Inpatient stays / DRG 542
MS-DRG 542 · 184 hospitals · 8,720 stays
DRG 542: Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC
Medicare patients had 8,720 stays in DRG 542 in 2024. Hospitals charged an average of $79,949 per stay and were paid $17,385 — a ratio of 4.6 to 1 — of which Medicare's own share averaged $14,320. Average charges ran from $21,827 at the least expensive hospital to $554,399 at the most; half of hospitals charged between $50,632 and $109,908.
- 1Average charge $79,949
- 2Average paid $17,385
- 3Reporting hospitals 184
- 4Medicare stays 8,720
By state
Average charges for DRG 542 were highest in Nevada ($144,992) and lowest in Maryland ($32,999). Payments vary far less than charges, because Medicare sets them: they range across states from $11,370 to $29,996.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 77 | $144,992 | $16,251 | 8.9× |
| Alaska | 24 | $141,956 | $22,917 | 6.2× |
| California | 742 | $138,082 | $22,628 | 6.1× |
| District of Columbia | 27 | $134,996 | $24,388 | 5.5× |
| New York | 573 | $123,276 | $22,973 | 5.4× |
| New Jersey | 303 | $121,935 | $17,808 | 6.8× |
| Colorado | 122 | $105,927 | $15,529 | 6.8× |
| Pennsylvania | 417 | $100,211 | $16,911 | 5.9× |
| Florida | 587 | $97,725 | $14,555 | 6.7× |
| Texas | 382 | $96,149 | $15,985 | 6× |
| Georgia | 175 | $81,373 | $16,591 | 4.9× |
| Hawaii | 22 | $80,608 | $29,996 | 2.7× |
| Arizona | 236 | $79,985 | $15,509 | 5.2× |
| Connecticut | 85 | $76,460 | $19,532 | 3.9× |
| Kansas | 89 | $73,936 | $14,489 | 5.1× |
| Kentucky | 106 | $68,857 | $13,931 | 4.9× |
| South Carolina | 124 | $68,688 | $15,557 | 4.4× |
| Iowa | 63 | $67,885 | $15,428 | 4.4× |
| Illinois | 516 | $66,823 | $16,977 | 3.9× |
| Tennessee | 149 | $66,556 | $15,468 | 4.3× |
| Washington | 229 | $65,779 | $17,337 | 3.8× |
| Delaware | 30 | $65,421 | $16,677 | 3.9× |
| Oklahoma | 88 | $62,873 | $13,743 | 4.6× |
| Nebraska | 48 | $62,792 | $18,515 | 3.4× |
| Louisiana | 51 | $61,410 | $13,986 | 4.4× |
| Missouri | 204 | $60,628 | $15,535 | 3.9× |
| Vermont | 30 | $57,144 | $11,370 | 5× |
| Alabama | 74 | $55,726 | $13,345 | 4.2× |
| North Carolina | 188 | $54,893 | $17,189 | 3.2× |
| Michigan | 249 | $54,717 | $16,134 | 3.4× |
| Wisconsin | 218 | $54,587 | $15,576 | 3.5× |
| Minnesota | 230 | $54,014 | $18,300 | 3× |
| Oregon | 125 | $53,431 | $18,783 | 2.8× |
| West Virginia | 28 | $53,384 | $14,094 | 3.8× |
| Ohio | 459 | $53,380 | $14,296 | 3.7× |
| Virginia | 301 | $53,318 | $15,499 | 3.4× |
| Indiana | 176 | $53,283 | $13,531 | 3.9× |
| North Dakota | 35 | $52,571 | $15,238 | 3.4× |
| Maine | 31 | $52,159 | $17,370 | 3× |
| New Hampshire | 60 | $51,019 | $16,418 | 3.1× |
| South Dakota | 33 | $50,428 | $15,189 | 3.3× |
| Mississippi | 56 | $50,347 | $13,431 | 3.7× |
| New Mexico | 62 | $50,254 | $17,439 | 2.9× |
| Massachusetts | 467 | $48,404 | $18,502 | 2.6× |
| Rhode Island | 64 | $47,766 | $17,807 | 2.7× |
| Utah | 64 | $47,597 | $15,918 | 3× |
| Idaho | 47 | $45,040 | $12,786 | 3.5× |
| Wyoming | 17 | $42,826 | $18,489 | 2.3× |
| Arkansas | 60 | $42,670 | $13,099 | 3.3× |
| Montana | 34 | $41,329 | $13,561 | 3× |
| Maryland | 143 | $32,999 | $29,619 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 17 stays | $554,399 | $41,526 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 12 stays | $460,828 | $55,740 |
| Stanford Health Care Stanford, CA · 32 stays | $319,757 | $33,277 |
| UCSF Medical Center San Francisco, CA · 15 stays | $254,799 | $56,610 |
| Montefiore Medical Center Bronx, NY · 11 stays | $253,257 | $31,943 |
| University of Colorado Hospital Authority Aurora, CO · 11 stays | $252,671 | $18,905 |
| Stony Brook University Hospital Stony Brook, NY · 12 stays | $247,740 | $32,455 |
| University of California Davis Medical Center Sacramento, CA · 15 stays | $227,585 | $33,977 |
| Houston Methodist Hospital Houston, TX · 11 stays | $225,453 | $29,788 |
| New York-Presbyterian Hospital New York, NY · 59 stays | $220,427 | $28,109 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Beth Israel Deaconess Hospital - Plymouth Plymouth, MA · 32 stays | $21,827 | $14,158 |
| Winchester Hospital Winchester, MA · 19 stays | $24,171 | $13,947 |
| South Shore Hospital South Weymouth, MA · 16 stays | $24,544 | $13,468 |
| Unity Health White County Medical Center Searcy, AR · 11 stays | $27,120 | $14,093 |
| Beverly Hospital Corporation Beverly, MA · 26 stays | $27,360 | $14,035 |
| Mayo Clinic Health System in La Crosse La Crosse, WI · 11 stays | $28,560 | $14,054 |
| Olympic Medical Center Port Angeles, WA · 13 stays | $28,750 | $15,458 |
| Mosaic Life Care at St Joseph Saint Joseph, MO · 11 stays | $29,257 | $16,662 |
| Mary Washington Hospital, Inc Fredericksburg, VA · 11 stays | $31,695 | $13,754 |
| Northwest Community Hospital 1 Arlington Heights, IL · 12 stays | $31,834 | $11,763 |
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.