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Biopsies of Musculoskeletal System and Connective Tissue with complications
Medicare DRG 478. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$131,173
Avg total payment
$23,184
Avg Medicare pays
$18,886
Hospitals reporting
93
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 | 12 | $212,955 | $24,765 |
| Texas | 8 | $168,500 | $15,975 |
| Colorado | 2 | $162,281 | $18,480 |
| New York | 5 | $161,150 | $24,766 |
| New Jersey | 5 | $149,059 | $19,695 |
| Kansas | 1 | $143,684 | $19,032 |
| Georgia | 4 | $140,522 | $16,996 |
| Alabama | 1 | $129,639 | $17,103 |
| Florida | 14 | $128,492 | $16,269 |
| Kentucky | 3 | $120,627 | $14,618 |
| Illinois | 4 | $119,748 | $17,954 |
| District of Columbia | 1 | $116,514 | $18,563 |
| Connecticut | 1 | $114,714 | $25,496 |
| Washington | 1 | $109,795 | $18,767 |
| Tennessee | 2 | $104,508 | $18,178 |
| Pennsylvania | 3 | $103,602 | $17,330 |
| Arizona | 1 | $102,456 | $17,074 |
| Michigan | 3 | $91,270 | $18,223 |
| Delaware | 1 | $89,735 | $18,305 |
| South Carolina | 1 | $88,125 | $19,111 |
| Missouri | 3 | $85,321 | $17,504 |
| Mississippi | 1 | $84,777 | $20,590 |
| Virginia | 3 | $84,436 | $18,169 |
| Louisiana | 3 | $83,200 | $15,314 |
| Ohio | 3 | $74,668 | $15,196 |
| Massachusetts | 4 | $71,664 | $21,703 |
| Minnesota | 1 | $70,294 | $24,001 |
| Nebraska | 1 | $58,520 | $16,814 |
| North Carolina | 1 | $46,747 | $17,524 |
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.