Inpatient stays / DRG 477
MS-DRG 477 · 21 hospitals · 3,238 stays
DRG 477: Biopsies of Musculoskeletal System and Connective Tissue with MCC
Medicare patients had 3,238 stays in DRG 477 in 2024. Hospitals charged an average of $157,901 per stay and were paid $31,810 — a ratio of 5 to 1 — of which Medicare's own share averaged $26,913. Average charges ran from $61,409 at the least expensive hospital to $629,449 at the most; half of hospitals charged between $130,838 and $250,773.
- 1Average charge $157,901
- 2Average paid $31,810
- 3Reporting hospitals 21
- 4Medicare stays 3,238
By state
Average charges for DRG 477 were highest in New Jersey ($258,595) and lowest in Maryland ($46,808). Payments vary far less than charges, because Medicare sets them: they range across states from $23,875 to $47,529.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| New Jersey | 95 | $258,595 | $35,143 | 7.4× |
| Colorado | 58 | $246,322 | $29,811 | 8.3× |
| California | 295 | $245,064 | $42,317 | 5.8× |
| New York | 221 | $204,690 | $41,851 | 4.9× |
| Nevada | 22 | $196,056 | $35,620 | 5.5× |
| Kansas | 45 | $186,331 | $30,933 | 6× |
| Florida | 331 | $185,478 | $25,884 | 7.2× |
| Alabama | 31 | $184,172 | $31,189 | 5.9× |
| Texas | 274 | $181,823 | $26,304 | 6.9× |
| Pennsylvania | 146 | $170,671 | $30,648 | 5.6× |
| Georgia | 80 | $162,684 | $28,925 | 5.6× |
| South Carolina | 46 | $153,547 | $28,860 | 5.3× |
| Washington | 59 | $146,038 | $31,329 | 4.7× |
| District of Columbia | 11 | $145,277 | $37,439 | 3.9× |
| New Mexico | 28 | $145,237 | $27,892 | 5.2× |
| Indiana | 56 | $139,788 | $31,495 | 4.4× |
| Illinois | 163 | $136,397 | $31,680 | 4.3× |
| Oklahoma | 30 | $131,818 | $27,212 | 4.8× |
| Connecticut | 51 | $127,071 | $35,826 | 3.5× |
| West Virginia | 27 | $125,036 | $31,893 | 3.9× |
| Kentucky | 39 | $123,782 | $27,020 | 4.6× |
| Arizona | 74 | $122,005 | $32,789 | 3.7× |
| Wisconsin | 31 | $120,895 | $29,824 | 4.1× |
| Missouri | 89 | $119,968 | $29,997 | 4× |
| Idaho | 14 | $119,364 | $25,209 | 4.7× |
| Minnesota | 47 | $116,771 | $47,529 | 2.5× |
| Iowa | 14 | $115,161 | $24,205 | 4.8× |
| Virginia | 99 | $114,468 | $28,016 | 4.1× |
| Ohio | 118 | $113,121 | $26,938 | 4.2× |
| Mississippi | 17 | $112,052 | $30,271 | 3.7× |
| Tennessee | 49 | $106,087 | $25,139 | 4.2× |
| South Dakota | 16 | $105,417 | $27,166 | 3.9× |
| North Carolina | 83 | $105,322 | $30,175 | 3.5× |
| Louisiana | 38 | $98,853 | $23,875 | 4.1× |
| Massachusetts | 111 | $94,135 | $34,248 | 2.7× |
| Nebraska | 26 | $92,238 | $24,396 | 3.8× |
| Utah | 22 | $91,165 | $26,156 | 3.5× |
| Oregon | 32 | $90,366 | $34,004 | 2.7× |
| New Hampshire | 18 | $88,521 | $28,952 | 3.1× |
| Michigan | 75 | $87,963 | $28,222 | 3.1× |
| North Dakota | 11 | $85,158 | $30,551 | 2.8× |
| Arkansas | 31 | $81,631 | $23,914 | 3.4× |
| Montana | 15 | $52,970 | $25,244 | 2.1× |
| Maryland | 55 | $46,808 | $42,053 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 14 stays | $629,449 | $68,011 |
| NYU Langone Hospitals New York, NY · 22 stays | $330,362 | $46,387 |
| Medical City Plano Plano, TX · 11 stays | $326,712 | $20,177 |
| New York-Presbyterian Hospital New York, NY · 22 stays | $261,163 | $44,292 |
| University of Kansas Hospital Kansas City, KS · 17 stays | $256,374 | $36,918 |
| Northwestern Medicine Central Dupage Hospital Winfield, IL · 11 stays | $245,172 | $43,520 |
| Cooper University Hospital Camden, NJ · 11 stays | $244,777 | $44,943 |
| Adventhealth Orlando Orlando, FL · 39 stays | $243,013 | $25,917 |
| Massachusetts General Hospital Boston, MA · 15 stays | $213,289 | $43,400 |
| Lehigh Valley Hospital Allentown, PA · 17 stays | $207,685 | $29,589 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Riverside Regional Medical Center Newport News, VA · 11 stays | $61,409 | $20,984 |
| Carilion Roanoke Memorial Hospital Roanoke, VA · 11 stays | $93,887 | $31,564 |
| Mayo Clinic Hospital Phoenix, AZ · 13 stays | $95,856 | $39,480 |
| Saint Francis Hospital, Inc Tulsa, OK · 11 stays | $98,460 | $24,847 |
| Holmes Regional Medical Center Melbourne, FL · 11 stays | $128,893 | $22,908 |
| Memorial Mission Hospital and Asheville Surgery Ce Asheville, NC · 12 stays | $132,784 | $22,972 |
| Barnes Jewish Hospital Saint Louis, MO · 21 stays | $137,511 | $39,072 |
| Sutter Roseville Medical Center Roseville, CA · 13 stays | $139,554 | $37,781 |
| Yale-New Haven Hospital New Haven, CT · 11 stays | $158,913 | $42,840 |
| Mayo Clinic Hospital Rochester Rochester, MN · 13 stays | $169,104 | $89,282 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.