Home / Procedures / Trauma to the Skin, Subcutaneous Tissue and Breast with major complications
Trauma to the Skin, Subcutaneous Tissue and Breast with major complications
Medicare DRG 604. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$76,224
Avg total payment
$16,459
Avg Medicare pays
$14,328
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 |
|---|---|---|---|
| Pennsylvania | 1 | $100,161 | $11,525 |
| Indiana | 1 | $93,974 | $19,733 |
| Florida | 5 | $88,799 | $10,352 |
| Kansas | 1 | $88,413 | $11,320 |
| New York | 4 | $88,347 | $20,048 |
| Wisconsin | 1 | $79,829 | $13,028 |
| California | 5 | $68,502 | $14,926 |
| North Carolina | 1 | $47,592 | $10,320 |
| Massachusetts | 1 | $29,798 | $11,324 |
| Maryland | 1 | $21,050 | $17,063 |
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.