Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major — what U.S. hospitals charge
MS-DRG 562 · Inpatient stay · 87 U.S. hospitals publish a price
Cheapest quarter
under $41,025
Typical charge
$53,707
Dearest quarter
over $89,911
Actually paid
$14,408
The middle U.S. hospital bills $53,707 for Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major. The dearest hospitals charge about 4.5x what the cheapest do for the same coded work. Medicare actually paid about $14,408 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Ohio | 3 | $26,865 | $15,145 – $43,927 |
| Massachusetts | 8 | $27,806 | $23,461 – $66,352 |
| Michigan | 4 | $33,119 | $26,185 – $40,047 |
| Pennsylvania | 4 | $48,265 | $38,525 – $52,367 |
| Tennessee | 3 | $49,531 | $48,773 – $51,261 |
| North Carolina | 3 | $53,707 | $41,225 – $72,663 |
| Florida | 10 | $66,455 | $49,932 – $150,914 |
| New Jersey | 4 | $73,308 | $57,867 – $92,118 |
| Texas | 6 | $85,111 | $39,279 – $137,060 |
| Georgia | 3 | $85,314 | $67,484 – $87,704 |
| California | 8 | $106,474 | $39,874 – $262,932 |
| New York | 11 | $112,726 | $46,824 – $149,991 |
Where Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Bethesda North
Cincinnati, OH |
$15,145 | $9,325 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$19,754 | $18,145 |
|
South Shore Hospital
South Weymouth, MA |
$23,461 | $11,668 |
|
Baystate Medical Center
Springfield, MA |
$25,177 | $15,886 |
|
Beaumont Hospital, Troy
Troy, MI |
$26,185 | $9,684 |
|
Northeast Hospital Corporation
Beverly, MA |
$26,248 | $12,066 |
|
Cape Cod Hospital
Hyannis, MA |
$26,657 | $15,539 |
|
Southwest General Health Center
Middleburg Heights, OH |
$26,865 | $9,241 |
|
North Shore Medical Center -
Salem, MA |
$28,954 | $12,934 |
|
Saint Francis Hospital, Inc
Tulsa, OK |
$29,164 | $10,810 |
|
Henry Ford Health Warren Hospital
Warren, MI |
$30,493 | $12,031 |
|
Mercy Hospital South
Saint Louis, MO |
$33,514 | $10,400 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$262,932 | $19,169 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$150,914 | $12,892 |
|
Huntington Hospital
Pasadena, CA |
$150,547 | $13,812 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$149,991 | $24,284 |
|
Glendale Adventist Medical Center
Glendale, CA |
$149,412 | $15,920 |
|
North Shore University Hospital
Manhasset, NY |
$148,062 | $19,907 |
|
Methodist Hospital
San Antonio, TX |
$137,060 | $10,977 |
|
Baptist Medical Center
San Antonio, TX |
$131,448 | $11,221 |
|
Wesley Medical Center
Wichita, KS |
$129,914 | $12,349 |
|
Montefiore Medical Center
Bronx, NY |
$129,602 | $20,613 |
|
Nyu Langone Hospitals
New York, NY |
$119,563 | $20,926 |
|
Cjw Medical Center
Richmond, VA |
$118,491 | $10,165 |
Questions people ask
What do U.S. hospitals charge for Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major?
Across 87 U.S. hospitals, the middle charge for Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major is $53,707. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $41,025 and the dearest quarter over $89,911.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major, the hospitals in the dearest tenth charge about 4.5x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $14,408 is roughly what Medicare actually paid per case, against an average charge of $73,074. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 562: “FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.