MS‑DRG 536: Fractures of Hip and Pelvis without MCC

What Medicare paid hospitals for MS‑DRG 536 in 2024: nationally, state by state and across hospitals.

Paid per case$5,6860.4× the all-DRG average

Discharges10,1200.20% of all Medicare discharges

Total paid$57.5M185th largest MS‑DRG by spending

Hospitals563in 48 states and DC

Charges ÷ paid7.1×$40,162 average charge

Relative weight0.8070FY2027, 2.9-day geometric mean stay; FY2026 0.8076 (−0.1%)

In 2024 Medicare paid hospitals an average of $5,686 per discharge for MS‑DRG 536, across 10,120 fee-for-service discharges at 563 hospitals: 0.20% of all Medicare inpatient discharges and $57.5M in total, the 185th largest MS‑DRG by Medicare spending.

By state, the average ran from $2,434 in Vermont to $7,144 in Oregon. Across hospitals, half were paid between $4,578 and $6,306 per case, and the median hospital $5,252; the payment moves with each hospital’s wage index, teaching and low-income share, and with outlier cases.

Hospitals charged $40,162 on average for these stays, 7.1 times what Medicare paid: charges are list prices, while Medicare pays a fixed amount per MS‑DRG.

See MS‑DRG 536 on the interactive map Price an MS‑DRG 536 claim at any hospital Every MS‑DRG

What changed in FY2027

The rates for discharges from October 1, 2026 (MS‑DRG version 44) against FY2026.

MS‑DRG 536, FY2026 and FY2027
	FY2026	FY2027	Change
Relative weight	0.8076	0.8070	−0.1%
Geometric mean stay (days)	2.9	2.9	0.0
Average stay (days)	3.5	3.4	−0.1

Not capped: the −0.1% 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)

$5,962.08

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.

FY2027 national base payment across the severity levels of MS‑DRG 536
MS‑DRG	Severity	Payment ($)	Step ($)
535	with MCC	9,403.38	+3,441.30
536	without MCC	5,962.08	—

FY2027 inpatient rates: what else changed on October 1 · Price MS‑DRG 536 at a hospital

Paid per case, by state

MS‑DRG 536 by state, 2024
State	Paid per case	Discharges	Hospitals	Charges ÷ paid
Maryland*	$8,679	453	23	1.3×
Oregon	$7,144	26	2	6.7×
California	$7,117	919	47	9.0×
New York	$6,930	949	42	8.1×
Wyoming	$6,831	34	2	4.3×
Connecticut	$6,798	42	3	5.5×
Georgia	$6,648	273	17	5.5×
Nevada	$6,367	84	5	11.2×
New Mexico	$6,159	11	1	4.6×
Texas	$6,087	572	34	7.4×
Washington	$6,009	88	7	6.0×
Delaware	$5,952	62	2	5.7×
Massachusetts	$5,733	360	21	2.9×
Hawaii	$5,675	15	1	7.7×
Wisconsin	$5,609	68	5	5.2×
New Jersey	$5,598	494	24	9.0×
Nebraska	$5,413	98	5	4.8×
South Carolina	$5,398	264	14	6.7×
Maine	$5,385	15	1	3.8×
Tennessee	$5,316	243	15	5.8×
Idaho	$5,217	58	4	5.0×
North Carolina	$5,202	412	24	5.2×
Utah	$5,054	26	1	4.9×
Florida	$5,010	1,376	64	9.9×
Pennsylvania	$4,999	476	29	8.0×
Oklahoma	$4,987	132	8	7.2×
Michigan	$4,985	175	10	5.3×
District of Columbia	$4,932	12	1	5.5×
Colorado	$4,908	82	5	12.5×
Missouri	$4,905	188	11	6.5×
Kansas	$4,889	77	5	11.0×
Indiana	$4,853	111	9	5.6×
South Dakota	$4,805	11	1	4.5×
North Dakota	$4,772	11	1	6.1×
New Hampshire	$4,761	58	5	5.4×
Virginia	$4,692	330	19	6.8×
Arizona	$4,675	179	12	8.9×
Minnesota	$4,665	63	5	5.9×
Illinois	$4,650	361	22	6.2×
Alabama	$4,645	132	8	7.4×
Montana	$4,555	26	2	4.4×
Mississippi	$4,473	110	7	4.8×
Ohio	$4,453	184	11	6.8×
Arkansas	$4,422	103	7	4.8×
West Virginia	$4,310	39	3	5.1×
Iowa	$4,221	104	6	5.9×
Louisiana	$4,217	116	8	6.6×
Kentucky	$3,904	81	3	6.8×
Vermont	$2,434	17	1	14.2×
United States	$5,686	10,120	563	7.1×

* 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 536.

10th percentile	$4,152
25th percentile	$4,578
Median hospital	$5,252
75th percentile	$6,306
90th percentile	$7,469

Related analysis

Transfers and the per-diem rule: when a short stay pays less than the full DRG · Inpatient DRG

The same condition at other severities

535Fractures of Hip and Pelvis with MCC · $9,989

Nearby MS‑DRG numbers

Questions

What did Medicare pay for MS‑DRG 536 in 2024?

An average of $5,686 per discharge across 10,120 fee-for-service discharges at 563 hospitals, $57.5M in total.

Which state paid the most for MS‑DRG 536?

Oregon, at $7,144 per case; Vermont paid the least, $2,434.

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.