facebook tracking Biopsies of musculoskeletal system and connective tissue with complications cost in Washington: 1 hospitals compared (DRG 478)

Biopsies of musculoskeletal system and connective tissue with complications in Washington

What 1 hospital in Washington charged and were paid for a Medicare hospital stay for biopsies of musculoskeletal system and connective tissue with complications (DRG 478), from 2024 Medicare claims.

DRG 478 Inpatient 2024 Medicare data
Average charge $109,795 Hospital list price billed
Average payment $20,024 Medicare + patient + other payers
Medicare paid $18,767 Average per stay
Volume 11 Medicare hospital stays

Hospitals in Washington billed an average of $109,795 for biopsies of musculoskeletal system and connective tissue with complications, about 5.5 times the average total payment of $20,024. That payment is 14% below the U.S. average of $23,170.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $20,024Billed $109,795

About 18¢ was paid for every $1 hospitals in Washington billed for this stay.

Washington hospitals: biopsies of musculoskeletal system and connective tissue with complications

Every Washington hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Providence St Peter HospitalOlympia 11 $109,795 $20,024 $18,767
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Biopsies of musculoskeletal system and connective tissue with complications in other states

Questions

How much does biopsies of musculoskeletal system and connective tissue with complications cost in Washington?

In 2024 Medicare data, a hospital stay for biopsies of musculoskeletal system and connective tissue with complications (DRG 478) at 1 hospital in Washington was billed at $109,795 on average, while the average total payment was $20,024, of which Medicare paid $18,767. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Washington, average charges were 5.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.