Other Skin, Subcutaneous Tissue and Breast Procedures without Complications/mcc — what U.S. hospitals charge
MS-DRG 581 · Inpatient stay · 4 U.S. hospitals publish a price
Cheapest quarter
under $151,935
Typical charge
$225,925
Dearest quarter
over $300,602
Actually paid
$14,570
The middle U.S. hospital bills $225,925 for Other Skin, Subcutaneous Tissue and Breast Procedures without Complications/mcc. The dearest hospitals charge about 2.4x what the cheapest do for the same coded work. Medicare actually paid about $14,570 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.
Where Other Skin, Subcutaneous Tissue and Breast Procedures without Complications/mcc is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Methodist Hospital
San Antonio, TX |
$123,371 | $12,897 |
|
St Charles Surgical Hospital
New Orleans, LA |
$161,456 | $8,318 |
|
Baptist Medical Center
San Antonio, TX |
$290,394 | $12,165 |
|
Stanford Health Care
Stanford, CA |
$331,227 | $24,902 |
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 |
$331,227 | $24,902 |
|
Baptist Medical Center
San Antonio, TX |
$290,394 | $12,165 |
|
St Charles Surgical Hospital
New Orleans, LA |
$161,456 | $8,318 |
|
Methodist Hospital
San Antonio, TX |
$123,371 | $12,897 |
Questions people ask
What do U.S. hospitals charge for Other Skin, Subcutaneous Tissue and Breast Procedures without Complications/mcc?
Across 4 U.S. hospitals, the middle charge for Other Skin, Subcutaneous Tissue and Breast Procedures without Complications/mcc is $225,925. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $151,935 and the dearest quarter over $300,602.
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 without Complications/mcc, the hospitals in the dearest tenth charge about 2.4x 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. $14,570 is roughly what Medicare actually paid per case, against an average charge of $200,483. 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 581: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/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.