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Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without with major complications
Medicare DRG 563. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$43,666
Avg total payment
$8,678
Avg Medicare pays
$6,602
Hospitals reporting
734
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 | 8 | $86,098 | $6,620 |
| California | 72 | $72,672 | $8,548 |
| Colorado | 4 | $68,199 | $5,470 |
| District of Columbia | 2 | $58,095 | $6,790 |
| Florida | 79 | $57,917 | $6,082 |
| New Jersey | 36 | $55,825 | $6,530 |
| Texas | 37 | $54,592 | $6,490 |
| Kansas | 6 | $54,387 | $5,456 |
| Arizona | 16 | $50,300 | $5,648 |
| New York | 59 | $48,749 | $8,401 |
| Pennsylvania | 44 | $43,503 | $5,706 |
| Georgia | 18 | $42,808 | $6,991 |
| South Carolina | 9 | $40,986 | $6,134 |
| Washington | 10 | $38,855 | $6,778 |
| New Hampshire | 6 | $37,437 | $5,654 |
| Oregon | 5 | $37,104 | $6,985 |
| Kentucky | 7 | $36,662 | $5,275 |
| Connecticut | 8 | $36,288 | $7,582 |
| Tennessee | 17 | $36,103 | $5,535 |
| Missouri | 16 | $35,964 | $5,531 |
| Indiana | 20 | $35,901 | $7,540 |
| Illinois | 34 | $34,351 | $5,784 |
| Virginia | 21 | $34,305 | $5,476 |
| Idaho | 3 | $33,765 | $6,371 |
| South Dakota | 2 | $32,524 | $5,528 |
| Ohio | 26 | $30,252 | $5,093 |
| Wisconsin | 11 | $30,173 | $5,577 |
| North Carolina | 16 | $29,704 | $6,061 |
| Iowa | 7 | $29,481 | $5,094 |
| Minnesota | 10 | $28,448 | $6,011 |
| Nebraska | 4 | $27,816 | $6,238 |
| Oklahoma | 7 | $27,698 | $5,620 |
| Delaware | 1 | $26,279 | $6,258 |
| Michigan | 23 | $26,060 | $6,028 |
| North Dakota | 3 | $26,021 | $5,452 |
| Alabama | 6 | $24,654 | $5,249 |
| West Virginia | 8 | $24,519 | $4,896 |
| Utah | 1 | $24,116 | $5,699 |
| Louisiana | 3 | $23,491 | $4,625 |
| Rhode Island | 1 | $23,405 | $7,584 |
| Maine | 2 | $20,891 | $5,998 |
| Arkansas | 4 | $20,869 | $5,042 |
| Massachusetts | 33 | $20,743 | $6,756 |
| Mississippi | 4 | $20,368 | $4,951 |
| Montana | 1 | $17,175 | $5,286 |
| Maryland | 24 | $12,623 | $9,829 |
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.