Hip replacement after a hip fracture in Washington
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
$93,201typical hospital bill
$18,613typical amount paid
$16,691–$23,451range paid across 30 hospitals
Washington hospitals billed Medicare a typical $93,201 for this stay in 2024, about 5.0 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.