Fractures of Hip and Pelvis with Major Complications — what U.S. hospitals charge
MS-DRG 535 · Inpatient stay · 72 U.S. hospitals publish a price
Cheapest quarter
under $37,211
Typical charge
$51,645
Dearest quarter
over $80,873
Actually paid
$11,944
The middle U.S. hospital bills $51,645 for Fractures of Hip and Pelvis with Major Complications. The dearest hospitals charge about 4.5x what the cheapest do for the same coded work. Medicare actually paid about $11,944 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.
Fractures of Hip and Pelvis with Major Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Massachusetts | 5 | $24,567 | $21,454 – $28,841 |
| Tennessee | 3 | $38,053 | $26,909 – $67,742 |
| Illinois | 3 | $41,654 | $40,767 – $41,988 |
| Florida | 14 | $58,859 | $42,463 – $122,446 |
| Texas | 3 | $83,332 | $81,162 – $164,489 |
| New York | 9 | $105,807 | $65,970 – $126,369 |
| California | 3 | $132,266 | $80,777 – $173,077 |
Where Fractures of Hip and Pelvis with Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Frederick Health Hospital
Frederick, MD |
$16,292 | $14,856 |
|
Bethesda North
Cincinnati, OH |
$16,585 | $9,211 |
|
Moses H. Cone Memorial Hospital, The
Greensboro, NC |
$18,822 | $11,522 |
|
Cape Cod Hospital
Hyannis, MA |
$21,454 | $13,547 |
|
North Mississippi Medical Center
Tupelo, MS |
$22,350 | $9,556 |
|
South Shore Hospital
South Weymouth, MA |
$23,820 | $10,675 |
|
Newton-Wellesley Hospital
Newton, MA |
$24,567 | $8,887 |
|
Southcoast Hospitals Group
Fall River, MA |
$24,617 | $10,538 |
|
Centracare - St. Cloud Hospital
Saint Cloud, MN |
$25,166 | $12,626 |
|
Renown Regional Medical Center
Reno, NV |
$26,162 | $11,832 |
|
University Health System, Inc
Knoxville, TN |
$26,909 | $13,870 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$28,841 | $14,223 |
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 |
$173,077 | $16,953 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$164,489 | $10,132 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$132,266 | $12,645 |
|
Mount Sinai Hospital
New York, NY |
$126,369 | $18,692 |
|
Delray Medical Center
Delray Beach, FL |
$122,446 | $7,149 |
|
New York-Presbyterian Hospital
New York, NY |
$121,788 | $18,605 |
|
O U Medical Center
Oklahoma City, OK |
$120,940 | $13,871 |
|
Long Island Jewish Medical Center
New Hyde Park, NY |
$110,876 | $14,329 |
|
Marion Communtiy Hospital
Ocala, FL |
$108,463 | $10,897 |
|
Mount Sinai West
New York, NY |
$107,010 | $18,651 |
|
Nyu Langone Hospitals
New York, NY |
$105,807 | $17,671 |
|
Medstar Washington Hospital Center
Washington, DC |
$105,533 | $18,956 |
Questions people ask
What do U.S. hospitals charge for Fractures of Hip and Pelvis with Major Complications?
Across 72 U.S. hospitals, the middle charge for Fractures of Hip and Pelvis with Major Complications is $51,645. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $37,211 and the dearest quarter over $80,873.
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 Fractures of Hip and Pelvis with Major Complications, 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. $11,944 is roughly what Medicare actually paid per case, against an average charge of $64,102. 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 535: “FRACTURES OF HIP AND PELVIS 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.