Other Skin, Subcutaneous Tissue and Breast Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 579 · Inpatient stay · 16 U.S. hospitals publish a price
Cheapest quarter
under $135,676
Typical charge
$189,755
Dearest quarter
over $247,375
Actually paid
$37,164
The middle U.S. hospital bills $189,755 for Other Skin, Subcutaneous Tissue and Breast Procedures with Major Complications. The dearest hospitals charge about 3.4x what the cheapest do for the same coded work. Medicare actually paid about $37,164 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 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 |
|---|---|---|---|
| New York | 5 | $241,245 | $196,270 – $322,286 |
Where Other Skin, Subcutaneous Tissue and Breast Procedures 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 |
|---|---|---|
|
Baylor University Medical Center
Dallas, TX |
$61,165 | $29,848 |
|
Mississippi Baptist Medical Center
Jackson, MS |
$84,153 | $19,824 |
|
Brigham And Women's Hospital
Boston, MA |
$108,507 | $36,149 |
|
Massachusetts General Hospital
Boston, MA |
$120,226 | $35,557 |
|
Vanderbilt University Medical Center
Nashville, TN |
$140,826 | $32,124 |
|
University Of Kansas Hospital
Kansas City, KS |
$162,746 | $28,048 |
|
Texas Health Presbyterian Hospital Dallas
Dallas, TX |
$163,595 | $32,052 |
|
Northwestern Memorial Hospital
Chicago, IL |
$183,240 | $38,104 |
|
Long Island Jewish Medical Center
New Hyde Park, NY |
$196,270 | $36,799 |
|
Nyu Langone Hospitals
New York, NY |
$216,863 | $38,992 |
|
Mount Sinai Hospital
New York, NY |
$241,245 | $56,437 |
|
New York-Presbyterian Hospital
New York, NY |
$246,713 | $42,986 |
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 |
$478,017 | $52,677 |
|
Orlando Health
Orlando, FL |
$331,789 | $29,091 |
|
North Shore University Hospital
Manhasset, NY |
$322,286 | $48,393 |
|
Adventhealth Orlando
Orlando, FL |
$249,363 | $37,540 |
|
New York-Presbyterian Hospital
New York, NY |
$246,713 | $42,986 |
|
Mount Sinai Hospital
New York, NY |
$241,245 | $56,437 |
|
Nyu Langone Hospitals
New York, NY |
$216,863 | $38,992 |
|
Long Island Jewish Medical Center
New Hyde Park, NY |
$196,270 | $36,799 |
|
Northwestern Memorial Hospital
Chicago, IL |
$183,240 | $38,104 |
|
Texas Health Presbyterian Hospital Dallas
Dallas, TX |
$163,595 | $32,052 |
|
University Of Kansas Hospital
Kansas City, KS |
$162,746 | $28,048 |
|
Vanderbilt University Medical Center
Nashville, TN |
$140,826 | $32,124 |
Questions people ask
What do U.S. hospitals charge for Other Skin, Subcutaneous Tissue and Breast Procedures with Major Complications?
Across 16 U.S. hospitals, the middle charge for Other Skin, Subcutaneous Tissue and Breast Procedures with Major Complications is $189,755. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $135,676 and the dearest quarter over $247,375.
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 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. $37,164 is roughly what Medicare actually paid per case, against an average charge of $213,487. 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 579: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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.