DRG 521 Surgical
Hip Replacement with Principal Diagnosis of Hip Fracture with MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$18,656
National average
Avg Total Costs
$25,122
CMS Inpatient data
Avg Length of Stay
6 days
CMS MS-DRG
Est. Commercial Insurance
$27,984 — $46,641
1.5x — 2.5x Medicare
Annual Discharges
7,579
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
7,579
Total Discharges
$25,122
Avg Total Costs
$22,414
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for hip replacement with principal diagnosis of hip fracture with mcc cost?
The average Medicare payment for DRG 521 is $18,656. Average hospital costs are $25,122. Commercial insurance typically pays 150-250% of Medicare rates ($27,984 — $46,641).
How long is the hospital stay for DRG 521?
The average length of stay is 6 days. This varies by severity — patients with complications or comorbidities may stay longer.
How much does this hospital stay cost without insurance?
Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.