Inpatient stays / DRG 536
MS-DRG 536 · 563 hospitals · 18,597 stays
DRG 536: Fractures of Hip and Pelvis without MCC
Medicare patients had 18,597 stays in DRG 536 in 2024. Hospitals charged an average of $37,688 per stay and were paid $7,513 — a ratio of 5 to 1 — of which Medicare's own share averaged $5,685. Average charges ran from $7,549 at the least expensive hospital to $155,611 at the most; half of hospitals charged between $24,256 and $47,992.
- 1Average charge $37,688
- 2Average paid $7,513
- 3Reporting hospitals 563
- 4Medicare stays 18,597
By state
Average charges for DRG 536 were highest in Nevada ($69,376) and lowest in Maryland ($11,462). Payments vary far less than charges, because Medicare sets them: they range across states from $5,638 to $10,312.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 148 | $69,376 | $7,860 | 8.8× |
| California | 1,671 | $62,767 | $9,160 | 6.9× |
| New Jersey | 679 | $56,296 | $7,759 | 7.3× |
| Colorado | 235 | $54,234 | $7,262 | 7.5× |
| Florida | 1,870 | $50,787 | $6,758 | 7.5× |
| Alaska | 27 | $50,778 | $9,238 | 5.5× |
| New York | 1,310 | $49,408 | $9,674 | 5.1× |
| Texas | 1,177 | $44,536 | $7,573 | 5.9× |
| Arizona | 311 | $41,978 | $6,827 | 6.1× |
| Kansas | 190 | $38,076 | $6,536 | 5.8× |
| District of Columbia | 33 | $37,221 | $8,989 | 4.1× |
| Pennsylvania | 810 | $36,392 | $6,686 | 5.4× |
| Washington | 266 | $35,188 | $7,552 | 4.7× |
| Georgia | 524 | $34,193 | $8,205 | 4.2× |
| Hawaii | 57 | $32,429 | $10,214 | 3.2× |
| Delaware | 72 | $31,952 | $8,858 | 3.6× |
| Connecticut | 134 | $31,891 | $8,296 | 3.8× |
| New Mexico | 104 | $31,803 | $7,472 | 4.3× |
| Tennessee | 445 | $31,716 | $7,058 | 4.5× |
| South Carolina | 431 | $31,389 | $7,006 | 4.5× |
| Missouri | 415 | $30,675 | $6,870 | 4.5× |
| Alabama | 322 | $29,782 | $6,623 | 4.5× |
| Virginia | 550 | $29,693 | $6,694 | 4.4× |
| Illinois | 703 | $29,493 | $7,126 | 4.1× |
| Oklahoma | 298 | $29,131 | $6,586 | 4.4× |
| Oregon | 135 | $28,525 | $8,227 | 3.5× |
| Idaho | 91 | $28,520 | $7,051 | 4× |
| New Hampshire | 105 | $28,298 | $6,798 | 4.2× |
| Utah | 106 | $27,465 | $6,696 | 4.1× |
| Vermont | 45 | $27,208 | $5,638 | 4.8× |
| Kentucky | 257 | $27,135 | $5,935 | 4.6× |
| Mississippi | 212 | $27,097 | $6,073 | 4.5× |
| Louisiana | 229 | $26,911 | $6,122 | 4.4× |
| Wyoming | 65 | $26,497 | $8,892 | 3× |
| Wisconsin | 252 | $26,063 | $6,695 | 3.9× |
| Indiana | 381 | $25,994 | $6,505 | 4× |
| North Carolina | 633 | $25,381 | $7,392 | 3.4× |
| Ohio | 561 | $25,373 | $6,561 | 3.9× |
| South Dakota | 49 | $25,023 | $6,521 | 3.8× |
| Michigan | 468 | $24,958 | $7,050 | 3.5× |
| Nebraska | 159 | $24,416 | $7,039 | 3.5× |
| North Dakota | 42 | $24,230 | $6,362 | 3.8× |
| Minnesota | 211 | $24,016 | $7,047 | 3.4× |
| Arkansas | 200 | $22,757 | $5,981 | 3.8× |
| West Virginia | 129 | $22,471 | $6,278 | 3.6× |
| Iowa | 226 | $22,112 | $5,957 | 3.7× |
| Rhode Island | 38 | $21,773 | $7,196 | 3× |
| Montana | 63 | $20,969 | $6,628 | 3.2× |
| Maine | 79 | $19,622 | $7,232 | 2.7× |
| Massachusetts | 536 | $17,524 | $7,581 | 2.3× |
| Maryland | 543 | $11,462 | $10,312 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 31 stays | $155,611 | $11,329 |
| Stanford Health Care Stanford, CA · 26 stays | $139,037 | $13,794 |
| OU Health University of Oklahoma Medical Center Oklahoma City, OK · 13 stays | $121,818 | $10,741 |
| Westchester Medical Center Valhalla, NY · 23 stays | $119,694 | $10,166 |
| HCA Florida Bayonet Point Hospital Hudson, FL · 11 stays | $111,143 | $7,539 |
| HCA Florida Lawnwood Hospital Fort Pierce, FL · 12 stays | $104,850 | $6,629 |
| Good Samaritan Hospital San Jose, CA · 18 stays | $104,586 | $8,813 |
| HCA Florida Fort Walton-Destin Hospital Fort Walton Beach, FL · 15 stays | $101,469 | $6,175 |
| HCA Florida Fawcett Hospital Port Charlotte, FL · 20 stays | $100,215 | $5,405 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 15 stays | $99,632 | $7,779 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Howard County Medical Center Columbia, MD · 20 stays | $7,549 | $6,844 |
| Sturdy Memorial Hospital Attleboro, MA · 12 stays | $7,696 | $6,010 |
| Suburban Hospital Bethesda, MD · 26 stays | $8,280 | $7,436 |
| Meritus Medical Center Hagerstown, MD · 25 stays | $8,763 | $8,068 |
| Carroll Hospital Center Westminster, MD · 20 stays | $8,766 | $7,773 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 17 stays | $8,778 | $7,956 |
| Medstar Saint Mary's Hospital Leonardtown, MD · 12 stays | $8,884 | $8,192 |
| Frederick Health Hospital Frederick, MD · 25 stays | $9,067 | $8,181 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 58 stays | $9,074 | $8,418 |
| Adventist Healthcare Shady Grove Medical Center Rockville, MD · 24 stays | $9,816 | $8,691 |
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.