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Inpatient stay · MS-DRG 562

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCC

In 2024, Medicare and patients paid an average of $14,612 per stay at 87 hospitals. Half of hospitals averaged between $11,244 and $15,855.

National figures, 2024

Average payment per case
$14,612
Typical range (middle half of hospitals)
$11,244–$15,855
Medicare’s share
$12,14883% of the payment
Average billed charge
$73,074
Hospitals reporting
871,309 stays

Hospitals in Pennsylvania

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
Pennsylvania
Specific hospitals up to 10
Average payment across these 4 hospitals
$12,772National $14,612 · Pennsylvania $12,772
Median hospital
$12,696
Lowest to highest
$12,619–$13,079
Medicare stays
55

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

Medicare payments per case for Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Jefferson Abington HospitalAbington, PA · CCN 39023113$12,61914% below the national average$10,865$52,367
Lancaster General HospitalLancaster, PA · CCN 39010016$12,66113% below the national average$9,273$38,525
Jefferson Health- NortheastPhiladelphia, PA · CCN 39011512$12,73113% below the national average$9,907$46,700
Reading HospitalWest Reading, PA · CCN 39004414$13,07910% below the national average$10,748$49,829

National trend

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

  • Average payment
  • Average billed charge
2020: 701 stays at 49 hospitals · 2021: 940 stays at 63 hospitals · 2022: 953 stays at 65 hospitals · 2023: 1,023 stays at 69 hospitals · 2024: 1,309 stays at 87 hospitals
View data as a table
National average payment and billed charge for Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCC
Year of careAverage paymentAverage billed charge
2020$13K$63K
2021$13K$65K
2022$14K$67K
2023$14K$69K
2024$15K$73K

By state, 2024

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

Show all 26 states
Average payment by state for Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Arizona226$9,882$9,382–$10,249
Missouri114$10,400$10,400–$10,400
Iowa111$10,475$10,475–$10,475
Virginia230$10,717$10,542–$11,294
Oklahoma112$10,810$10,810–$10,810
Florida10200$11,054$10,694–$11,916
Ohio335$11,347$9,283–$12,082
Kansas224$11,760$11,466–$12,054
Michigan450$11,908$11,444–$12,532
Minnesota223$12,250$11,617–$12,783
Illinois223$12,298$11,684–$13,030
South Carolina112$12,448$12,448–$12,448
Texas676$12,552$11,038–$13,089
Pennsylvania455$12,772$12,650–$12,818
Washington111$13,585$13,585–$13,585
Delaware111$13,615$13,615–$13,615
Massachusetts8126$13,921$12,717–$15,626
New Jersey453$14,196$12,734–$15,777
North Carolina343$14,949$12,449–$17,446
Tennessee346$15,018$12,178–$18,362
Connecticut112$15,784$15,784–$15,784
New Mexico111$15,825$15,825–$15,825
California8111$16,651$14,361–$16,732
New York11224$19,231$17,283–$20,568
Georgia341$19,662$14,995–$22,545
Maryland229$28,884$22,470–$31,121

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.