $4,215 |
| Mississippi | 7 | $22,095 | $4,454 |
| West Virginia | 3 | $21,813 | $4,300 |
| South Dakota | 1 | $21,519 | $4,805 |
| Maine | 1 | $20,676 | $5,385 |
| Arkansas | 7 | $20,242 | $4,426 |
| Montana | 2 | $20,082 | $4,555 |
| Massachusetts | 21 | $16,301 | $5,867 |
| Maryland | 23 | $11,512 | $8,931 |
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.