Inpatient stays / DRG 478
MS-DRG 478 · 93 hospitals · 5,543 stays
DRG 478: Biopsies of Musculoskeletal System and Connective Tissue with CC
Medicare patients had 5,543 stays in DRG 478 in 2024. Hospitals charged an average of $118,089 per stay and were paid $21,917 — a ratio of 5.4 to 1 — of which Medicare's own share averaged $18,153. Average charges ran from $35,982 at the least expensive hospital to $399,516 at the most; half of hospitals charged between $86,353 and $151,606.
- 1Average charge $118,089
- 2Average paid $21,917
- 3Reporting hospitals 93
- 4Medicare stays 5,543
By state
Average charges for DRG 478 were highest in California ($185,652) and lowest in Maryland ($34,855). Payments vary far less than charges, because Medicare sets them: they range across states from $14,231 to $31,252.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 512 | $185,652 | $27,362 | 6.8× |
| Nevada | 29 | $180,498 | $23,334 | 7.7× |
| Colorado | 86 | $164,136 | $20,993 | 7.8× |
| Texas | 480 | $155,961 | $20,211 | 7.7× |
| New Jersey | 191 | $151,410 | $25,939 | 5.8× |
| Florida | 629 | $143,385 | $19,336 | 7.4× |
| District of Columbia | 23 | $142,915 | $29,647 | 4.8× |
| New York | 311 | $132,511 | $27,198 | 4.9× |
| Utah | 22 | $128,507 | $21,164 | 6.1× |
| Kansas | 56 | $123,982 | $19,691 | 6.3× |
| Alabama | 73 | $119,561 | $18,933 | 6.3× |
| Pennsylvania | 226 | $118,504 | $21,412 | 5.5× |
| Georgia | 145 | $112,879 | $20,211 | 5.6× |
| Arizona | 87 | $111,892 | $22,497 | 5× |
| Kentucky | 95 | $109,272 | $18,370 | 5.9× |
| Indiana | 107 | $106,587 | $19,250 | 5.5× |
| Oklahoma | 56 | $104,687 | $18,930 | 5.5× |
| Illinois | 246 | $103,654 | $22,793 | 4.5× |
| Virginia | 190 | $102,160 | $20,106 | 5.1× |
| Washington | 95 | $101,563 | $22,055 | 4.6× |
| South Carolina | 95 | $98,103 | $20,755 | 4.7× |
| Tennessee | 100 | $97,869 | $19,342 | 5.1× |
| Louisiana | 88 | $97,630 | $18,233 | 5.4× |
| New Hampshire | 39 | $97,438 | $21,007 | 4.6× |
| Connecticut | 58 | $94,470 | $26,383 | 3.6× |
| Mississippi | 55 | $94,400 | $17,758 | 5.3× |
| South Dakota | 25 | $87,704 | $20,847 | 4.2× |
| New Mexico | 23 | $84,176 | $19,917 | 4.2× |
| Delaware | 35 | $83,279 | $22,117 | 3.8× |
| Missouri | 163 | $82,683 | $19,749 | 4.2× |
| Iowa | 31 | $82,655 | $17,843 | 4.6× |
| Idaho | 15 | $82,054 | $19,053 | 4.3× |
| Maine | 15 | $79,695 | $19,440 | 4.1× |
| Ohio | 233 | $79,429 | $19,877 | 4× |
| West Virginia | 46 | $78,612 | $19,255 | 4.1× |
| Michigan | 175 | $77,248 | $20,662 | 3.7× |
| North Carolina | 110 | $77,105 | $21,734 | 3.5× |
| Minnesota | 81 | $76,334 | $21,471 | 3.6× |
| Wisconsin | 43 | $71,028 | $18,327 | 3.9× |
| Oregon | 37 | $70,033 | $25,389 | 2.8× |
| North Dakota | 15 | $67,127 | $18,431 | 3.6× |
| Massachusetts | 154 | $65,701 | $24,658 | 2.7× |
| Nebraska | 46 | $62,426 | $19,390 | 3.2× |
| Arkansas | 36 | $60,476 | $16,405 | 3.7× |
| Rhode Island | 12 | $57,490 | $21,551 | 2.7× |
| Montana | 19 | $56,125 | $19,865 | 2.8× |
| Vermont | 18 | $54,763 | $14,231 | 3.8× |
| Maryland | 96 | $34,855 | $31,252 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 37 stays | $399,516 | $31,277 |
| Stanford Health Care Stanford, CA · 11 stays | $399,415 | $36,074 |
| Riverside Community Hospital Riverside, CA · 11 stays | $316,189 | $30,174 |
| HCA Florida Orange Park Hospital Orange Park, FL · 17 stays | $263,793 | $22,278 |
| Medical City Plano Plano, TX · 20 stays | $259,784 | $21,006 |
| Corpus Christi Medical Center,the Corpus Christi, TX · 19 stays | $252,035 | $18,859 |
| UCSF Medical Center San Francisco, CA · 13 stays | $241,684 | $42,282 |
| El Camino Hospital Mountain View, CA · 15 stays | $231,230 | $25,584 |
| Round Rock Medical Center Round Rock, TX · 11 stays | $230,330 | $16,767 |
| NYU Langone Hospitals New York, NY · 28 stays | $224,293 | $32,324 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Baystate Medical Center Springfield, MA · 11 stays | $35,982 | $26,427 |
| Blanchard Valley Hospital Findlay, OH · 12 stays | $37,650 | $15,072 |
| Ecu Health Medical Center Greenville, NC · 13 stays | $46,747 | $22,047 |
| Albany Medical Center Hospital Albany, NY · 14 stays | $49,055 | $25,053 |
| Beth Israel Deaconess Medical Center Boston, MA · 12 stays | $56,330 | $30,464 |
| The Nebraska Medical Center Omaha, NE · 11 stays | $58,520 | $23,357 |
| Ascension Providence Hospital Southfield, MI · 16 stays | $61,664 | $20,326 |
| Owensboro Health Regional Hospital Owensboro, KY · 13 stays | $66,411 | $19,131 |
| Adventhealth New Smyrna Beach New Smyrna Beach, FL · 11 stays | $68,131 | $15,986 |
| Riverside Regional Medical Center Newport News, VA · 23 stays | $69,233 | $19,748 |
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.