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Inpatient stay · MS-DRG 477 · Surgery or procedure

Biopsies of musculoskeletal system and connective tissue with MCC

In 2024, Medicare and patients paid an average of $38,036 per stay at 21 hospitals. Half of hospitals averaged between $25,917 and $43,520.

National figures, 2024

Average payment per case
$38,036
Typical range (middle half of hospitals)
$25,917–$43,520
Medicare’s share
$29,23177% of the payment
Average billed charge
$218,260
Hospitals reporting
21319 stays

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Specific hospitals up to 10

21 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Biopsies of musculoskeletal system and connective tissue with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Medical City PlanoPlano, TX · CCN 45065111$20,17747% below the national average$19,531$326,712
Riverside Regional Medical CenterNewport News, VA · CCN 49005211$20,98445% below the national average$19,202$61,409
Holmes Regional Medical CenterMelbourne, FL · CCN 10001911$22,90840% below the national average$21,647$128,893
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 34000212$22,97240% below the national average$21,907$132,784
Saint Francis Hospital, IncTulsa, OK · CCN 37009111$24,84735% below the national average$16,655$98,460
AdventHealth OrlandoOrlando, FL · CCN 10000739$25,91732% below the national average$23,924$243,013
Baptist Hospital Of MiamiMiami, FL · CCN 10000813$27,94127% below the national average$26,615$196,388
Lehigh Valley HospitalAllentown, PA · CCN 39013317$29,58922% below the national average$26,743$207,685
Carilion Medical CenterRoanoke, VA · CCN 49002411$31,56417% below the national average$20,003$93,887
University Of Kansas HospitalKansas City, KS · CCN 17004017$36,918About average$31,228$256,374
Sutter Roseville Medical CenterRoseville, CA · CCN 05030913$37,781About average$29,954$139,554
Barnes Jewish HospitalSaint Louis, MO · CCN 26003221$39,072About average$30,830$137,511
Mayo Clinic HospitalPhoenix, AZ · CCN 03010313$39,480About average$30,496$95,856
Yale-New Haven HospitalNew Haven, CT · CCN 07002211$42,84013% above the national average$35,926$158,913
Massachusetts General HospitalBoston, MA · CCN 22007115$43,40014% above the national average$37,538$213,289
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 14024211$43,52014% above the national average$26,924$245,172
New York-Presbyterian HospitalNew York, NY · CCN 33010122$44,29216% above the national average$38,036$261,163
Cooper University HospitalCamden, NJ · CCN 31001411$44,94318% above the national average$31,977$244,777
Nyu Langone HospitalsNew York, NY · CCN 33021422$46,38722% above the national average$39,267$330,363
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062514$68,01179% above the national average$39,099$629,449
Mayo Clinic Hospital RochesterRochester, MN · CCN 24001013$89,282135% above the national average$34,016$169,104

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 208 stays at 14 hospitals · 2021: 240 stays at 17 hospitals · 2022: 331 stays at 23 hospitals · 2023: 341 stays at 26 hospitals · 2024: 319 stays at 21 hospitals
View data as a table
National average payment and billed charge for Biopsies of musculoskeletal system and connective tissue with MCC
Year of careAverage paymentAverage billed charge
2020$32K$169K
2021$35K$180K
2022$34K$172K
2023$32K$179K
2024$38K$218K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 16 states
Average payment by state for Biopsies of musculoskeletal system and connective tissue with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Texas111$20,177$20,177–$20,177
North Carolina112$22,972$22,972–$22,972
Oklahoma111$24,847$24,847–$24,847
Florida363$25,809$24,413–$26,929
Virginia222$26,274$23,629–$28,919
Pennsylvania117$29,589$29,589–$29,589
Kansas117$36,918$36,918–$36,918
Missouri121$39,072$39,072–$39,072
Arizona113$39,480$39,480–$39,480
Connecticut111$42,840$42,840–$42,840
Massachusetts115$43,400$43,400–$43,400
Illinois111$43,520$43,520–$43,520
New Jersey111$44,943$44,943–$44,943
New York244$45,339$44,816–$45,863
California227$53,456$45,339–$60,454
Minnesota113$89,282$89,282–$89,282

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.