Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
What 55 hospitals in the U.S. charged and were paid for a Medicare hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 463), from 2024 Medicare claims.
Average charge
$357,831
Hospital list price billed
Average payment
$66,992
Medicare + patient + other payers
Medicare paid
$53,844
Average per stay
Volume
816
Medicare hospital stays
Hospitals in the U.S. billed an average of $357,831 for wound debridement and skin graft except hand for musculoskeletal and connective tissue d, about 5.3 times the average total payment of $66,992.
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 $66,992Billed $357,831
About 19¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| Adventhealth OrlandoOrlando, FL | $58,788 |
|---|---|
| Medical Center of PlanoPlano, TX | $60,713 |
| New York-Presbyterian HospitalNew York, NY | $72,987 |
| Mayo Clinic HospitalPhoenix, AZ | $79,147 |
| Massachusetts General HospitalBoston, MA | $85,205 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $88,358 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $89,345 |
| UCSF Medical CenterSan Francisco, CA | $108,151 |
Highest
| UCSF Medical CenterSan Francisco, CA | $108,151 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $89,345 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $88,358 |
| Massachusetts General HospitalBoston, MA | $85,205 |
| Mayo Clinic HospitalPhoenix, AZ | $79,147 |
| New York-Presbyterian HospitalNew York, NY | $72,987 |
| Medical Center of PlanoPlano, TX | $60,713 |
| Adventhealth OrlandoOrlando, FL | $58,788 |
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d 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 | $282,644 | $61,881 | – |
| Alaska | 1 | $338,666 | $60,458 | – |
| Arizona | 1 | $258,276 | $79,147 | – |
| Arkansas | 1 | $113,003 | $45,830 | – |
| California | 2 | $739,176 | $97,202 | $88,358 – $108,151 |
| Florida | 3 | $385,175 | $46,139 | $34,852 – $58,788 |
| Georgia | 1 | $440,054 | $158,821 | – |
| Illinois | 3 | $328,277 | $75,597 | $46,302 – $114,799 |
| Indiana | 1 | $259,359 | $47,473 | – |
| Iowa | 1 | $184,132 | $56,296 | – |
| Kentucky | 1 | $204,656 | $40,720 | – |
| Maryland | 1 | $118,098 | $107,654 | – |
| Massachusetts | 3 | $242,060 | $73,817 | $60,950 – $85,205 |
| Minnesota | 1 | $256,200 | $89,345 | – |
| Missouri | 2 | $212,994 | $58,688 | $47,535 – $67,218 |
| Nebraska | 1 | $136,578 | $37,198 | – |
| New Jersey | 4 | $337,832 | $63,728 | $48,069 – $70,832 |
| New York | 4 | $589,826 | $88,949 | $72,987 – $119,686 |
| North Carolina | 1 | $119,904 | $51,788 | – |
| Ohio | 3 | $238,717 | $49,714 | $41,374 – $53,525 |
| Oklahoma | 1 | $473,176 | $62,372 | – |
| Pennsylvania | 4 | $492,703 | $74,923 | $62,577 – $83,185 |
| South Carolina | 1 | $191,180 | $63,674 | – |
| South Dakota | 1 | $150,345 | $38,543 | – |
| Tennessee | 2 | $246,603 | $49,735 | $31,924 – $61,610 |
| Texas | 7 | $448,600 | $47,175 | $32,013 – $60,713 |
| Virginia | 1 | $97,392 | $46,711 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 30 | $256,200 | $89,345 |
| New York-Presbyterian HospitalNew York, NY | 30 | $473,596 | $72,987 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 26 | $887,904 | $88,358 |
| Medical Center of PlanoPlano, TX | 26 | $965,649 | $60,713 |
| Massachusetts General HospitalBoston, MA | 23 | $334,279 | $85,205 |
| UCSF Medical CenterSan Francisco, CA | 21 | $555,035 | $108,151 |
| Mayo Clinic HospitalPhoenix, AZ | 20 | $258,276 | $79,147 |
| Adventhealth OrlandoOrlando, FL | 20 | $487,136 | $58,788 |
| Clarian Health PartnersIndianapolis, IN | 18 | $259,359 | $47,473 |
| Ohio State University HospitalsColumbus, OH | 18 | $251,363 | $53,525 |
| Vanderbilt University HospitalNashville, TN | 18 | $296,658 | $61,610 |
| University of Alabama HospitalBirmingham, AL | 17 | $282,644 | $61,881 |
| Medstar Washington Hospital CenterWashington, DC | 17 | $329,191 | $75,304 |
| Barnes Jewish HospitalSt Louis, MO | 17 | $192,335 | $67,218 |
| NYU Hospitals CenterNew York, NY | 17 | $463,547 | $77,687 |
Questions
How much does wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in the U.S.?
In 2024 Medicare data, a hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 463) at 55 hospitals in the U.S. was billed at $357,831 on average, while the average total payment was $66,992, of which Medicare paid $53,844. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for wound debridement and skin graft except hand for musculoskeletal and connective tissue d?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($88,949), Illinois ($75,597), Pennsylvania ($74,923) and lowest in Florida ($46,139), Texas ($47,175), Ohio ($49,714).
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 5.3 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.