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Soft Tissue Procedures without with Complications/with major complications
Medicare DRG 502. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$83,940
Avg total payment
$15,660
Avg Medicare pays
$11,133
Hospitals reporting
3
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 |
|---|---|---|---|
| Massachusetts | 1 | $109,132 | $12,276 |
| New York | 1 | $95,485 | $11,018 |
| Illinois | 1 | $47,203 | $10,106 |
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.