FRACTURES OF HIP AND PELVIS WITHOUT MCC
Medicare inpatient claims for MS-DRG 536. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 536?
MS-DRG 536 is the Medicare Severity Diagnosis-Related Group for FRACTURES OF HIP AND PELVIS 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, 719 hospitals reported 19,751 discharges for MS-DRG 536. The average hospital submitted charge was $38K, while the average amount Medicare actually paid was $5K — a 6.9× gap between list price and reimbursement, which is typical for Medicare inpatient claims.