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Inpatient stay · MS-DRG 542

Pathological fractures and musculoskeletal and connective tissue malignancy with MCC

In 2024, Medicare and patients paid an average of $18,732 per stay at 184 hospitals. Half of hospitals averaged between $13,858 and $20,195.

National figures, 2024

Average payment per case
$18,732
Typical range (middle half of hospitals)
$13,858–$20,195
Medicare’s share
$15,12981% of the payment
Average billed charge
$89,227
Hospitals reporting
1843,536 stays

Hospitals in California

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
California
Specific hospitals up to 10
Average payment across these 13 hospitals
$27,789National $18,732 · California $27,789
Median hospital
$20,713
Lowest to highest
$15,997–$56,610
Medicare stays
237

13 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Pathological fractures and musculoskeletal and connective tissue malignancy with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 05032427$15,99715% below the national average$14,667$90,216
Enloe HealthChico, CA · CCN 05003917$16,53012% below the national average$15,090$117,411
Shasta Regional Medical CenterRedding, CA · CCN 05076412$16,61511% below the national average$15,339$51,064
Scripps Mercy HospitalSan Diego, CA · CCN 05007714$16,69811% below the national average$15,450$57,526
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 05050315$19,723About average$14,540$96,042
NorthBay Medical CenterFairfield, CA · CCN 05036712$20,499About average$19,254$180,810
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 05017419$20,71311% above the national average$18,060$148,409
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 05011221$26,73043% above the national average$23,722$166,491
Stanford Health CareStanford, CA · CCN 05044132$33,27778% above the national average$23,669$319,757
University Of California Davis Medical CenterSacramento, CA · CCN 05059915$33,97781% above the national average$27,224$227,585
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 05002521$38,747107% above the national average$23,094$167,024
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062517$41,526122% above the national average$34,388$554,399
UCSF Medical CenterSan Francisco, CA · CCN 05045415$56,610202% above the national average$28,108$254,799

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 1,663 stays at 106 hospitals · 2021: 2,175 stays at 129 hospitals · 2022: 2,516 stays at 139 hospitals · 2023: 3,002 stays at 160 hospitals · 2024: 3,536 stays at 184 hospitals
View data as a table
National average payment and billed charge for Pathological fractures and musculoskeletal and connective tissue malignancy with MCC
Year of careAverage paymentAverage billed charge
2020$18K$76K
2021$18K$80K
2022$19K$81K
2023$18K$86K
2024$19K$89K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 43 states
Average payment by state for Pathological fractures and musculoskeletal and connective tissue malignancy with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Nebraska111$12,630$12,630–$12,630
Indiana252$12,743$12,459–$13,383
Idaho124$13,090$13,090–$13,090
Oklahoma134$13,236$13,236–$13,236
Arkansas111$14,093$14,093–$14,093
Ohio6201$14,669$13,747–$15,399
Colorado448$14,732$13,121–$15,659
South Dakota114$14,799$14,799–$14,799
Georgia228$14,912$13,466–$16,358
Florida15241$15,349$11,813–$15,423
South Carolina340$15,359$14,361–$16,628
Arizona8148$15,449$13,142–$14,066
Kentucky237$15,489$13,521–$15,833
Kansas227$16,030$15,003–$16,684
Virginia5122$16,069$13,754–$15,181
Nevada224$16,388$16,136–$16,742
Illinois13298$16,447$12,908–$18,239
North Dakota113$16,991$16,991–$16,991
Missouri597$16,994$12,141–$16,662
Washington588$17,083$14,681–$15,458
Delaware119$17,150$17,150–$17,150
Mississippi116$17,158$17,158–$17,158
Michigan584$17,164$14,464–$17,447
Texas568$17,311$14,125–$16,796
Wisconsin5103$17,646$12,743–$18,471
New Jersey7120$17,860$13,991–$19,439
New Mexico346$17,881$16,858–$19,921
New Hampshire230$18,008$15,035–$19,729
Tennessee456$18,067$15,574–$17,823
Rhode Island143$19,241$19,241–$19,241
Massachusetts15369$19,319$14,332–$21,673
Oregon363$19,543$18,496–$20,862
Iowa117$19,869$19,869–$19,869
Pennsylvania10168$20,042$15,698–$20,055
Utah122$20,110$20,110–$20,110
Minnesota6126$20,971$13,972–$17,746
North Carolina455$20,998$14,897–$26,496
Alaska112$21,021$21,021–$21,021
District of Columbia112$23,303$23,303–$23,303
Connecticut119$24,183$24,183–$24,183
New York13276$24,409$20,040–$28,109
California13237$27,789$16,698–$33,977
Maryland117$58,919$58,919–$58,919

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.