OBJECTIVES: To evaluate the financial impact of a femur fracture secondary to osteoporosis in women over 60 years old under private health insurance in Brazil.

METHODS: Data were extracted from the Unimed Campinas Health Insurance Database. Inclusion criteria were: women over 60 years who had a femur fracture due to osteoporosis, the period evaluated was from January 2013 to December 2021. The values were calculated considering the costs of hospitalization, medical fees and exams.

RESULTS: A total of 1343 fractures were identified during the period, the mean fractures per year was 168 (approximately the incidence of 0.20% of the female population over 60 years of the health insurance population). The total cost with was US$ 3,227,743.38, with an average of US$ 2,400.00 per patient. The predominance of fractures was in the eighth decade with 690 (51.72%) the cases.

CONCLUSIONS: Programs such as prevention of falls, reduction of risk factors and adequate treatment according to the risk of fracture must be carried out with the intention of improving the journey of the patient with osteoporosis and preventing femur fractures.