DRG 536 Medical
Fractures of Hip and Pelvis without MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$5,249
National average
Avg Total Costs
$7,147
CMS Inpatient data
Avg Length of Stay
2.9 days
CMS MS-DRG
Est. Commercial Insurance
$7,874 — $13,124
1.5x — 2.5x Medicare
Annual Discharges
9,631
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
9,631
Total Discharges
$7,147
Avg Total Costs
$5,323
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for fractures of hip and pelvis without mcc cost?
The average Medicare payment for DRG 536 is $5,249. Average hospital costs are $7,147. Commercial insurance typically pays 150-250% of Medicare rates ($7,874 — $13,124).
How long is the hospital stay for DRG 536?
The average length of stay is 2.9 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.