Inpatient stays / DRG 604
MS-DRG 604 · 21 hospitals · 3,653 stays
DRG 604: Trauma To The Skin, Subcutaneous Tissue and Breast with MCC
Medicare patients had 3,653 stays in DRG 604 in 2024. Hospitals charged an average of $72,676 per stay and were paid $14,668 — a ratio of 5 to 1 — of which Medicare's own share averaged $12,482. Average charges ran from $21,050 at the least expensive hospital to $147,984 at the most; half of hospitals charged between $48,640 and $96,906.
- 1Average charge $72,676
- 2Average paid $14,668
- 3Reporting hospitals 21
- 4Medicare stays 3,653
By state
Average charges for DRG 604 were highest in Nevada ($116,425) and lowest in Maryland ($19,358). Payments vary far less than charges, because Medicare sets them: they range across states from $10,122 to $19,938.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 43 | $116,425 | $14,359 | 8.1× |
| New Jersey | 96 | $109,844 | $15,323 | 7.2× |
| California | 439 | $100,593 | $18,201 | 5.5× |
| District of Columbia | 12 | $94,526 | $19,938 | 4.7× |
| Colorado | 36 | $92,518 | $12,572 | 7.4× |
| Texas | 229 | $89,013 | $13,405 | 6.6× |
| Florida | 410 | $88,795 | $12,576 | 7.1× |
| New York | 259 | $84,710 | $19,852 | 4.3× |
| Georgia | 86 | $84,527 | $17,666 | 4.8× |
| Pennsylvania | 174 | $80,503 | $14,216 | 5.7× |
| New Hampshire | 19 | $78,476 | $13,147 | 6× |
| Missouri | 77 | $75,160 | $12,467 | 6× |
| Arizona | 74 | $74,279 | $12,856 | 5.8× |
| Maine | 19 | $71,980 | $18,659 | 3.9× |
| South Carolina | 49 | $71,096 | $12,203 | 5.8× |
| Kansas | 54 | $64,818 | $11,874 | 5.5× |
| Washington | 69 | $63,819 | $14,061 | 4.5× |
| Indiana | 73 | $63,029 | $13,690 | 4.6× |
| Kentucky | 38 | $60,483 | $12,592 | 4.8× |
| Tennessee | 77 | $59,331 | $13,193 | 4.5× |
| Virginia | 86 | $58,016 | $12,041 | 4.8× |
| Oklahoma | 34 | $57,859 | $13,160 | 4.4× |
| Alabama | 46 | $57,273 | $11,780 | 4.9× |
| Idaho | 13 | $56,807 | $12,802 | 4.4× |
| Illinois | 175 | $56,278 | $14,490 | 3.9× |
| Oregon | 14 | $56,248 | $15,310 | 3.7× |
| North Carolina | 85 | $55,530 | $14,202 | 3.9× |
| Connecticut | 46 | $55,288 | $17,486 | 3.2× |
| Louisiana | 33 | $55,209 | $11,711 | 4.7× |
| Ohio | 134 | $49,687 | $11,935 | 4.2× |
| Minnesota | 61 | $49,486 | $13,105 | 3.8× |
| Nebraska | 24 | $48,572 | $12,245 | 4× |
| Mississippi | 30 | $48,132 | $10,122 | 4.8× |
| Wisconsin | 61 | $47,851 | $13,221 | 3.6× |
| Rhode Island | 11 | $46,880 | $14,967 | 3.1× |
| Massachusetts | 128 | $46,757 | $17,479 | 2.7× |
| Utah | 17 | $45,087 | $12,606 | 3.6× |
| Michigan | 93 | $44,324 | $13,144 | 3.4× |
| New Mexico | 15 | $44,293 | $13,231 | 3.3× |
| Delaware | 11 | $43,453 | $13,333 | 3.3× |
| West Virginia | 23 | $42,886 | $12,240 | 3.5× |
| Iowa | 45 | $37,403 | $11,135 | 3.4× |
| Arkansas | 16 | $35,670 | $11,364 | 3.1× |
| Maryland | 84 | $19,358 | $17,401 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Delray Medical Center Delray Beach, FL · 18 stays | $147,984 | $10,030 |
| Orlando Health Orlando Regional Medical Center Orlando, FL · 16 stays | $126,896 | $14,573 |
| Stony Brook University Hospital Stony Brook, NY · 22 stays | $103,377 | $20,384 |
| Lehigh Valley Hospital Allentown, PA · 12 stays | $100,161 | $13,714 |
| New York-Presbyterian Hospital New York, NY · 17 stays | $97,295 | $19,750 |
| Sutter Roseville Medical Center Roseville, CA · 12 stays | $96,516 | $15,741 |
| Ascension St Vincent Hospital Indianapolis, IN · 12 stays | $93,974 | $21,792 |
| University of Kansas Hospital Kansas City, KS · 12 stays | $88,413 | $13,847 |
| Huntington Hospital Huntington, NY · 13 stays | $82,118 | $12,052 |
| University of Wi Hospitals & Clinics Authority Madison, WI · 13 stays | $79,829 | $18,817 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Bayview Medical Center Baltimore, MD · 11 stays | $21,050 | $18,399 |
| South Shore Hospital South Weymouth, MA · 13 stays | $29,798 | $12,328 |
| Lakeland Regional Medical Center Lakeland, FL · 13 stays | $45,244 | $12,028 |
| Novant Health New Hanover Regional Medical Center Wilmington, NC · 13 stays | $47,592 | $13,916 |
| Los Angeles Community Hospital Los Angeles, CA · 30 stays | $48,366 | $15,990 |
| Naples Community Hospital Naples, FL · 12 stays | $48,913 | $11,242 |
| Southern California Hospital at Hollywood Hollywood, CA · 44 stays | $57,828 | $16,127 |
| Orange County Global Medical Center Santa Ana, CA · 11 stays | $64,657 | $16,323 |
| Elmhurst Hospital Center Elmhurst, NY · 11 stays | $70,598 | $41,104 |
| Adventhealth Orlando Orlando, FL · 22 stays | $74,956 | $12,161 |
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.