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Other Skin, Subcutaneous Tissue and Breast Procedures without with Complications/with major complications
Medicare DRG 581. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$226,612
Avg total payment
$14,570
Avg Medicare pays
$10,012
Hospitals reporting
4
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 | 1 | $331,227 | $18,361 |
| Texas | 2 | $206,883 | $7,778 |
| Louisiana | 1 | $161,456 | $6,129 |
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.