Inpatient stays / DRG 521
MS-DRG 521 · 440 hospitals · 15,258 stays
DRG 521: Hip Replacement with Principal Diagnosis of Hip Fracture with MCC
Medicare patients had 15,258 stays in DRG 521 in 2024. Hospitals charged an average of $135,201 per stay and were paid $25,460 — a ratio of 5.3 to 1 — of which Medicare's own share averaged $22,702. Average charges ran from $23,882 at the least expensive hospital to $503,989 at the most; half of hospitals charged between $82,441 and $157,231.
- 1Average charge $135,201
- 2Average paid $25,460
- 3Reporting hospitals 440
- 4Medicare stays 15,258
By state
Average charges for DRG 521 were highest in Nevada ($221,030) and lowest in Maryland ($39,853). Payments vary far less than charges, because Medicare sets them: they range across states from $18,627 to $37,118.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 151 | $221,030 | $26,168 | 8.4× |
| California | 1,289 | $219,101 | $32,578 | 6.7× |
| Florida | 1,140 | $187,571 | $22,073 | 8.5× |
| Alaska | 39 | $187,327 | $37,118 | 5× |
| Texas | 1,014 | $185,657 | $23,954 | 7.8× |
| Colorado | 199 | $173,818 | $23,301 | 7.5× |
| New York | 825 | $170,699 | $33,390 | 5.1× |
| District of Columbia | 27 | $166,045 | $35,239 | 4.7× |
| New Jersey | 378 | $161,416 | $27,510 | 5.9× |
| Arizona | 369 | $148,988 | $24,865 | 6× |
| Georgia | 418 | $141,213 | $25,002 | 5.6× |
| Pennsylvania | 499 | $139,694 | $24,055 | 5.8× |
| Alabama | 252 | $135,435 | $23,346 | 5.8× |
| South Carolina | 296 | $131,733 | $22,711 | 5.8× |
| New Mexico | 96 | $131,178 | $25,141 | 5.2× |
| Washington | 362 | $128,845 | $26,046 | 4.9× |
| Kansas | 228 | $128,191 | $22,724 | 5.6× |
| Illinois | 559 | $122,278 | $24,973 | 4.9× |
| Kentucky | 271 | $120,523 | $21,650 | 5.6× |
| Oklahoma | 247 | $115,818 | $21,143 | 5.5× |
| Indiana | 366 | $115,382 | $22,498 | 5.1× |
| Louisiana | 205 | $113,634 | $20,506 | 5.5× |
| Virginia | 469 | $111,518 | $22,919 | 4.9× |
| New Hampshire | 99 | $110,519 | $27,625 | 4× |
| Tennessee | 434 | $110,400 | $21,552 | 5.1× |
| Idaho | 82 | $110,302 | $22,542 | 4.9× |
| Wyoming | 23 | $107,616 | $31,021 | 3.5× |
| Hawaii | 53 | $107,291 | $34,142 | 3.1× |
| Ohio | 518 | $103,125 | $22,630 | 4.6× |
| North Carolina | 484 | $101,387 | $24,567 | 4.1× |
| Wisconsin | 256 | $99,796 | $24,132 | 4.1× |
| Connecticut | 184 | $99,398 | $30,307 | 3.3× |
| Missouri | 363 | $97,402 | $22,480 | 4.3× |
| Utah | 79 | $96,404 | $23,347 | 4.1× |
| Nebraska | 135 | $96,302 | $22,496 | 4.3× |
| West Virginia | 143 | $95,919 | $21,962 | 4.4× |
| Mississippi | 239 | $93,036 | $19,982 | 4.7× |
| South Dakota | 69 | $91,900 | $23,944 | 3.8× |
| Oregon | 173 | $89,886 | $29,401 | 3.1× |
| Maine | 84 | $89,187 | $24,658 | 3.6× |
| Michigan | 348 | $89,028 | $24,575 | 3.6× |
| Delaware | 69 | $86,818 | $25,870 | 3.4× |
| Arkansas | 190 | $85,131 | $20,825 | 4.1× |
| Minnesota | 255 | $83,322 | $25,442 | 3.3× |
| Massachusetts | 520 | $76,965 | $28,982 | 2.7× |
| Rhode Island | 38 | $76,705 | $26,600 | 2.9× |
| Vermont | 33 | $75,445 | $18,627 | 4.1× |
| Iowa | 222 | $74,867 | $21,276 | 3.5× |
| North Dakota | 91 | $73,403 | $24,923 | 2.9× |
| Montana | 77 | $69,599 | $23,135 | 3× |
| Maryland | 298 | $39,853 | $36,081 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Doctors Medical Center Modesto, CA · 15 stays | $503,989 | $30,474 |
| Cedars-Sinai Medical Center Los Angeles, CA · 24 stays | $493,250 | $39,453 |
| Centennial Hills Hospital Medical Center Las Vegas, NV · 11 stays | $458,669 | $24,324 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 12 stays | $444,964 | $25,764 |
| Stanford Health Care Stanford, CA · 20 stays | $423,095 | $47,673 |
| HCA Florida Ocala Hospital Ocala, FL · 17 stays | $419,928 | $24,514 |
| Medical City Plano Plano, TX · 31 stays | $399,978 | $19,987 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 21 stays | $390,195 | $29,285 |
| Geisinger Medical Center Danville, PA · 12 stays | $382,587 | $32,660 |
| HCA Florida Jfk Hospital Atlantis, FL · 14 stays | $376,327 | $22,095 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medstar Montgomery Medical Center Olney, MD · 18 stays | $23,882 | $21,156 |
| Meritus Medical Center Hagerstown, MD · 14 stays | $28,751 | $26,615 |
| Suburban Hospital Bethesda, MD · 18 stays | $29,846 | $26,589 |
| University of MD Shore Medical Center at Easton Easton, MD · 12 stays | $31,088 | $27,793 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 13 stays | $34,742 | $31,074 |
| Umass Memorial Health-Milford Regional Medical Ctr Milford, MA · 14 stays | $36,505 | $23,783 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 15 stays | $37,931 | $35,152 |
| U P M C Western Maryland Cumberland, MD · 14 stays | $39,971 | $35,504 |
| Beverly Hospital Corporation Beverly, MA · 17 stays | $45,144 | $23,583 |
| Frederick Health Hospital Frederick, MD · 11 stays | $47,345 | $43,104 |
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.