DRG 585 Surgical
Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$12,539
National average
Avg Total Costs
$13,304
CMS Inpatient data
Avg Length of Stay
2 days
CMS MS-DRG
Est. Commercial Insurance
$18,809 — $31,348
1.5x — 2.5x Medicare
Annual Discharges
28
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
28
Total Discharges
$13,304
Avg Total Costs
$9,649
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for breast biopsy, local excision and other breast procedures without cc/mcc cost?
The average Medicare payment for DRG 585 is $12,539. Average hospital costs are $13,304. Commercial insurance typically pays 150-250% of Medicare rates ($18,809 — $31,348).
How long is the hospital stay for DRG 585?
The average length of stay is 2 days. This varies by severity — patients with complications or comorbidities may stay longer.
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.