Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications — what U.S. hospitals charge
MS-DRG 521 · Inpatient stay · 440 U.S. hospitals publish a price
Cheapest quarter
under $82,542
Typical charge
$112,492
Dearest quarter
over $157,065
Actually paid
$25,484
The middle U.S. hospital bills $112,492 for Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $25,484 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.
Hip Replacement with Principal Diagnosis of Hip Fracture 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 |
|---|---|---|---|
| Maryland | 10 | $36,337 | $23,882 – $61,152 |
| Massachusetts | 18 | $66,828 | $36,505 – $186,178 |
| Montana | 4 | $67,992 | $54,772 – $90,406 |
| Arkansas | 6 | $69,456 | $53,607 – $147,737 |
| Mississippi | 10 | $74,408 | $56,322 – $109,267 |
| North Dakota | 4 | $75,184 | $67,611 – $99,546 |
| Iowa | 7 | $78,701 | $64,103 – $117,486 |
| Missouri | 10 | $78,720 | $56,163 – $202,060 |
| Oklahoma | 7 | $83,270 | $63,953 – $124,149 |
| Idaho | 3 | $84,816 | $76,981 – $119,837 |
| Virginia | 18 | $84,908 | $55,067 – $369,789 |
| Minnesota | 9 | $86,430 | $65,932 – $118,424 |
| Michigan | 8 | $87,151 | $48,325 – $144,726 |
| Tennessee | 18 | $87,329 | $50,667 – $219,040 |
| North Carolina | 10 | $89,006 | $71,755 – $151,705 |
| South Dakota | 3 | $89,103 | $83,907 – $113,603 |
| Kansas | 9 | $90,119 | $75,333 – $314,473 |
| Oregon | 4 | $91,091 | $74,340 – $101,559 |
| Nebraska | 3 | $93,471 | $77,804 – $110,422 |
| Connecticut | 6 | $96,867 | $81,536 – $116,567 |
| Indiana | 9 | $97,342 | $68,588 – $198,974 |
| Louisiana | 6 | $98,958 | $55,726 – $251,101 |
| Arizona | 13 | $103,057 | $76,328 – $226,890 |
| Wisconsin | 6 | $103,634 | $59,152 – $176,624 |
| West Virginia | 4 | $104,056 | $65,401 – $139,278 |
| Illinois | 13 | $113,277 | $57,357 – $266,792 |
| Alabama | 7 | $115,901 | $65,120 – $336,188 |
| South Carolina | 9 | $121,928 | $107,842 – $237,630 |
| Ohio | 12 | $128,565 | $63,322 – $157,314 |
| Kentucky | 7 | $130,361 | $62,117 – $198,947 |
| Washington | 14 | $134,945 | $68,889 – $159,134 |
| Florida | 35 | $137,652 | $66,967 – $419,928 |
| Georgia | 7 | $138,337 | $62,374 – $174,257 |
| Pennsylvania | 13 | $148,961 | $77,486 – $382,587 |
| Colorado | 5 | $157,747 | $134,375 – $354,117 |
| New Jersey | 12 | $159,459 | $115,347 – $209,525 |
| Texas | 24 | $160,058 | $111,280 – $444,964 |
| New York | 24 | $179,526 | $62,194 – $362,966 |
| California | 34 | $199,250 | $113,840 – $503,989 |
| Nevada | 6 | $241,473 | $70,339 – $458,669 |
Where Hip Replacement with Principal Diagnosis of Hip Fracture 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 |
|---|---|---|
|
Medstar Montgomery Medical Center
Olney, MD |
$23,882 | $21,156 |
|
Meritus Medical Center
Hagerstown, MD |
$28,751 | $26,615 |
|
Suburban Hospital
Bethesda, MD |
$29,846 | $26,589 |
|
University Of Md Shore Medical Center At Easton
Easton, MD |
$31,088 | $27,793 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$34,742 | $31,074 |
|
Milford Regional Medical Center
Milford, MA |
$36,505 | $23,783 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$37,931 | $35,152 |
|
Western Maryland Regional Medical Center
Cumberland, MD |
$39,971 | $35,504 |
|
Northeast Hospital Corporation
Beverly, MA |
$45,144 | $23,583 |
|
Frederick Health Hospital
Frederick, MD |
$47,345 | $43,104 |
|
Johns Hopkins Bayview Medical Center
Baltimore, MD |
$47,527 | $41,323 |
|
Munson Medical Center
Traverse City, MI |
$48,325 | $25,618 |
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 |
|---|---|---|
|
Doctors Medical Center
Modesto, CA |
$503,989 | $30,474 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$493,250 | $39,453 |
|
Centennial Hills Hospital Medical Center
Las Vegas, NV |
$458,669 | $24,324 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$444,964 | $25,764 |
|
Stanford Health Care
Stanford, CA |
$423,095 | $47,673 |
|
Marion Communtiy Hospital
Ocala, FL |
$419,928 | $24,514 |
|
Medical City Plano
Plano, TX |
$399,978 | $19,987 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$390,195 | $29,285 |
|
Geisinger Medical Center
Danville, PA |
$382,587 | $32,660 |
|
Hca Florida Jfk Hospital
Atlantis, FL |
$376,327 | $22,095 |
|
University Of California Davis Medical Center
Sacramento, CA |
$372,087 | $53,520 |
|
Cjw Medical Center
Richmond, VA |
$369,789 | $19,097 |
Questions people ask
What do U.S. hospitals charge for Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications?
Across 440 U.S. hospitals, the middle charge for Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications is $112,492. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $82,542 and the dearest quarter over $157,065.
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 Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications, the hospitals in the dearest tenth charge about 3.7x 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. $25,484 is roughly what Medicare actually paid per case, against an average charge of $135,818. 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 521: “HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE 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.