Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications — what U.S. hospitals charge
MS-DRG 522 · Inpatient stay · 1,414 U.S. hospitals publish a price
Cheapest quarter
under $63,580
Typical charge
$85,674
Dearest quarter
over $123,153
Actually paid
$18,449
The middle U.S. hospital bills $85,674 for Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $18,449 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 without 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 | 34 | $31,133 | $22,663 – $54,210 |
| Massachusetts | 33 | $42,320 | $28,142 – $117,020 |
| Rhode Island | 5 | $47,985 | $43,745 – $49,061 |
| North Dakota | 6 | $53,010 | $46,567 – $60,255 |
| Montana | 8 | $54,697 | $40,697 – $72,740 |
| Vermont | 4 | $55,430 | $43,451 – $70,429 |
| Arkansas | 20 | $56,160 | $24,668 – $120,695 |
| Mississippi | 17 | $56,532 | $36,078 – $228,725 |
| Iowa | 18 | $58,664 | $40,926 – $99,195 |
| Alabama | 28 | $62,143 | $31,769 – $250,824 |
| Delaware | 5 | $62,714 | $35,421 – $72,287 |
| Missouri | 32 | $63,323 | $39,809 – $304,471 |
| Minnesota | 20 | $63,642 | $48,260 – $81,432 |
| Maine | 5 | $65,105 | $60,709 – $74,233 |
| Hawaii | 6 | $65,728 | $59,572 – $95,802 |
| Michigan | 38 | $66,358 | $40,705 – $122,761 |
| Nebraska | 16 | $66,647 | $49,316 – $98,817 |
| South Dakota | 7 | $69,315 | $53,854 – $79,721 |
| Idaho | 4 | $69,572 | $64,525 – $103,663 |
| Kansas | 19 | $70,571 | $21,792 – $215,440 |
| West Virginia | 13 | $70,593 | $52,365 – $100,216 |
| Utah | 8 | $71,023 | $51,628 – $137,160 |
| Connecticut | 18 | $71,950 | $53,141 – $106,968 |
| Virginia | 43 | $72,078 | $41,032 – $326,673 |
| Wisconsin | 19 | $73,672 | $49,069 – $127,274 |
| Ohio | 53 | $73,674 | $32,434 – $140,958 |
| Oregon | 17 | $73,787 | $53,077 – $122,060 |
| New Hampshire | 8 | $74,043 | $54,780 – $161,018 |
| North Carolina | 44 | $76,458 | $23,109 – $142,374 |
| Louisiana | 22 | $79,236 | $35,415 – $188,490 |
| Tennessee | 39 | $83,137 | $36,010 – $253,641 |
| Wyoming | 3 | $84,116 | $47,494 – $96,007 |
| Kentucky | 21 | $84,396 | $44,495 – $169,085 |
| Indiana | 34 | $84,944 | $51,871 – $173,355 |
| Oklahoma | 29 | $85,544 | $42,392 – $253,665 |
| Illinois | 50 | $85,900 | $42,336 – $154,792 |
| Pennsylvania | 54 | $88,981 | $42,767 – $226,457 |
| New York | 67 | $91,458 | $33,948 – $261,981 |
| Washington | 30 | $93,201 | $49,967 – $154,857 |
| South Carolina | 28 | $93,680 | $50,497 – $209,336 |
| Georgia | 44 | $100,711 | $45,289 – $195,130 |
| New Jersey | 39 | $106,306 | $66,746 – $404,007 |
| Texas | 106 | $106,341 | $45,347 – $375,379 |
| District of Columbia | 4 | $107,712 | $70,361 – $204,196 |
| Arizona | 33 | $108,555 | $52,960 – $289,962 |
| New Mexico | 8 | $121,187 | $46,472 – $307,238 |
| Colorado | 15 | $127,529 | $93,442 – $315,074 |
| Florida | 106 | $131,712 | $60,085 – $270,404 |
| California | 117 | $135,277 | $64,285 – $387,437 |
| Alaska | 5 | $139,478 | $75,296 – $244,575 |
| Nevada | 12 | $187,245 | $63,048 – $319,349 |
Where Hip Replacement with Principal Diagnosis of Hip Fracture without 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 |
|---|---|---|
|
Kansas Medical Center Llc
Andover, KS |
$21,792 | $13,567 |
|
Meritus Medical Center
Hagerstown, MD |
$22,663 | $20,874 |
|
Medstar Montgomery Medical Center
Olney, MD |
$23,066 | $20,445 |
|
Northern Regional Hospital
Mount Airy, NC |
$23,109 | $14,971 |
|
University Of Md Shore Medical Center At Easton
Easton, MD |
$23,845 | $21,322 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$24,269 | $21,589 |
|
Suburban Hospital
Bethesda, MD |
$24,332 | $21,273 |
|
St Bernards Medical Center
Jonesboro, AR |
$24,668 | $13,372 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$25,438 | $23,477 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$25,966 | $23,569 |
|
Holy Cross Germantown Hospital
Germantown, MD |
$26,723 | $23,799 |
|
Milford Regional Medical Center
Milford, MA |
$28,142 | $17,534 |
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 |
|---|---|---|
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$404,007 | $21,193 |
|
Good Samaritan Hospital
San Jose, CA |
$387,437 | $23,156 |
|
Medical City Arlington
Arlington, TX |
$375,379 | $20,586 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$365,868 | $26,066 |
|
Emanuel Medical Center
Turlock, CA |
$352,077 | $21,715 |
|
Northbay Medical Center
Fairfield, CA |
$344,895 | $25,504 |
|
Desert Regional Medical Center
Palm Springs, CA |
$341,627 | $23,245 |
|
Stanford Health Care
Stanford, CA |
$336,773 | $34,232 |
|
Ucla West Valley Medical Center
West Hills, CA |
$333,757 | $22,580 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$331,675 | $18,970 |
|
Medical Center Of Mckinney
Mckinney, TX |
$330,565 | $15,402 |
|
Cjw Medical Center
Richmond, VA |
$326,673 | $14,788 |
Questions people ask
What do U.S. hospitals charge for Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications?
Across 1,414 U.S. hospitals, the middle charge for Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications is $85,674. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $63,580 and the dearest quarter over $123,153.
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 without 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. $18,449 is roughly what Medicare actually paid per case, against an average charge of $102,629. 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 522: “HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT 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.