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Biopsies of Musculoskeletal System and Connective Tissue with major complications
Medicare DRG 477. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$208,131
Avg total payment
$38,230
Avg Medicare pays
$28,644
Hospitals reporting
21
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 2 | $384,501 | $34,526 |
| Texas | 1 | $326,712 | $19,531 |
| New York | 2 | $295,763 | $38,651 |
| Kansas | 1 | $256,374 | $31,228 |
| Illinois | 1 | $245,172 | $26,924 |
| New Jersey | 1 | $244,777 | $31,977 |
| Massachusetts | 1 | $213,289 | $37,538 |
| Pennsylvania | 1 | $207,685 | $26,743 |
| Florida | 3 | $189,431 | $24,062 |
| Minnesota | 1 | $169,104 | $34,016 |
| Connecticut | 1 | $158,913 | $35,926 |
| Missouri | 1 | $137,511 | $30,830 |
| North Carolina | 1 | $132,784 | $21,907 |
| Oklahoma | 1 | $98,460 | $16,655 |
| Arizona | 1 | $95,856 | $30,496 |
| Virginia | 2 | $77,648 | $19,603 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.