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Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with major complications
Medicare DRG 562. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$70,220
Avg total payment
$14,408
Avg Medicare pays
$11,976
Hospitals reporting
87
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 |
|---|---|---|---|
| Kansas | 2 | $118,242 | $10,145 |
| California | 8 | $117,451 | $14,124 |
| New York | 11 | $102,690 | $15,530 |
| Texas | 6 | $87,758 | $9,949 |
| South Carolina | 1 | $85,345 | $10,443 |
| Georgia | 3 | $80,167 | $16,692 |
| Florida | 10 | $79,849 | $9,407 |
| Virginia | 2 | $76,485 | $8,972 |
| New Jersey | 4 | $74,151 | $11,446 |
| Illinois | 2 | $60,668 | $10,620 |
| Arizona | 2 | $56,533 | $8,475 |
| North Carolina | 3 | $55,865 | $10,835 |
| Minnesota | 2 | $53,986 | $10,624 |
| New Mexico | 1 | $53,198 | $14,261 |
| Delaware | 1 | $52,210 | $11,581 |
| Iowa | 1 | $50,943 | $7,283 |
| Tennessee | 3 | $49,855 | $13,257 |
| Washington | 1 | $48,163 | $11,974 |
| Pennsylvania | 4 | $46,855 | $10,198 |
| Connecticut | 1 | $37,737 | $13,718 |
| Massachusetts | 8 | $34,100 | $11,824 |
| Missouri | 1 | $33,514 | $9,468 |
| Michigan | 4 | $33,118 | $10,075 |
| Maryland | 2 | $29,974 | $24,541 |
| Oklahoma | 1 | $29,164 | $9,370 |
| Ohio | 3 | $28,646 | $8,542 |
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.