Trauma to the skin, subcutaneous tissue and breast without major complications
What 284 hospitals in the U.S. charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.
Average charge
$50,404
Hospital list price billed
Average payment
$9,406
Medicare + patient + other payers
Medicare paid
$7,200
Average per stay
Volume
5,045
Medicare hospital stays
Hospitals in the U.S. billed an average of $50,404 for trauma to the skin, subcutaneous tissue and breast without major complications, about 5.4 times the average total payment of $9,406.
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 $9,406Billed $50,404
About 19¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
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
| Delray Medical CenterDelray Beach, FL | $5,916 |
|---|---|
| Martin Memorial Health SystemsStuart, FL | $6,238 |
| Hillcrest HospitalCleveland, OH | $6,469 |
| West Chester Medical CenterWest Chester, OH | $6,571 |
| Cjw Medical CenterRichmond, VA | $6,578 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $6,702 |
| Naples Community HospitalNaples, FL | $6,893 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $7,040 |
| Huntsville HospitalHuntsville, AL | $7,126 |
| Northwest Community HospitalArlington Heights, IL | $7,161 |
Highest
| Bellevue Hospital CenterNew York, NY | $32,959 |
|---|---|
| Jacobi Medical CenterBronx, NY | $22,739 |
| Grady Memorial HospitalAtlanta, GA | $22,322 |
| Nassau University Medical CenterEast Meadow, NY | $13,545 |
| New York-Presbyterian HospitalNew York, NY | $12,689 |
| NYU Hospitals CenterNew York, NY | $12,466 |
| University HospitalStony Brook, NY | $12,373 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $12,195 |
| Westchester Medical CenterValhalla, NY | $11,647 |
| Desert Regional Medical CenterPalm Springs, CA | $11,601 |
Trauma to the skin, subcutaneous tissue and breast without major 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 | 2 | $28,015 | $7,391 | $7,126 – $7,808 |
| Arizona | 6 | $58,013 | $7,911 | $6,616 – $11,878 |
| Arkansas | 1 | $18,388 | $7,625 | – |
| California | 26 | $74,766 | $10,869 | $8,885 – $16,258 |
| Colorado | 1 | $50,270 | $7,390 | – |
| Connecticut | 2 | $31,756 | $10,353 | $8,530 – $12,437 |
| Delaware | 1 | $40,700 | $11,064 | – |
| Florida | 41 | $61,121 | $7,953 | $5,916 – $12,201 |
| Georgia | 3 | $71,092 | $16,629 | $10,617 – $22,322 |
| Illinois | 14 | $34,172 | $8,370 | $6,220 – $12,083 |
| Indiana | 5 | $38,400 | $8,252 | $6,964 – $10,666 |
| Iowa | 1 | $37,603 | $6,702 | – |
| Kansas | 5 | $67,963 | $7,980 | $6,782 – $9,569 |
| Kentucky | 3 | $35,891 | $7,721 | $5,977 – $10,085 |
| Louisiana | 1 | $38,670 | $7,903 | – |
| Maine | 1 | $33,184 | $9,602 | – |
| Maryland | 9 | $12,892 | $11,560 | $8,626 – $14,610 |
| Massachusetts | 15 | $22,737 | $9,167 | $7,639 – $12,410 |
| Michigan | 7 | $29,207 | $8,063 | $6,559 – $8,488 |
| Minnesota | 6 | $30,869 | $8,630 | $7,060 – $11,461 |
| Missouri | 7 | $34,786 | $7,781 | $5,944 – $10,724 |
| Nebraska | 3 | $26,235 | $7,958 | $7,133 – $9,889 |
| Nevada | 2 | $54,877 | $10,372 | $8,924 – $11,821 |
| New Hampshire | 2 | $56,775 | $7,923 | $7,126 – $8,606 |
| New Jersey | 12 | $57,984 | $10,096 | $7,864 – $17,780 |
| New York | 28 | $61,928 | $12,738 | $7,862 – $32,959 |
| North Carolina | 6 | $32,582 | $9,144 | $8,084 – $13,098 |
| North Dakota | 1 | $25,050 | $8,676 | – |
| Ohio | 9 | $34,755 | $8,138 | $6,469 – $11,759 |
| Oklahoma | 1 | $80,973 | $11,582 | – |
| Pennsylvania | 21 | $49,383 | $8,365 | $6,841 – $10,874 |
| Rhode Island | 2 | $24,720 | $9,886 | $8,605 – $10,670 |
| South Carolina | 3 | $47,895 | $7,895 | $7,064 – $8,483 |
| Tennessee | 5 | $43,599 | $8,967 | $7,375 – $10,293 |
| Texas | 12 | $63,351 | $9,314 | $6,086 – $22,579 |
| Utah | 2 | $24,784 | $8,589 | $7,381 – $9,797 |
| Virginia | 11 | $53,589 | $8,124 | $6,578 – $14,228 |
| Washington | 1 | $40,941 | $9,398 | – |
| West Virginia | 3 | $26,803 | $8,369 | $6,133 – $9,452 |
| Wisconsin | 3 | $46,471 | $9,741 | $7,205 – $11,396 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 66 | $55,493 | $8,250 |
| University HospitalStony Brook, NY | 66 | $79,115 | $12,373 |
| New York-Presbyterian HospitalNew York, NY | 63 | $74,647 | $12,689 |
| Sarasota Memorial HospitalSarasota, FL | 57 | $43,228 | $7,279 |
| Delray Medical CenterDelray Beach, FL | 52 | $103,754 | $5,916 |
| Lehigh Valley HospitalAllentown, PA | 47 | $62,958 | $8,326 |
| Naples Community HospitalNaples, FL | 43 | $42,864 | $6,893 |
| North Shore University HospitalManhasset, NY | 40 | $75,406 | $11,439 |
| Orlando Regional HealthcareOrlando, FL | 38 | $54,787 | $9,036 |
| Ocala Regional Medical CenterOcala, FL | 37 | $79,974 | $7,849 |
| South Shore HospitalSouth Weymouth, MA | 37 | $17,597 | $7,639 |
| Christiana Care Health Services, INC.Newark, DE | 36 | $40,700 | $11,064 |
| NYU Hospitals CenterNew York, NY | 36 | $84,001 | $12,466 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | 34 | $48,170 | $9,770 |
| St Luke's Hospital BethlehemBethlehem, PA | 34 | $57,767 | $8,811 |
Questions
How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 284 hospitals in the U.S. was billed at $50,404 on average, while the average total payment was $9,406, of which Medicare paid $7,200. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for trauma to the skin, subcutaneous tissue and breast without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Georgia ($16,629), New York ($12,738), Maryland ($11,560) and lowest in Kentucky ($7,721), Missouri ($7,781), South Carolina ($7,895).
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 5.4 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.