Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D — what U.S. hospitals charge
MS-DRG 464 · Inpatient stay · 122 U.S. hospitals publish a price
Cheapest quarter
under $98,627
Typical charge
$137,066
Dearest quarter
over $202,883
Actually paid
$32,345
The middle U.S. hospital bills $137,066 for Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D. The dearest hospitals charge about 4.4x what the cheapest do for the same coded work. Medicare actually paid about $32,345 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.
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 3 | $65,898 | $60,682 – $71,669 |
| North Carolina | 5 | $67,805 | $51,225 – $102,513 |
| Virginia | 5 | $77,889 | $52,607 – $129,682 |
| Illinois | 3 | $122,348 | $57,444 – $176,969 |
| Kansas | 3 | $130,983 | $83,346 – $231,922 |
| Arizona | 3 | $135,463 | $131,046 – $145,799 |
| Florida | 10 | $139,681 | $117,549 – $265,773 |
| Pennsylvania | 10 | $150,763 | $89,590 – $352,675 |
| Ohio | 5 | $152,079 | $61,404 – $158,045 |
| Massachusetts | 5 | $154,852 | $55,617 – $181,654 |
| Oklahoma | 3 | $166,504 | $98,701 – $213,000 |
| Texas | 11 | $186,754 | $82,105 – $645,432 |
| New York | 10 | $211,285 | $138,162 – $486,195 |
| California | 11 | $240,302 | $115,341 – $593,577 |
Where Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Moses H. Cone Memorial Hospital, The
Greensboro, NC |
$51,225 | $20,706 |
|
Riverside Regional Medical Center
Newport News, VA |
$52,607 | $19,610 |
|
Baystate Medical Center
Springfield, MA |
$55,617 | $30,637 |
|
Northshore University Healthsystem - Evanston Hospital
Evanston, IL |
$57,444 | $23,676 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$58,634 | $37,058 |
|
Winchester Medical Center
Winchester, VA |
$59,479 | $24,035 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$60,682 | $54,032 |
|
Bethesda North
Cincinnati, OH |
$61,404 | $18,652 |
|
Novant Health Forsyth Medical Center
Winston-Salem, NC |
$61,852 | $19,661 |
|
Ssm Health St Mary's Hospital - Madison
Madison, WI |
$64,057 | $21,524 |
|
University Of Maryland Medical Center
Baltimore, MD |
$65,898 | $60,641 |
|
Duke University Hospital
Durham, NC |
$67,805 | $33,021 |
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 |
|---|---|---|
|
Medical City Plano
Plano, TX |
$645,432 | $35,766 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$593,577 | $45,431 |
|
Medical City Dallas Hospital
Dallas, TX |
$492,147 | $31,176 |
|
Westchester Medical Center
Valhalla, NY |
$486,195 | $42,721 |
|
Stanford Health Care
Stanford, CA |
$435,339 | $58,369 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$352,675 | $47,061 |
|
Ucsf Medical Center
San Francisco, CA |
$351,879 | $60,992 |
|
Nyu Langone Hospitals
New York, NY |
$339,245 | $43,242 |
|
Hospital For Special Surgery
New York, NY |
$334,954 | $68,269 |
|
Doctors Hospital
Augusta, GA |
$334,475 | $21,906 |
|
Baptist Medical Center
San Antonio, TX |
$333,735 | $18,967 |
|
Geisinger Medical Center
Danville, PA |
$325,204 | $30,201 |
Questions people ask
What do U.S. hospitals charge for Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D?
Across 122 U.S. hospitals, the middle charge for Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D is $137,066. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $98,627 and the dearest quarter over $202,883.
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 Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D, the hospitals in the dearest tenth charge about 4.4x 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. $32,345 is roughly what Medicare actually paid per case, against an average charge of $182,292. 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 464: “WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D”. 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.