Hip replacement after a hip fracture in Wisconsin
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
$73,672typical hospital bill
$16,690typical amount paid
$13,604–$22,261range paid across 19 hospitals
Wisconsin hospitals billed Medicare a typical $73,672 for this stay in 2024, about 4.4 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.