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 |  | With Insurance: Copays & Coinsurance up to Out of Pocket Maximum |  | Without Insurance: $13,000-$40,000+ |
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Typical costs: | - Without health insurance, treatment of a hip fracture typically costs $13,000 to $40,000 or more. For example, treatment of a hip/pelvis fracture without major complications could cost just under $11,500, not including the surgeon fee, according to the health care cost calculator from Baptist Memorial Health Care in Memphis, Tennessee. And, according to the uninsured medical care cost calculator from Kapiolani Medical Center[1] in Hawaii, it costs about $23,684 for a less complicated fracture and about $36,830 for a complicated fracture, not including a surgeon's fee. The average cost of a hip fracture is $26,912, according to the American Academy of Orthopedic Surgeons[2] .
- A hip fracture usually would be covered by health insurance. With health insurance, typical expenses could include doctor visit copays, X-ray copays, drug copays and coinsurance of up to 30 percent or more for surgery, totaling up to thousands of dollars or the yearly out-of-pocket maximum.
Related articles: Hip Replacement, Broken Back, Back Surgery, Wheelchair
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What should be included: | - Hip fractures almost always are treated with surgery unless the patient is so ill that surgery is not advised. Treatment of a hip fracture usually requires surgical placement of screws, a plate or other hardware to allow the break to heal. The inpatient surgery typically is done under general anesthesia. Afterward, several days in the hospital and several months of recovery might be required.
- The American Academy of Orthopaedic Surgeons[3] offers an overview of the three main types of hip fractures and recommended treatment.
Additional costs: | - About 40 percent of hip fracture patients will require some post-surgical nursing home care, according to the American Academy of Orthopaedic Surgeons[4] . According to a 2009 MetLife[5] survey, nursing home care costs a little over $200 per day or more than $70,000 per year.
- Home medical equipment probably will be required for recovery. A raised toilet seat can cost $20 to $60 or more. A shower chair can cost $35 to $100 or more. And a walker can cost $75 to $100 or more.
- For patients who have a broken bone treated surgically, metal hardware usually can be left in, unless it causes irritation in the future; if removal is required, it can cost between about $2,533 and $11,710 or more, according to Saint Elizabeth Regional Medical Center[6] in Lincoln, Nebraska.
Discounts: | - Some othopedic specialists offer discounts for uninsured/cash paying patients.
- Some local or regional nonprofits have programs that provide free, short-term (three to fourth month) loans of crutches and other medical equipment. For example, Goodwill/Easter Seals Minnesota has a medical equipment loan program, as does HELP Adult Services[7] in Omaha, Nebraska. Locate a local chapter of Easter Seals through EasterSeals.com[8] , or contact the county health department for a referral to a local program.
Shopping for a hip fracture: | - The general practitioner can refer the patient to a specialist. Or, the American Board of Orthopaedic Surgery[9] provides an orthopedic surgeon finder by city, state or zip code.
- Risks of surgery for a hip fracture include reaction to anesthesia, infection, blood clots or deep vein thrombosis, and even death. It also is possible that the bone will heal incorrectly.
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Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
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What People Are Paying - Recent Comments |
| Posted by: Aiken Resident in Aiken, SC. | Posted: November 5th, 2015 09:11AM |
| Type of Injury: pelvic | Type of Treatment: Meds |
| Medical Facility: Carolina Musculoskeletal Institute | Insurance Carrier: Aetna |
I fell off a horse and received a hairline fracture along my lower hip. I made an appointment and went in to the Medical Facility above. Before seeing the doctor, x rays were taken. The doctor walked into the examining room stated that I had a fracture and there was no treatment. I asked for pain killers and a doughnut and a cane. Which he wrote out prescriptions for and left. After saying the fracture would improve on its own each week, he said to make another appointment in 3 weeks. The total time with the doctor was about 2 minutes.
Three weeks later I returned to the facility and was told I owed 1300.00 dollars for "Global Care" and a surgery. When I protested I was told that someone from billing would get back to me. "Billing" continued to refer to my office visit as "surgery" Because I moved recently from out of state my insurance did not cover the cost of the office visit. The billing department reduced the fee to $850.00. Continually they called the office visit surgery. |
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External Resources: | - www.palimomi.org/my-hospital-bill/uninsured-calculator.aspx
- orthoinfo.aaos.org/topic.cfm?topic=A00309
- orthoinfo.aaos.org/topic.cfm?topic=A00392
- orthoinfo.aaos.org/topic.cfm?topic=A00309
- /www.metlife.com/assets/cao/mmi/publications/studies/mmi-market-survey-nursing-hom...
- tp.chi.acelogicus.net/nese/Default.aspx
- www.helpadultservices.org/HELP.html
- www.easterseals.com/connect-locally/
- www.abos.org/find-a-certified-orthopaedic-surgeon.aspx
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