Inpatient stays / DRG 563
MS-DRG 563 · 735 hospitals · 22,971 stays
DRG 563: Fracture, Sprain, Strain and Dislocation except Femur, Hip, Pelvis and Thigh without MCC
Medicare patients had 22,971 stays in DRG 563 in 2024. Hospitals charged an average of $42,606 per stay and were paid $8,686 — a ratio of 4.9 to 1 — of which Medicare's own share averaged $6,629. Average charges ran from $8,939 at the least expensive hospital to $157,219 at the most; half of hospitals charged between $25,820 and $55,206.
- 1Average charge $42,606
- 2Average paid $8,686
- 3Reporting hospitals 735
- 4Medicare stays 22,971
By state
Average charges for DRG 563 were highest in Nevada ($80,243) and lowest in Maryland ($12,533). Payments vary far less than charges, because Medicare sets them: they range across states from $4,630 to $11,427.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 194 | $80,243 | $8,620 | 9.3× |
| Alaska | 33 | $75,849 | $11,192 | 6.8× |
| California | 2,132 | $68,583 | $10,662 | 6.4× |
| Colorado | 225 | $61,794 | $7,870 | 7.9× |
| New Jersey | 939 | $60,660 | $9,383 | 6.5× |
| Florida | 2,445 | $54,892 | $7,719 | 7.1× |
| New York | 1,969 | $54,446 | $11,427 | 4.8× |
| District of Columbia | 45 | $54,266 | $10,861 | 5× |
| Texas | 1,184 | $51,698 | $8,804 | 5.9× |
| Arizona | 422 | $48,721 | $7,885 | 6.2× |
| Kansas | 264 | $45,688 | $7,296 | 6.3× |
| Pennsylvania | 1,410 | $41,308 | $7,885 | 5.2× |
| Georgia | 524 | $41,216 | $9,527 | 4.3× |
| New Hampshire | 146 | $39,435 | $7,649 | 5.2× |
| South Carolina | 362 | $38,594 | $7,803 | 4.9× |
| Connecticut | 178 | $37,819 | $9,649 | 3.9× |
| Tennessee | 494 | $37,355 | $7,695 | 4.9× |
| Washington | 347 | $35,817 | $8,583 | 4.2× |
| Virginia | 604 | $35,797 | $7,529 | 4.8× |
| New Mexico | 85 | $34,444 | $8,521 | 4× |
| Indiana | 479 | $33,781 | $8,896 | 3.8× |
| Illinois | 970 | $33,643 | $8,139 | 4.1× |
| Missouri | 503 | $33,173 | $7,492 | 4.4× |
| Idaho | 88 | $32,884 | $7,791 | 4.2× |
| Alabama | 267 | $31,791 | $7,416 | 4.3× |
| Oklahoma | 236 | $31,735 | $7,402 | 4.3× |
| Louisiana | 163 | $30,521 | $6,857 | 4.5× |
| Utah | 117 | $30,465 | $7,821 | 3.9× |
| Kentucky | 275 | $30,358 | $7,096 | 4.3× |
| Oregon | 162 | $29,731 | $9,548 | 3.1× |
| South Dakota | 67 | $29,460 | $7,406 | 4× |
| Ohio | 851 | $29,077 | $7,415 | 3.9× |
| Mississippi | 163 | $28,784 | $6,903 | 4.2× |
| Wisconsin | 378 | $28,461 | $7,524 | 3.8× |
| Hawaii | 23 | $28,351 | $11,186 | 2.5× |
| North Carolina | 530 | $27,684 | $8,282 | 3.3× |
| North Dakota | 71 | $27,119 | $7,411 | 3.7× |
| Wyoming | 45 | $27,019 | $10,242 | 2.6× |
| Michigan | 656 | $26,906 | $8,010 | 3.4× |
| Nebraska | 163 | $26,873 | $7,716 | 3.5× |
| Minnesota | 303 | $26,748 | $8,412 | 3.2× |
| Vermont | 17 | $26,713 | $4,630 | 5.8× |
| Delaware | 91 | $26,681 | $8,520 | 3.1× |
| Rhode Island | 46 | $25,207 | $8,546 | 2.9× |
| Iowa | 241 | $25,078 | $6,884 | 3.6× |
| Maine | 99 | $23,144 | $8,735 | 2.6× |
| West Virginia | 182 | $22,896 | $6,753 | 3.4× |
| Arkansas | 157 | $21,813 | $6,583 | 3.3× |
| Montana | 59 | $19,952 | $7,094 | 2.8× |
| Massachusetts | 951 | $19,354 | $8,492 | 2.3× |
| Maryland | 616 | $12,533 | $11,260 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 37 stays | $157,219 | $16,643 |
| San Ramon Regional Medical Center San Ramon, CA · 11 stays | $153,404 | $9,611 |
| HCA Florida Osceola Hospital Kissimmee, FL · 14 stays | $152,324 | $10,013 |
| Ascension St Vincent Hospital Indianapolis, IN · 18 stays | $142,777 | $49,766 |
| Desert Regional Medical Center Palm Springs, CA · 22 stays | $137,044 | $10,572 |
| HCA Florida Orange Park Hospital Orange Park, FL · 24 stays | $129,959 | $9,428 |
| HCA Florida Bayonet Point Hospital Hudson, FL · 22 stays | $129,455 | $8,561 |
| HCA Florida Memorial Hospital Jacksonville, FL · 16 stays | $129,055 | $7,780 |
| Cedars-Sinai Medical Center Los Angeles, CA · 46 stays | $128,505 | $13,011 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 18 stays | $127,888 | $8,823 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Suburban Hospital Bethesda, MD · 22 stays | $8,939 | $8,010 |
| University of MD St Joseph Medical Center Towson, MD · 16 stays | $9,361 | $8,683 |
| Beth Israel Deaconess Hospital-Milton Inc Milton, MA · 22 stays | $9,838 | $7,117 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 29 stays | $9,853 | $8,915 |
| Meritus Medical Center Hagerstown, MD · 21 stays | $10,049 | $9,353 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 30 stays | $10,126 | $9,087 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 41 stays | $10,218 | $9,441 |
| Brown University Health Morton Hospital Taunton, MA · 22 stays | $10,244 | $7,594 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 22 stays | $10,394 | $9,586 |
| Frederick Health Hospital Frederick, MD · 33 stays | $10,396 | $9,380 |
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.