Inpatient stays / DRG 522
MS-DRG 522 · 1,414 hospitals · 42,552 stays
DRG 522: Hip Replacement with Principal Diagnosis of Hip Fracture without MCC
Medicare patients had 42,552 stays in DRG 522 in 2024. Hospitals charged an average of $102,323 per stay and were paid $18,379 — a ratio of 5.6 to 1 — of which Medicare's own share averaged $15,855. Average charges ran from $21,792 at the least expensive hospital to $404,007 at the most; half of hospitals charged between $63,563 and $123,286.
- 1Average charge $102,323
- 2Average paid $18,379
- 3Reporting hospitals 1,414
- 4Medicare stays 42,552
By state
Average charges for DRG 522 were highest in Nevada ($168,209) and lowest in Maryland ($30,682). Payments vary far less than charges, because Medicare sets them: they range across states from $13,814 to $27,771.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 325 | $168,209 | $20,007 | 8.4× |
| California | 3,467 | $157,361 | $23,639 | 6.7× |
| Alaska | 102 | $147,202 | $27,426 | 5.4× |
| Florida | 3,557 | $144,355 | $16,430 | 8.8× |
| Colorado | 561 | $138,133 | $17,832 | 7.7× |
| Texas | 3,441 | $137,859 | $17,443 | 7.9× |
| New Jersey | 1,246 | $120,037 | $19,682 | 6.1× |
| Arizona | 1,031 | $115,681 | $18,157 | 6.4× |
| District of Columbia | 80 | $111,436 | $22,954 | 4.9× |
| New York | 2,028 | $108,532 | $23,497 | 4.6× |
| New Mexico | 247 | $106,931 | $18,810 | 5.7× |
| Georgia | 1,279 | $102,012 | $18,143 | 5.6× |
| South Carolina | 1,004 | $99,700 | $17,156 | 5.8× |
| Washington | 769 | $99,091 | $18,954 | 5.2× |
| Pennsylvania | 1,582 | $98,677 | $17,520 | 5.6× |
| Kentucky | 721 | $98,086 | $16,014 | 6.1× |
| Virginia | 1,430 | $96,421 | $16,809 | 5.7× |
| Alabama | 796 | $94,043 | $15,377 | 6.1× |
| Indiana | 922 | $92,925 | $16,371 | 5.7× |
| Oklahoma | 802 | $91,429 | $15,743 | 5.8× |
| Illinois | 1,440 | $89,569 | $17,798 | 5× |
| Kansas | 514 | $88,640 | $16,026 | 5.5× |
| Louisiana | 723 | $88,262 | $15,223 | 5.8× |
| Idaho | 188 | $88,108 | $16,992 | 5.2× |
| Tennessee | 1,178 | $87,143 | $15,804 | 5.5× |
| New Hampshire | 214 | $86,209 | $18,567 | 4.6× |
| North Carolina | 1,395 | $79,264 | $17,293 | 4.6× |
| Ohio | 1,369 | $78,407 | $16,498 | 4.8× |
| West Virginia | 313 | $77,228 | $16,951 | 4.6× |
| Oregon | 396 | $77,058 | $20,893 | 3.7× |
| Wyoming | 92 | $76,681 | $23,636 | 3.2× |
| Connecticut | 425 | $75,764 | $22,130 | 3.4× |
| Missouri | 1,017 | $75,756 | $16,272 | 4.7× |
| Utah | 300 | $75,100 | $17,083 | 4.4× |
| Mississippi | 641 | $74,382 | $14,927 | 5× |
| Wisconsin | 589 | $71,994 | $17,095 | 4.2× |
| Hawaii | 134 | $70,619 | $24,835 | 2.8× |
| Michigan | 982 | $68,722 | $17,676 | 3.9× |
| Nebraska | 352 | $68,030 | $16,559 | 4.1× |
| South Dakota | 223 | $67,250 | $17,448 | 3.9× |
| Maine | 166 | $65,415 | $19,051 | 3.4× |
| Iowa | 469 | $64,753 | $15,635 | 4.1× |
| Minnesota | 637 | $62,768 | $18,353 | 3.4× |
| Vermont | 111 | $62,418 | $13,814 | 4.5× |
| Delaware | 214 | $60,391 | $18,366 | 3.3× |
| Arkansas | 701 | $58,644 | $14,924 | 3.9× |
| Massachusetts | 968 | $55,823 | $20,720 | 2.7× |
| North Dakota | 174 | $55,173 | $16,958 | 3.3× |
| Montana | 177 | $54,882 | $16,970 | 3.2× |
| Rhode Island | 131 | $48,920 | $19,335 | 2.5× |
| Maryland | 929 | $30,682 | $27,771 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Medical Center - Hopewell Pennington, NJ · 16 stays | $404,007 | $21,193 |
| Good Samaritan Hospital San Jose, CA · 26 stays | $387,437 | $23,156 |
| Medical City Arlington Arlington, TX · 19 stays | $375,379 | $20,586 |
| Cedars-Sinai Medical Center Los Angeles, CA · 61 stays | $365,868 | $26,066 |
| Emanuel Medical Center Turlock, CA · 16 stays | $352,077 | $21,715 |
| Northbay Medical Center Fairfield, CA · 15 stays | $344,895 | $25,504 |
| Desert Regional Medical Center Palm Springs, CA · 50 stays | $341,627 | $23,245 |
| Stanford Health Care Stanford, CA · 45 stays | $336,773 | $34,232 |
| UCLA West Valley Medical Center West Hills, CA · 21 stays | $333,757 | $22,580 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 27 stays | $331,675 | $18,970 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Kansas Medical Center LLC Andover, KS · 14 stays | $21,792 | $13,567 |
| Meritus Medical Center Hagerstown, MD · 32 stays | $22,663 | $20,874 |
| Medstar Montgomery Medical Center Olney, MD · 34 stays | $23,066 | $20,445 |
| Northern Regional Hospital Mount Airy, NC · 19 stays | $23,109 | $14,971 |
| University of MD Shore Medical Center at Easton Easton, MD · 35 stays | $23,845 | $21,322 |
| University of MD St Joseph Medical Center Towson, MD · 33 stays | $24,269 | $21,589 |
| Suburban Hospital Bethesda, MD · 44 stays | $24,332 | $21,273 |
| St Bernards Medical Center Jonesboro, AR · 50 stays | $24,668 | $13,372 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 62 stays | $25,438 | $23,477 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 39 stays | $25,966 | $23,569 |
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.