Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
What 122 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 464), from 2024 Medicare claims.
Average charge
$182,292
Hospital list price billed
Average payment
$34,026
Medicare + patient + other payers
Medicare paid
$27,235
Average per stay
Volume
2,034
Medicare hospital stays
Hospitals in the U.S. billed an average of $182,292 for wound debridement and skin graft except hand for musculoskeletal and connective tissue d, about 5.4 times the average total payment of $34,026.
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 $34,026Billed $182,292
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
| Stormont-Vail HealthcareTopeka, KS | $19,436 |
|---|---|
| Saint Francis Hospital, INCTulsa, OK | $20,528 |
| Moses H Cone Memorial Hospital, theGreensboro, NC | $20,706 |
| Orlando Regional HealthcareOrlando, FL | $22,340 |
| Christiana Care Health Services, INC.Newark, DE | $24,500 |
| Baylor University Medical CenterDallas, TX | $24,610 |
| Mayo ClinicJacksonville, FL | $28,342 |
| Morristown Memorial HospitalMorristown, NJ | $28,875 |
| MUSC Medical CenterCharleston, SC | $29,875 |
| University of Alabama HospitalBirmingham, AL | $29,923 |
Highest
| Hospital for Special SurgeryNew York, NY | $68,269 |
|---|---|
| Sinai Hospital of BaltimoreBaltimore, MD | $62,947 |
| UCSF Medical CenterSan Francisco, CA | $60,992 |
| Stanford HospitalPalo Alto, CA | $58,369 |
| Hospital of the Univ of PaPhiladelphia, PA | $47,061 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $45,431 |
| NYU Hospitals CenterNew York, NY | $43,242 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $42,885 |
| New York-Presbyterian HospitalNew York, NY | $41,445 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA | $39,375 |
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 | $167,147 | $29,923 | – |
| Arizona | 3 | $137,760 | $29,733 | $23,462 – $35,655 |
| California | 11 | $304,651 | $48,139 | $23,705 – $63,414 |
| Colorado | 1 | $303,491 | $48,502 | – |
| Connecticut | 1 | $99,726 | $31,976 | – |
| Delaware | 1 | $84,973 | $24,500 | – |
| Florida | 10 | $175,257 | $23,806 | $19,606 – $28,342 |
| Georgia | 2 | $221,785 | $24,794 | $21,906 – $27,683 |
| Illinois | 3 | $119,889 | $32,537 | $23,676 – $36,190 |
| Indiana | 2 | $154,906 | $30,258 | $21,465 – $40,224 |
| Iowa | 2 | $86,209 | $25,805 | $21,009 – $29,642 |
| Kansas | 3 | $132,338 | $25,042 | $19,436 – $35,478 |
| Kentucky | 1 | $85,874 | $18,379 | – |
| Louisiana | 1 | $68,278 | $24,608 | – |
| Maryland | 3 | $66,584 | $59,599 | $54,032 – $62,947 |
| Massachusetts | 5 | $127,291 | $38,635 | $30,637 – $55,266 |
| Michigan | 1 | $108,941 | $35,638 | – |
| Minnesota | 1 | $102,045 | $42,885 | – |
| Mississippi | 2 | $88,727 | $22,568 | $17,568 – $26,854 |
| Missouri | 1 | $103,487 | $31,665 | – |
| Montana | 1 | $75,429 | $24,673 | – |
| Nebraska | 2 | $109,811 | $27,124 | $20,188 – $32,759 |
| New Hampshire | 1 | $195,592 | $56,173 | – |
| New Jersey | 2 | $172,113 | $29,820 | $28,875 – $31,419 |
| New York | 10 | $255,544 | $43,569 | $29,891 – $68,269 |
| North Carolina | 5 | $69,608 | $23,865 | $19,661 – $33,021 |
| Ohio | 5 | $140,262 | $26,367 | $18,652 – $30,026 |
| Oklahoma | 3 | $150,612 | $25,157 | $17,652 – $36,174 |
| Oregon | 1 | $167,875 | $39,287 | – |
| Pennsylvania | 10 | $193,255 | $31,647 | $23,997 – $47,061 |
| South Carolina | 1 | $121,780 | $29,875 | – |
| South Dakota | 2 | $87,014 | $22,808 | $21,980 – $23,863 |
| Tennessee | 1 | $148,500 | $37,755 | – |
| Texas | 11 | $299,644 | $28,685 | $18,967 – $43,855 |
| Utah | 1 | $106,677 | $35,325 | – |
| Virginia | 5 | $87,667 | $26,215 | $19,610 – $37,790 |
| Washington | 1 | $149,827 | $33,776 | – |
| West Virginia | 1 | $118,357 | $34,792 | – |
| Wisconsin | 2 | $136,513 | $32,166 | $21,524 – $40,528 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 57 | $102,045 | $42,885 |
| Stanford HospitalPalo Alto, CA | 46 | $435,339 | $58,369 |
| Medical Center of PlanoPlano, TX | 42 | $645,432 | $35,766 |
| New York-Presbyterian HospitalNew York, NY | 35 | $218,853 | $41,445 |
| MUSC Medical CenterCharleston, SC | 28 | $121,780 | $29,875 |
| Orlando Regional HealthcareOrlando, FL | 27 | $238,355 | $22,340 |
| University of Alabama HospitalBirmingham, AL | 26 | $167,147 | $29,923 |
| UCSF Medical CenterSan Francisco, CA | 26 | $351,879 | $60,992 |
| Massachusetts General HospitalBoston, MA | 26 | $154,852 | $36,412 |
| NYU Hospitals CenterNew York, NY | 26 | $339,245 | $43,242 |
| Hospital for Special SurgeryNew York, NY | 25 | $334,954 | $68,269 |
| Saint Francis Hospital, INCTulsa, OK | 25 | $98,701 | $20,528 |
| Thomas Jefferson University HospitalPhiladelphia, PA | 25 | $133,848 | $34,052 |
| Rush University Medical CenterChicago, IL | 24 | $122,348 | $36,190 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA | 22 | $200,379 | $39,375 |
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 464) at 122 hospitals in the U.S. was billed at $182,292 on average, while the average total payment was $34,026, of which Medicare paid $27,235. 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 Maryland ($59,599), California ($48,139), New York ($43,569) and lowest in Florida ($23,806), North Carolina ($23,865), Kansas ($25,042).
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.