Other Skin, Subcutaneous Tissue and Breast Procedures with Complications — what U.S. hospitals charge
MS-DRG 580 · Inpatient stay · 84 U.S. hospitals publish a price
Cheapest quarter
under $58,781
Typical charge
$82,365
Dearest quarter
over $124,880
Actually paid
$19,080
The middle U.S. hospital bills $82,365 for Other Skin, Subcutaneous Tissue and Breast Procedures with Complications. The dearest hospitals charge about 3.6x what the cheapest do for the same coded work. Medicare actually paid about $19,080 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.
Other Skin, Subcutaneous Tissue and Breast Procedures with 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 |
|---|---|---|---|
| Oklahoma | 4 | $48,062 | $39,786 – $141,346 |
| North Carolina | 4 | $54,042 | $42,360 – $84,360 |
| Virginia | 3 | $56,931 | $56,827 – $126,778 |
| Ohio | 4 | $68,799 | $41,334 – $73,833 |
| Michigan | 4 | $75,075 | $44,823 – $118,095 |
| Massachusetts | 3 | $80,010 | $36,437 – $96,020 |
| New York | 7 | $95,855 | $71,668 – $209,221 |
| Florida | 8 | $126,411 | $66,649 – $142,092 |
| California | 8 | $149,426 | $70,635 – $338,177 |
Where Other Skin, Subcutaneous Tissue and Breast Procedures with Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$18,558 | $17,152 |
|
Mayo Clinic Health System Eau Claire Hospital
Eau Claire, WI |
$32,567 | $13,712 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$36,437 | $20,516 |
|
University Of Utah Hospital And Clinics
Salt Lake City, UT |
$39,239 | $18,543 |
|
Mercy Hospital St Louis
Saint Louis, MO |
$39,707 | $12,813 |
|
Mercy Hospital Oklahoma City, Inc
Oklahoma City, OK |
$39,786 | $12,219 |
|
Bryan Medical Center
Lincoln, NE |
$40,812 | $13,428 |
|
Riverside Methodist Hospital
Columbus, OH |
$41,334 | $12,793 |
|
Rex Hospital
Raleigh, NC |
$42,360 | $12,918 |
|
Saint Francis Hospital, Inc
Tulsa, OK |
$42,452 | $12,460 |
|
Sanford Medical Center Fargo
Fargo, ND |
$44,477 | $14,121 |
|
Trinity Health Ann Arbor Hospital
Ann Arbor, MI |
$44,823 | $14,237 |
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 |
|---|---|---|
|
Stanford Health Care
Stanford, CA |
$338,177 | $47,553 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$273,706 | $20,103 |
|
Nyu Langone Hospitals
New York, NY |
$209,221 | $27,665 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$203,496 | $25,063 |
|
Ochsner Medical Center Acute
New Orleans, LA |
$165,734 | $27,600 |
|
Ucsf Medical Center
San Francisco, CA |
$163,851 | $30,963 |
|
Morristown Medical Center
Morristown, NJ |
$160,649 | $35,539 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$155,167 | $15,786 |
|
Methodist Hospital
San Antonio, TX |
$153,451 | $16,019 |
|
St Charles Surgical Hospital
New Orleans, LA |
$150,219 | $10,548 |
|
Geisinger Medical Center
Danville, PA |
$149,287 | $17,854 |
|
New York-Presbyterian Hospital
New York, NY |
$143,033 | $21,425 |
Questions people ask
What do U.S. hospitals charge for Other Skin, Subcutaneous Tissue and Breast Procedures with Complications?
Across 84 U.S. hospitals, the middle charge for Other Skin, Subcutaneous Tissue and Breast Procedures with Complications is $82,365. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $58,781 and the dearest quarter over $124,880.
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 Other Skin, Subcutaneous Tissue and Breast Procedures with Complications, the hospitals in the dearest tenth charge about 3.6x 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. $19,080 is roughly what Medicare actually paid per case, against an average charge of $99,591. 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 580: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC”. 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.