Inpatient stays / DRG 543
MS-DRG 543 · 404 hospitals · 15,259 stays
DRG 543: Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC
Medicare patients had 15,259 stays in DRG 543 in 2024. Hospitals charged an average of $49,038 per stay and were paid $10,286 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $8,093. Average charges ran from $10,314 at the least expensive hospital to $228,164 at the most; half of hospitals charged between $29,982 and $59,136.
- 1Average charge $49,038
- 2Average paid $10,286
- 3Reporting hospitals 404
- 4Medicare stays 15,259
By state
Average charges for DRG 543 were highest in Nevada ($98,370) and lowest in Maryland ($16,770). Payments vary far less than charges, because Medicare sets them: they range across states from $6,509 to $15,085.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 89 | $98,370 | $10,836 | 9.1× |
| California | 1,270 | $89,594 | $13,182 | 6.8× |
| Alaska | 33 | $83,036 | $12,804 | 6.5× |
| New Jersey | 544 | $77,643 | $10,439 | 7.4× |
| New York | 867 | $64,250 | $12,833 | 5× |
| Colorado | 186 | $63,715 | $9,360 | 6.8× |
| District of Columbia | 28 | $62,985 | $12,577 | 5× |
| Florida | 1,128 | $62,849 | $8,781 | 7.2× |
| Texas | 633 | $59,665 | $9,794 | 6.1× |
| Pennsylvania | 895 | $57,420 | $9,652 | 5.9× |
| Arizona | 458 | $56,595 | $9,840 | 5.8× |
| Kansas | 144 | $48,713 | $8,750 | 5.6× |
| Connecticut | 130 | $46,677 | $12,742 | 3.7× |
| Georgia | 280 | $46,056 | $10,751 | 4.3× |
| South Dakota | 79 | $43,059 | $9,505 | 4.5× |
| Vermont | 37 | $42,313 | $6,509 | 6.5× |
| Tennessee | 259 | $41,340 | $9,278 | 4.5× |
| Illinois | 895 | $41,142 | $9,935 | 4.1× |
| Kentucky | 179 | $41,058 | $8,682 | 4.7× |
| Alabama | 131 | $40,681 | $8,972 | 4.5× |
| Washington | 349 | $40,489 | $10,446 | 3.9× |
| Wisconsin | 356 | $38,809 | $9,468 | 4.1× |
| Louisiana | 115 | $38,041 | $8,411 | 4.5× |
| New Mexico | 68 | $37,901 | $10,176 | 3.7× |
| New Hampshire | 97 | $37,780 | $9,972 | 3.8× |
| Missouri | 355 | $37,443 | $9,196 | 4.1× |
| Oklahoma | 160 | $36,743 | $8,758 | 4.2× |
| Nebraska | 86 | $35,867 | $9,316 | 3.9× |
| Mississippi | 99 | $35,857 | $8,947 | 4× |
| Utah | 107 | $35,804 | $10,602 | 3.4× |
| Ohio | 824 | $35,796 | $9,124 | 3.9× |
| South Carolina | 232 | $35,752 | $9,579 | 3.7× |
| Virginia | 504 | $35,565 | $9,424 | 3.8× |
| West Virginia | 73 | $35,390 | $8,630 | 4.1× |
| North Carolina | 414 | $35,370 | $10,468 | 3.4× |
| Delaware | 42 | $35,316 | $9,568 | 3.7× |
| Indiana | 277 | $34,653 | $8,603 | 4× |
| Hawaii | 27 | $34,362 | $13,302 | 2.6× |
| Michigan | 380 | $34,251 | $10,055 | 3.4× |
| Iowa | 108 | $33,976 | $8,292 | 4.1× |
| Rhode Island | 103 | $33,491 | $11,367 | 2.9× |
| Oregon | 210 | $31,977 | $11,015 | 2.9× |
| Idaho | 83 | $31,452 | $8,726 | 3.6× |
| Maine | 113 | $31,384 | $9,967 | 3.1× |
| Minnesota | 466 | $30,668 | $10,034 | 3.1× |
| North Dakota | 58 | $29,127 | $8,745 | 3.3× |
| Arkansas | 101 | $28,057 | $8,009 | 3.5× |
| Massachusetts | 829 | $27,508 | $10,840 | 2.5× |
| Wyoming | 24 | $25,015 | $11,103 | 2.3× |
| Montana | 45 | $23,970 | $7,701 | 3.1× |
| Maryland | 289 | $16,770 | $15,085 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 37 stays | $228,164 | $16,943 |
| Stanford Health Care Stanford, CA · 53 stays | $208,290 | $19,238 |
| HCA Florida Lawnwood Hospital Fort Pierce, FL · 12 stays | $142,262 | $8,781 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 18 stays | $137,587 | $11,134 |
| Marinhealth Medical Center Greenbrae, CA · 14 stays | $132,660 | $12,433 |
| Wesley Medical Center Wichita, KS · 12 stays | $131,317 | $9,408 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 23 stays | $131,040 | $12,698 |
| Northbay Medical Center Fairfield, CA · 13 stays | $130,650 | $12,942 |
| University of California Davis Medical Center Sacramento, CA · 28 stays | $128,954 | $18,444 |
| Long Island Jewish Medical Center New Hyde Park, NY · 15 stays | $125,736 | $13,414 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 21 stays | $10,314 | $9,493 |
| Beth Israel Deaconess Hospital-Milton Inc Milton, MA · 13 stays | $10,777 | $8,416 |
| Emerson Hospital - W Concord, MA · 12 stays | $11,778 | $8,283 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 18 stays | $11,925 | $10,755 |
| Sturdy Memorial Hospital Attleboro, MA · 18 stays | $12,483 | $8,827 |
| University of MD St Joseph Medical Center Towson, MD · 15 stays | $12,824 | $11,419 |
| Parkwest Medical Center Knoxville, TN · 12 stays | $13,078 | $6,966 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 15 stays | $14,055 | $13,030 |
| Winchester Hospital Winchester, MA · 49 stays | $14,396 | $8,643 |
| Adventist Healthcare Shady Grove Medical Center Rockville, MD · 12 stays | $14,689 | $12,932 |
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.