Biopsies of Musculoskeletal System and Connective Tissue with Major Complications — what U.S. hospitals charge
MS-DRG 477 · Inpatient stay · 21 U.S. hospitals publish a price
Cheapest quarter
under $132,784
Typical charge
$196,388
Dearest quarter
over $245,172
Actually paid
$38,230
The middle U.S. hospital bills $196,388 for Biopsies of Musculoskeletal System and Connective Tissue with Major Complications. The dearest hospitals charge about 3.4x what the cheapest do for the same coded work. Medicare actually paid about $38,230 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Biopsies of Musculoskeletal System and Connective Tissue with Major Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Florida | 3 | $196,388 | $128,893 – $243,013 |
Where Biopsies of Musculoskeletal System and Connective Tissue with Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Riverside Regional Medical Center
Newport News, VA |
$61,409 | $20,984 |
|
Carilion Medical Center
Roanoke, VA |
$93,887 | $31,564 |
|
Mayo Clinic Hospital
Phoenix, AZ |
$95,856 | $39,480 |
|
Saint Francis Hospital, Inc
Tulsa, OK |
$98,460 | $24,847 |
|
Holmes Regional Medical Center
Melbourne, FL |
$128,893 | $22,908 |
|
Memorial Mission Hospital And Asheville Surgery Ce
Asheville, NC |
$132,784 | $22,972 |
|
Barnes Jewish Hospital
Saint Louis, MO |
$137,511 | $39,072 |
|
Sutter Roseville Medical Center
Roseville, CA |
$139,554 | $37,781 |
|
Yale-New Haven Hospital
New Haven, CT |
$158,913 | $42,840 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$169,104 | $89,282 |
|
Baptist Hospital Of Miami
Miami, FL |
$196,388 | $27,941 |
|
Lehigh Valley Hospital
Allentown, PA |
$207,685 | $29,589 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$629,449 | $68,011 |
|
Nyu Langone Hospitals
New York, NY |
$330,363 | $46,387 |
|
Medical City Plano
Plano, TX |
$326,712 | $20,177 |
|
New York-Presbyterian Hospital
New York, NY |
$261,163 | $44,292 |
|
University Of Kansas Hospital
Kansas City, KS |
$256,374 | $36,918 |
|
Northwestern Medicine Central Dupage Hospital
Winfield, IL |
$245,172 | $43,520 |
|
Cooper University Hospital
Camden, NJ |
$244,777 | $44,943 |
|
Adventhealth Orlando
Orlando, FL |
$243,013 | $25,917 |
|
Massachusetts General Hospital
Boston, MA |
$213,289 | $43,400 |
|
Lehigh Valley Hospital
Allentown, PA |
$207,685 | $29,589 |
|
Baptist Hospital Of Miami
Miami, FL |
$196,388 | $27,941 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$169,104 | $89,282 |
Questions people ask
What do U.S. hospitals charge for Biopsies of Musculoskeletal System and Connective Tissue with Major Complications?
Across 21 U.S. hospitals, the middle charge for Biopsies of Musculoskeletal System and Connective Tissue with Major Complications is $196,388. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $132,784 and the dearest quarter over $245,172.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Biopsies of Musculoskeletal System and Connective Tissue with Major Complications, the hospitals in the dearest tenth charge about 3.4x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $38,230 is roughly what Medicare actually paid per case, against an average charge of $218,260. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 477: “BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.