HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC
Medicare inpatient claims for MS-DRG 522. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 522?
MS-DRG 522 is the Medicare Severity Diagnosis-Related Group for HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 1,589 hospitals reported 74,226 discharges for MS-DRG 522. The average hospital submitted charge was $99K, while the average amount Medicare actually paid was $16K — a 6.3× gap between list price and reimbursement, which is typical for Medicare inpatient claims.