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Inpatient stay · MS-DRG 581 · Surgery or procedure

Other skin, subcutaneous tissue and breast procedures without CC/MCC

In 2024, Medicare and patients paid an average of $13,708 per stay at 4 hospitals. Half of hospitals averaged between $11,203 and $15,898.

Limited data: use with caution

Only 4 hospitals reported this in 2024 (91 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
$13,708
Typical range (middle half of hospitals)
$11,203–$15,898
Medicare’s share
$9,21867% of the payment
Average billed charge
$200,483
Hospitals reporting
491 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

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

Medicare payments per case for Other skin, subcutaneous tissue and breast procedures without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
St Charles Surgical HospitalNew Orleans, LA · CCN 19030029$8,31839% below the national average$6,129$161,456
Baptist Medical CenterSan Antonio, TX · CCN 45005813$12,16511% below the national average$8,423$290,394
Methodist HospitalSan Antonio, TX · CCN 45038831$12,897About average$7,134$123,371
Stanford Health CareStanford, CA · CCN 05044118$24,90282% above the national average$18,361$331,227

National trend

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

  • Average payment
  • Average billed charge
2020: 188 stays at 13 hospitals · 2021: 150 stays at 10 hospitals · 2022: 71 stays at 4 hospitals · 2023: 91 stays at 5 hospitals · 2024: 91 stays at 4 hospitals
View data as a table
National average payment and billed charge for Other skin, subcutaneous tissue and breast procedures without CC/MCC
Year of careAverage paymentAverage billed charge
2020$16K$81K
2021$16K$114K
2022$10K$116K
2023$14K$145K
2024$14K$200K

By state, 2024

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

Show all 3 states
Average payment by state for Other skin, subcutaneous tissue and breast procedures without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Louisiana129$8,318$8,318–$8,318
Texas244$12,681$12,348–$12,714
California118$24,902$24,902–$24,902

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.