Biopsies of Musculoskeletal System and Connective Tissue with Mcc in California
MS-DRG 477: Biopsies of musculoskeletal system and connective tissue with mcc
$384,501typical hospital bill
$52,896typical amount paid
$37,781–$68,011range paid across 2 hospitals
California hospitals billed Medicare a typical $384,501 for this stay in 2024, about 7.3 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Sutter Roseville Medical Center | Roseville | 13 | $139,554 | $37,781 | |
| Cedars-Sinai Medical Center | Los Angeles | 14 | $629,449 | $68,011 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.