Inpatient stays / DRG 481
MS-DRG 481 · 1,700 hospitals · 66,798 stays
DRG 481: Hip and Femur Procedures except Major Joint with CC
Medicare patients had 66,798 stays in DRG 481 in 2024. Hospitals charged an average of $100,756 per stay and were paid $18,493 — a ratio of 5.4 to 1 — of which Medicare's own share averaged $15,837. Average charges ran from $17,821 at the least expensive hospital to $514,378 at the most; half of hospitals charged between $60,876 and $119,887.
- 1Average charge $100,756
- 2Average paid $18,493
- 3Reporting hospitals 1,700
- 4Medicare stays 66,798
By state
Average charges for DRG 481 were highest in California ($154,156) and lowest in Maryland ($32,444). Payments vary far less than charges, because Medicare sets them: they range across states from $13,290 to $29,254.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 5,478 | $154,156 | $23,534 | 6.6× |
| Florida | 5,581 | $144,271 | $16,375 | 8.8× |
| Nevada | 506 | $143,905 | $19,238 | 7.5× |
| Alaska | 190 | $138,303 | $25,887 | 5.3× |
| Texas | 4,842 | $129,043 | $17,871 | 7.2× |
| Colorado | 918 | $126,063 | $17,169 | 7.3× |
| District of Columbia | 128 | $120,312 | $23,394 | 5.1× |
| New Jersey | 2,075 | $117,921 | $19,784 | 6× |
| Arizona | 1,428 | $117,411 | $17,545 | 6.7× |
| New York | 3,644 | $111,979 | $23,668 | 4.7× |
| Georgia | 1,857 | $107,098 | $18,143 | 5.9× |
| Pennsylvania | 2,764 | $103,609 | $17,414 | 5.9× |
| South Carolina | 1,421 | $100,431 | $16,919 | 5.9× |
| Washington | 1,217 | $96,255 | $19,127 | 5× |
| Alabama | 1,101 | $93,960 | $15,664 | 6× |
| New Hampshire | 360 | $92,748 | $18,109 | 5.1× |
| Louisiana | 957 | $92,260 | $15,310 | 6× |
| New Mexico | 379 | $91,867 | $18,444 | 5× |
| Virginia | 2,171 | $90,645 | $16,687 | 5.4× |
| Oklahoma | 1,128 | $89,471 | $15,512 | 5.8× |
| Illinois | 2,684 | $88,742 | $17,886 | 5× |
| Kansas | 741 | $88,081 | $16,274 | 5.4× |
| Tennessee | 1,651 | $87,998 | $15,965 | 5.5× |
| Indiana | 1,504 | $87,728 | $16,468 | 5.3× |
| Idaho | 279 | $85,886 | $16,753 | 5.1× |
| Kentucky | 958 | $85,014 | $15,839 | 5.4× |
| Ohio | 2,387 | $82,627 | $16,510 | 5× |
| Missouri | 1,537 | $79,806 | $16,523 | 4.8× |
| North Carolina | 2,173 | $77,249 | $17,364 | 4.4× |
| Wyoming | 136 | $75,784 | $22,930 | 3.3× |
| Oregon | 598 | $73,385 | $20,570 | 3.6× |
| West Virginia | 466 | $73,218 | $16,001 | 4.6× |
| Connecticut | 746 | $73,063 | $21,550 | 3.4× |
| Nebraska | 553 | $72,908 | $17,139 | 4.3× |
| South Dakota | 385 | $71,440 | $17,602 | 4.1× |
| Mississippi | 870 | $71,170 | $14,867 | 4.8× |
| Wisconsin | 1,099 | $71,020 | $17,026 | 4.2× |
| Utah | 481 | $70,327 | $16,982 | 4.1× |
| Hawaii | 200 | $69,340 | $24,005 | 2.9× |
| Michigan | 1,637 | $69,046 | $17,580 | 3.9× |
| Delaware | 314 | $68,983 | $18,568 | 3.7× |
| Iowa | 782 | $65,358 | $15,531 | 4.2× |
| Maine | 286 | $64,823 | $18,096 | 3.6× |
| Minnesota | 1,112 | $63,142 | $18,439 | 3.4× |
| Vermont | 158 | $60,881 | $13,290 | 4.6× |
| Arkansas | 847 | $58,543 | $14,932 | 3.9× |
| Massachusetts | 1,927 | $56,793 | $20,902 | 2.7× |
| Montana | 288 | $56,084 | $16,188 | 3.5× |
| North Dakota | 269 | $55,110 | $16,807 | 3.3× |
| Rhode Island | 227 | $53,187 | $20,630 | 2.6× |
| Maryland | 1,358 | $32,444 | $29,254 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 28 stays | $514,378 | $22,141 |
| Regional Medical Center of San Jose San Jose, CA · 19 stays | $434,926 | $25,009 |
| HCA Houston Healthcare Northwest Houston, TX · 18 stays | $390,826 | $19,632 |
| Cedars-Sinai Medical Center Los Angeles, CA · 94 stays | $346,963 | $26,289 |
| HCA Florida Kendall Hospital Miami, FL · 24 stays | $331,299 | $20,209 |
| Medical City Arlington Arlington, TX · 29 stays | $330,893 | $19,940 |
| South Texas Health System Behavioral Edinburg, TX · 24 stays | $330,208 | $18,145 |
| St Joseph's Hospital Tucson, AZ · 44 stays | $324,843 | $16,101 |
| Good Samaritan Hospital San Jose, CA · 37 stays | $324,522 | $22,634 |
| Doctors Medical Center Modesto, CA · 35 stays | $322,778 | $22,825 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Tuba City Regional Health Care Corporation Tuba City, AZ · 14 stays | $17,821 | $24,795 |
| Suburban Hospital Bethesda, MD · 93 stays | $20,923 | $18,709 |
| University of MD Shore Medical Center at Easton Easton, MD · 23 stays | $21,811 | $19,599 |
| University of MD St Joseph Medical Center Towson, MD · 15 stays | $22,532 | $19,978 |
| Medstar Montgomery Medical Center Olney, MD · 38 stays | $22,771 | $20,172 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 63 stays | $23,701 | $21,467 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 38 stays | $23,928 | $21,700 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 103 stays | $24,109 | $22,304 |
| Holy Cross Hospital Silver Spring, MD · 28 stays | $24,417 | $21,949 |
| Northern Regional Hospital Mount Airy, NC · 18 stays | $26,013 | $14,581 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.