Soft tissue procedures with complications
What 28 hospitals in the U.S. charged and were paid for a Medicare hospital stay for soft tissue procedures with complications (DRG 501), from 2024 Medicare claims.
Average charge
$108,704
Hospital list price billed
Average payment
$21,876
Medicare + patient + other payers
Medicare paid
$16,402
Average per stay
Volume
409
Medicare hospital stays
Hospitals in the U.S. billed an average of $108,704 for soft tissue procedures with complications, about 5.0 times the average total payment of $21,876.
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.
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| University of Kansas HospitalKansas City, KS | $17,318 |
|---|---|
| Morristown Memorial HospitalMorristown, NJ | $18,382 |
| Massachusetts General HospitalBoston, MA | $21,195 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $33,508 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $33,508 |
|---|---|
| Massachusetts General HospitalBoston, MA | $21,195 |
| Morristown Memorial HospitalMorristown, NJ | $18,382 |
| University of Kansas HospitalKansas City, KS | $17,318 |
Soft tissue procedures with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 1 | $117,381 | $20,207 | – |
| Arizona | 1 | $61,584 | $14,338 | – |
| California | 2 | $228,329 | $29,575 | $28,192 – $30,588 |
| Delaware | 1 | $50,146 | $16,238 | – |
| Florida | 1 | $101,242 | $23,793 | – |
| Kansas | 1 | $134,084 | $17,318 | – |
| Massachusetts | 4 | $81,010 | $21,189 | $14,457 – $24,765 |
| Minnesota | 2 | $79,327 | $26,788 | $13,346 – $33,508 |
| Missouri | 1 | $105,572 | $20,889 | – |
| New Jersey | 1 | $119,436 | $18,382 | – |
| New York | 4 | $149,521 | $26,467 | $24,886 – $29,288 |
| North Carolina | 1 | $48,213 | $17,915 | – |
| Ohio | 1 | $105,421 | $17,593 | – |
| Oklahoma | 1 | $75,168 | $18,347 | – |
| Oregon | 1 | $57,031 | $17,668 | – |
| Pennsylvania | 1 | $164,932 | $20,250 | – |
| Tennessee | 2 | $84,325 | $19,393 | $10,524 – $26,176 |
| Virginia | 2 | $86,289 | $21,487 | $17,690 – $24,968 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 26 | $93,243 | $33,508 |
| Morristown Memorial HospitalMorristown, NJ | 23 | $119,436 | $18,382 |
| University of Kansas HospitalKansas City, KS | 21 | $134,084 | $17,318 |
| Massachusetts General HospitalBoston, MA | 21 | $82,580 | $21,195 |
| NYU Hospitals CenterNew York, NY | 19 | $177,081 | $25,857 |
| Vanderbilt University HospitalNashville, TN | 17 | $117,707 | $26,176 |
| Mount Sinai HospitalNew York, NY | 16 | $115,627 | $25,753 |
| New York-Presbyterian HospitalNew York, NY | 16 | $197,781 | $29,288 |
| UCSF Medical CenterSan Francisco, CA | 15 | $176,754 | $30,588 |
| St Charles Medical Center - BendBend, OR | 15 | $57,031 | $17,668 |
| Christiana Care Health Services, INC.Newark, DE | 14 | $50,146 | $16,238 |
| Barnes Jewish HospitalSt Louis, MO | 14 | $105,572 | $20,889 |
| Hospital for Special SurgeryNew York, NY | 14 | $95,702 | $24,886 |
| Beth Israel Deaconess Medical CenterBoston, MA | 13 | $55,816 | $24,765 |
| Brigham and Women's HosptialBoston, MA | 13 | $134,780 | $23,819 |
Questions
How much does soft tissue procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for soft tissue procedures with complications (DRG 501) at 28 hospitals in the U.S. was billed at $108,704 on average, while the average total payment was $21,876, of which Medicare paid $16,402. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for soft tissue procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($26,467), Massachusetts ($21,189) and lowest in Massachusetts ($21,189), New York ($26,467).
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 the U.S., average charges were 5.0 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.