Home / Procedures / Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without with Complications/m
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without with Complications/m
Medicare DRG 544. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$35,856
Avg total payment
$6,636
Avg Medicare pays
$5,019
Hospitals reporting
27
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 |
|---|---|---|---|
| New Jersey | 3 | $54,520 | $5,392 |
| California | 1 | $50,638 | $5,974 |
| Pennsylvania | 1 | $49,176 | $5,215 |
| Florida | 3 | $49,046 | $4,426 |
| Arizona | 4 | $44,740 | $4,493 |
| New York | 1 | $36,421 | $7,289 |
| Washington | 1 | $31,120 | $4,977 |
| Ohio | 2 | $28,976 | $5,881 |
| Wisconsin | 1 | $28,717 | $4,519 |
| Minnesota | 2 | $24,301 | $4,932 |
| Illinois | 4 | $23,004 | $4,423 |
| Virginia | 1 | $22,675 | $5,094 |
| Massachusetts | 3 | $20,376 | $5,229 |
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.