Trauma to the Skin, Subcutaneous Tissue and Breast with Major Complications — what U.S. hospitals charge
MS-DRG 604 · Inpatient stay · 21 U.S. hospitals publish a price
Cheapest quarter
under $48,913
Typical charge
$75,143
Dearest quarter
over $96,516
Actually paid
$16,459
The middle U.S. hospital bills $75,143 for Trauma to the Skin, Subcutaneous Tissue and Breast with Major Complications. The dearest hospitals charge about 2.3x what the cheapest do for the same coded work. Medicare actually paid about $16,459 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.
Trauma to the Skin, Subcutaneous Tissue and Breast 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 |
|---|---|---|---|
| California | 5 | $64,657 | $48,366 – $96,516 |
| Florida | 5 | $74,956 | $45,244 – $147,984 |
| New York | 4 | $89,707 | $70,598 – $103,377 |
Where Trauma to the Skin, Subcutaneous Tissue and Breast 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 |
|---|---|---|
|
Johns Hopkins Bayview Medical Center
Baltimore, MD |
$21,050 | $18,399 |
|
South Shore Hospital
South Weymouth, MA |
$29,798 | $12,328 |
|
Lakeland Regional Medical Center
Lakeland, FL |
$45,244 | $12,028 |
|
Novant Health New Hanover Regional Medical Center
Wilmington, NC |
$47,592 | $13,916 |
|
Los Angeles Community Hospital
Los Angeles, CA |
$48,366 | $15,990 |
|
Naples Community Hospital
Naples, FL |
$48,913 | $11,242 |
|
Southern California Hospital At Hollywood
Hollywood, CA |
$57,828 | $16,127 |
|
Orange County Global Medical Center
Santa Ana, CA |
$64,657 | $16,323 |
|
Elmhurst Hospital Center
Elmhurst, NY |
$70,598 | $41,104 |
|
Adventhealth Orlando
Orlando, FL |
$74,956 | $12,161 |
|
Foothill Regional Medical Center
Tustin, CA |
$75,143 | $15,311 |
|
University Of Wi Hospitals & Clinics Authority
Madison, WI |
$79,829 | $18,817 |
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 |
|---|---|---|
|
Delray Medical Center
Delray Beach, FL |
$147,984 | $10,030 |
|
Orlando Health
Orlando, FL |
$126,896 | $14,573 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$103,377 | $20,384 |
|
Lehigh Valley Hospital
Allentown, PA |
$100,161 | $13,714 |
|
New York-Presbyterian Hospital
New York, NY |
$97,295 | $19,750 |
|
Sutter Roseville Medical Center
Roseville, CA |
$96,516 | $15,741 |
|
Ascension St Vincent Hospital
Indianapolis, IN |
$93,974 | $21,792 |
|
University Of Kansas Hospital
Kansas City, KS |
$88,413 | $13,847 |
|
Ns/Lij Hs Huntington Hospital
Huntington, NY |
$82,118 | $12,052 |
|
University Of Wi Hospitals & Clinics Authority
Madison, WI |
$79,829 | $18,817 |
|
Foothill Regional Medical Center
Tustin, CA |
$75,143 | $15,311 |
|
Adventhealth Orlando
Orlando, FL |
$74,956 | $12,161 |
Questions people ask
What do U.S. hospitals charge for Trauma to the Skin, Subcutaneous Tissue and Breast with Major Complications?
Across 21 U.S. hospitals, the middle charge for Trauma to the Skin, Subcutaneous Tissue and Breast with Major Complications is $75,143. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $48,913 and the dearest quarter over $96,516.
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 Trauma to the Skin, Subcutaneous Tissue and Breast with Major Complications, the hospitals in the dearest tenth charge about 2.3x 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. $16,459 is roughly what Medicare actually paid per case, against an average charge of $75,873. 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 604: “TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST 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.