DRG 465 Surgical

Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCC

Hospital inpatient stay cost data from CMS

Avg Medicare Payment
$11,854
National average
Avg Total Costs
$19,149
CMS Inpatient data
Avg Length of Stay
2.1 days
CMS MS-DRG
Est. Commercial Insurance
$17,781 — $29,635
1.5x — 2.5x Medicare
Annual Discharges
61
Medicare beneficiaries

CMS Inpatient National Data

From CMS Medicare Provider Utilization & Payment Data (FY 2023)

61
Total Discharges
$19,149
Avg Total Costs
$14,085
Avg Medicare Payment

Cost by Severity Level

NY SPARCS hospital discharge data (2022) — costs reflect New York State hospitals

Severity Discharges Avg LOS Avg Charges Avg Costs Median Costs
Extreme 58 8.9 days $71,840 $23,816 $19,159
Major 831 3.9 days $33,328 $10,536 $8,190
Minor 728 1.6 days $19,092 $6,277 $4,970
Moderate 4,770 2 days $21,341 $6,784 $5,784

Frequently Asked Questions

How much does a hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective ... cost?

The average Medicare payment for DRG 465 is $11,854. Average hospital costs are $19,149. Commercial insurance typically pays 150-250% of Medicare rates ($17,781 — $29,635).

How long is the hospital stay for DRG 465?

The average length of stay is 2.1 days. This varies by severity — NY data shows stays from 1.6 to 8.9 days depending on severity.

How much does this hospital stay cost without insurance?

Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.

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