Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
What 4 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 465), from 2024 Medicare claims.
Average charge
$74,001
Hospital list price billed
Average payment
$20,093
Medicare + patient + other payers
Medicare paid
$14,752
Average per stay
Volume
51
Medicare hospital stays
Hospitals in the U.S. billed an average of $74,001 for wound debridement and skin graft except hand for musculoskeletal and connective tissue d, about 3.7 times the average total payment of $20,093.
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 $20,093Billed $74,001
About 27¢ 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:
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.
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Surgical Specialty Hospital of ArizonaPhoenix, AZ | 17 | $81,557 | $13,082 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 12 | $78,884 | $29,305 |
| Northside Hospital ForsythCumming, GA | 11 | $102,243 | $13,273 |
| The Johns Hopkins HospitalBaltimore, MD | 11 | $28,756 | $27,701 |
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 465) at 4 hospitals in the U.S. was billed at $74,001 on average, while the average total payment was $20,093, of which Medicare paid $14,752. 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 the U.S., average charges were 3.7 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.