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Breast Biopsy, Local Excision and Other Breast Procedures without with Complications/with major complications
Medicare DRG 585. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$158,593
Avg total payment
$22,017
Avg Medicare pays
$8,783
Hospitals reporting
2
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 |
|---|---|---|---|
| Kansas | 1 | $160,748 | $9,044 |
| Louisiana | 1 | $156,438 | $8,521 |
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.