Inpatient stays / DRG 535
MS-DRG 535 · 72 hospitals · 7,267 stays
DRG 535: Fractures of Hip and Pelvis with MCC
Medicare patients had 7,267 stays in DRG 535 in 2024. Hospitals charged an average of $58,462 per stay and were paid $11,993 — a ratio of 4.9 to 1 — of which Medicare's own share averaged $10,038. Average charges ran from $16,292 at the least expensive hospital to $173,077 at the most; half of hospitals charged between $37,065 and $81,066.
- 1Average charge $58,462
- 2Average paid $11,993
- 3Reporting hospitals 72
- 4Medicare stays 7,267
By state
Average charges for DRG 535 were highest in Nevada ($111,441) and lowest in Maryland ($24,476). Payments vary far less than charges, because Medicare sets them: they range across states from $7,070 to $22,149.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 65 | $111,441 | $11,666 | 9.6× |
| California | 711 | $93,161 | $14,704 | 6.3× |
| District of Columbia | 31 | $87,768 | $15,080 | 5.8× |
| New Jersey | 203 | $80,139 | $12,042 | 6.7× |
| New York | 509 | $78,218 | $15,563 | 5× |
| Alaska | 24 | $75,562 | $18,370 | 4.1× |
| Colorado | 83 | $74,583 | $10,720 | 7× |
| Florida | 698 | $73,957 | $10,049 | 7.4× |
| Texas | 456 | $73,097 | $12,540 | 5.8× |
| Arizona | 112 | $65,444 | $11,546 | 5.7× |
| New Hampshire | 44 | $64,777 | $10,842 | 6× |
| Georgia | 231 | $63,613 | $12,094 | 5.3× |
| Washington | 138 | $58,326 | $11,677 | 5× |
| Pennsylvania | 294 | $57,952 | $10,840 | 5.3× |
| Oklahoma | 98 | $57,001 | $9,875 | 5.8× |
| Kansas | 101 | $56,119 | $10,467 | 5.4× |
| Hawaii | 28 | $51,616 | $15,032 | 3.4× |
| Missouri | 170 | $50,750 | $11,012 | 4.6× |
| Alabama | 93 | $46,809 | $9,992 | 4.7× |
| Nebraska | 52 | $46,444 | $10,621 | 4.4× |
| Illinois | 289 | $45,607 | $11,004 | 4.1× |
| Delaware | 21 | $45,498 | $13,528 | 3.4× |
| South Carolina | 126 | $45,039 | $10,171 | 4.4× |
| Connecticut | 93 | $44,246 | $13,749 | 3.2× |
| Louisiana | 83 | $44,228 | $9,579 | 4.6× |
| Idaho | 34 | $44,062 | $10,376 | 4.2× |
| Tennessee | 202 | $43,966 | $11,040 | 4× |
| Mississippi | 82 | $42,953 | $9,755 | 4.4× |
| Wisconsin | 104 | $42,703 | $10,716 | 4× |
| Michigan | 164 | $42,294 | $12,075 | 3.5× |
| Ohio | 206 | $42,076 | $9,978 | 4.2× |
| Wyoming | 15 | $41,770 | $14,433 | 2.9× |
| Oregon | 69 | $41,733 | $12,971 | 3.2× |
| Virginia | 182 | $41,433 | $10,725 | 3.9× |
| West Virginia | 42 | $41,092 | $10,296 | 4× |
| Rhode Island | 21 | $40,553 | $11,952 | 3.4× |
| Indiana | 169 | $40,487 | $10,069 | 4× |
| New Mexico | 35 | $40,007 | $11,155 | 3.6× |
| Kentucky | 118 | $39,679 | $9,429 | 4.2× |
| South Dakota | 29 | $38,591 | $10,902 | 3.5× |
| North Carolina | 196 | $36,355 | $10,862 | 3.3× |
| Arkansas | 86 | $36,270 | $9,396 | 3.9× |
| Utah | 43 | $35,653 | $10,714 | 3.3× |
| Minnesota | 92 | $34,805 | $10,940 | 3.2× |
| Maine | 28 | $33,421 | $11,645 | 2.9× |
| Vermont | 14 | $32,628 | $7,070 | 4.6× |
| Iowa | 101 | $32,399 | $10,051 | 3.2× |
| Massachusetts | 253 | $27,577 | $12,034 | 2.3× |
| North Dakota | 34 | $27,263 | $9,584 | 2.8× |
| Montana | 23 | $25,123 | $10,250 | 2.5× |
| Maryland | 172 | $24,476 | $22,149 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 14 stays | $173,077 | $16,953 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 11 stays | $164,489 | $10,132 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 12 stays | $132,266 | $12,645 |
| Mount Sinai Hospital New York, NY · 13 stays | $126,369 | $18,692 |
| Delray Medical Center Delray Beach, FL · 16 stays | $122,446 | $7,148 |
| New York-Presbyterian Hospital New York, NY · 43 stays | $121,788 | $18,605 |
| OU Health University of Oklahoma Medical Center Oklahoma City, OK · 11 stays | $120,940 | $13,871 |
| Long Island Jewish Medical Center New Hyde Park, NY · 12 stays | $110,876 | $14,329 |
| HCA Florida Ocala Hospital Ocala, FL · 11 stays | $108,463 | $10,897 |
| Mount Sinai West New York, NY · 11 stays | $107,010 | $18,651 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Frederick Health Hospital Frederick, MD · 11 stays | $16,292 | $14,856 |
| Bethesda North Cincinnati, OH · 11 stays | $16,585 | $9,211 |
| Cone Health Greensboro, NC · 14 stays | $18,822 | $11,522 |
| Cape Cod Hospital Hyannis, MA · 16 stays | $21,454 | $13,547 |
| North Mississippi Medical Center Tupelo, MS · 11 stays | $22,350 | $9,556 |
| South Shore Hospital South Weymouth, MA · 19 stays | $23,820 | $10,675 |
| Newton-Wellesley Hospital Newton, MA · 12 stays | $24,567 | $8,887 |
| Southcoast Hospital Group, Inc Fall River, MA · 21 stays | $24,617 | $10,538 |
| St Cloud Hospital Saint Cloud, MN · 13 stays | $25,166 | $12,626 |
| Renown Regional Medical Center Reno, NV · 12 stays | $26,162 | $11,832 |
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.