Skip to main content
Inpatient stay · MS-DRG 502 · Surgery or procedure

Soft tissue procedures without CC/MCC

In 2024, Medicare and patients paid an average of $15,849 per stay at 3 hospitals. Half of hospitals averaged between $14,191 and $17,565.

Limited data: use with caution

Only 3 hospitals reported this in 2024 (49 stays). Medicare covers few patients for some procedures (births, for example), and CMS leaves out hospitals with fewer than 11 cases, so these figures may not represent typical costs.

National figures, 2024

Average payment per case
$15,849
Typical range (middle half of hospitals)
$14,191–$17,565
Medicare’s share
$11,07770% of the payment
Average billed charge
$86,724
Hospitals reporting
349 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

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

Medicare payments per case for Soft tissue procedures without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 14001012$11,85225% below the national average$10,106$47,203
Hospital For Special SurgeryNew York, NY · CCN 33027026$16,529About average$11,018$95,485
Massachusetts General HospitalBoston, MA · CCN 22007111$18,60017% above the national average$12,276$109,132

National trend

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

  • Average payment
  • Average billed charge
2020: 48 stays at 4 hospitals · 2021: 26 stays at 2 hospitals · 2022: 14 stays at 1 hospitals · 2023: 55 stays at 3 hospitals · 2024: 49 stays at 3 hospitals
View data as a table
National average payment and billed charge for Soft tissue procedures without CC/MCC
Year of careAverage paymentAverage billed charge
2020$12K$49K
2021$15K$51K
2022$15K$73K
2023$19K$94K
2024$16K$87K

By state, 2024

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

Show all 3 states
Average payment by state for Soft tissue procedures without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Illinois112$11,852$11,852–$11,852
New York126$16,529$16,529–$16,529
Massachusetts111$18,600$18,600–$18,600

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.