Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in California
MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc
$199,250typical hospital bill
$30,754typical amount paid
$26,640–$54,792range paid across 34 hospitals
California hospitals billed Medicare a typical $199,250 for this stay in 2024, about 6.5 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.