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Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with complications
Medicare DRG 543. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$48,816
Avg total payment
$10,324
Avg Medicare pays
$8,050
Hospitals reporting
403
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 |
|---|---|---|---|
| Alaska | 1 | $101,910 | $8,813 |
| California | 35 | $90,694 | $10,725 |
| New Jersey | 20 | $75,492 | $8,142 |
| Colorado | 3 | $66,905 | $6,793 |
| New York | 23 | $65,536 | $9,828 |
| Kansas | 5 | $61,720 | $6,968 |
| Florida | 32 | $59,435 | $7,138 |
| Texas | 11 | $57,301 | $7,429 |
| Pennsylvania | 23 | $54,612 | $7,422 |
| Arizona | 11 | $52,127 | $7,356 |
| Vermont | 2 | $51,482 | $3,663 |
| Nevada | 2 | $51,089 | $9,750 |
| Connecticut | 4 | $45,433 | $9,280 |
| Kentucky | 3 | $45,418 | $6,499 |
| Louisiana | 2 | $44,619 | $6,301 |
| South Dakota | 3 | $44,558 | $7,707 |
| Wisconsin | 6 | $44,042 | $7,476 |
| Illinois | 22 | $43,199 | $7,650 |
| Tennessee | 6 | $43,107 | $7,073 |
| Utah | 3 | $41,738 | $8,446 |
| Georgia | 6 | $41,186 | $8,837 |
| West Virginia | 1 | $41,057 | $7,618 |
| Ohio | 25 | $40,129 | $6,915 |
| New Mexico | 2 | $39,689 | $7,728 |
| Iowa | 4 | $38,932 | $6,503 |
| Washington | 10 | $38,690 | $7,918 |
| New Hampshire | 3 | $38,193 | $7,983 |
| Missouri | 10 | $37,855 | $6,963 |
| Virginia | 12 | $37,800 | $7,023 |
| Nebraska | 2 | $37,064 | $7,780 |
| North Carolina | 16 | $36,518 | $7,759 |
| Delaware | 1 | $34,378 | $8,018 |
| Mississippi | 2 | $34,375 | $7,770 |
| Michigan | 8 | $33,377 | $7,424 |
| Indiana | 7 | $32,380 | $6,725 |
| South Carolina | 6 | $32,082 | $7,397 |
| Rhode Island | 2 | $31,741 | $8,831 |
| North Dakota | 2 | $31,423 | $7,328 |
| Oregon | 4 | $30,567 | $8,945 |
| Maine | 3 | $30,366 | $7,216 |
| Idaho | 2 | $30,269 | $7,034 |
| Alabama | 2 | $30,165 | $6,870 |
| Oklahoma | 4 | $29,857 | $6,956 |
| Minnesota | 13 | $29,750 | $7,491 |
| Massachusetts | 26 | $25,239 | $8,919 |
| Arkansas | 3 | $23,876 | $6,785 |
| Wyoming | 1 | $21,701 | $8,594 |
| Montana | 1 | $18,932 | $6,777 |
| Maryland | 8 | $15,129 | $12,209 |
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.