DRG 522 Surgical
Hip Replacement with Principal Diagnosis of Hip Fracture without MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$13,765
National average
Avg Total Costs
$17,970
CMS Inpatient data
Avg Length of Stay
4 days
CMS MS-DRG
Est. Commercial Insurance
$20,648 — $34,413
1.5x — 2.5x Medicare
Annual Discharges
36,951
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
36,951
Total Discharges
$17,970
Avg Total Costs
$15,535
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for hip replacement with principal diagnosis of hip fracture without mcc cost?
The average Medicare payment for DRG 522 is $13,765. Average hospital costs are $17,970. Commercial insurance typically pays 150-250% of Medicare rates ($20,648 — $34,413).
How long is the hospital stay for DRG 522?
The average length of stay is 4 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.