MS‑DRG 535: Fractures of Hip and Pelvis with MCC
What Medicare paid hospitals for MS‑DRG 535 in 2024: nationally, state by state and across hospitals.
In 2024 Medicare paid hospitals an average of $9,989 per discharge for MS‑DRG 535, across 1,062 fee-for-service discharges at 72 hospitals: 0.02% of all Medicare inpatient discharges and $10.6M in total, the 297th largest MS‑DRG by Medicare spending.
By state, the average ran from $6,460 in Kentucky to $15,168 in District of Columbia. Across hospitals, half were paid between $8,010 and $11,177 per case, and the median hospital $9,490; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.
Hospitals charged $64,102 on average for these stays, 6.4 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.
What changed in FY2027
The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.
| FY2026 | FY2027 | Change | |
|---|---|---|---|
| Relative weight | 1.2820 | 1.2728 | −0.7% |
| Geometric mean stay (days) | 3.9 | 3.9 | 0.0 |
| Average stay (days) | 5.0 | 4.9 | −0.1 |
- Not capped: the −0.7% is CMS’s yearly recalibration of every weight from recent claims and cost data.
- Name, MDC and transfer status are unchanged.
FY2027 national base payment (illustration)
$9,403.38
The FY2027 weight times the operating standardized amount and the capital rate ($6,848.00 + $539.95) at a wage index of 1.0. No IME, DSH, outlier or other hospital-specific adjustment, so it is not what any hospital is paid; price it at a hospital for that.
| MS‑DRG | Severity | Payment ($) | Step ($) |
|---|---|---|---|
| 535 | with MCC | 9,403.38 | — |
| 536 | without MCC | 5,962.08 | −3,441.30 |
FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 535 at a hospital
Paid per case, by state
| State | Paid per case | Discharges | Hospitals | Charges ÷ paid |
|---|---|---|---|---|
| District of Columbia | $15,168 | 11 | 1 | 7.0× |
| Maryland* | $13,524 | 11 | 1 | 1.2× |
| New York | $13,214 | 179 | 9 | 7.7× |
| Connecticut | $12,714 | 32 | 2 | 4.1× |
| California | $12,496 | 38 | 3 | 10.5× |
| Oklahoma | $11,279 | 11 | 1 | 10.7× |
| Minnesota | $11,143 | 13 | 1 | 2.3× |
| Georgia | $10,981 | 28 | 2 | 7.6× |
| Texas | $10,489 | 45 | 3 | 9.8× |
| New Jersey | $10,427 | 11 | 1 | 7.2× |
| South Carolina | $10,393 | 12 | 1 | 5.8× |
| Delaware | $10,205 | 11 | 1 | 3.5× |
| Massachusetts | $10,156 | 81 | 5 | 2.4× |
| North Carolina | $9,878 | 31 | 2 | 3.1× |
| Nevada | $9,878 | 25 | 2 | 6.6× |
| Indiana | $9,506 | 13 | 1 | 5.8× |
| Illinois | $9,227 | 37 | 3 | 4.5× |
| Virginia | $9,067 | 24 | 2 | 3.8× |
| Michigan | $8,734 | 22 | 2 | 5.3× |
| Missouri | $8,603 | 14 | 1 | 3.6× |
| Tennessee | $8,544 | 49 | 3 | 5.5× |
| Mississippi | $8,138 | 24 | 2 | 4.7× |
| Florida | $8,131 | 226 | 14 | 7.9× |
| Washington | $7,965 | 12 | 1 | 5.8× |
| Pennsylvania | $7,533 | 14 | 1 | 7.0× |
| Ohio | $7,486 | 11 | 1 | 2.2× |
| Louisiana | $7,388 | 25 | 2 | 6.2× |
| Alabama | $7,285 | 13 | 1 | 5.1× |
| Iowa | $7,038 | 13 | 1 | 5.3× |
| Arkansas | $6,516 | 14 | 1 | 5.4× |
| Kentucky | $6,460 | 12 | 1 | 5.0× |
| United States | $9,989 | 1,062 | 72 | 6.4× |
* Maryland hospitals are paid under the state’s all-payer model, not the IPPS, so Maryland is left out of the state range above.
How much hospitals vary
Each hospital’s own average Medicare payment for MS‑DRG 535.
| 10th percentile | $7,058 |
|---|---|
| 25th percentile | $8,010 |
| Median hospital | $9,490 |
| 75th percentile | $11,177 |
| 90th percentile | $13,792 |
Related analysis
The same condition at other severities
More in Musculoskeletal system and connective tissue
481Hip and Femur Procedures except Major Joint with CC470Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC552Medical Back Problems without MCC522Hip Replacement with Principal Diagnosis of Hip Fracture without MCC480Hip and Femur Procedures except Major Joint with MCC460Spinal Fusion except Cervical without MCC563Fracture, Sprain, Strain and Dislocation except Femur, Hip, Pelvis and Thigh without MCC467Revision of Hip or Knee Replacement with CC
Questions
What did Medicare pay for MS‑DRG 535 in 2024?
An average of $9,989 per discharge across 1,062 fee-for-service discharges at 72 hospitals, $10.6M in total.
Which state paid the most for MS‑DRG 535?
District of Columbia, at $15,168 per case; Kentucky paid the least, $6,460.
Where do these figures come from?
From the Medicare Inpatient Hospitals - by Provider and Service (data year 2024): the published hospital-by-DRG averages of Medicare fee-for-service inpatient discharges in 2024. Cells with fewer than 11 discharges are not published, so a hospital with a handful of cases is not counted. Average Medicare payment excludes the patient’s deductible and coinsurance.