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Skin infection (cellulitis) (hospital stay): what insurers pay

A hospital stay for cellulitis. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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MS-DRG 603: Cellulitis Without McC

1600 hospitals in 83 markets. National Medicare rate $6,337.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)23$7,444$9,145$10,726$4,353–$20,971
Alaska (statewide)4———$7,876–$29,127
Arizona (statewide)28$10,650$14,612$16,894$6,995–$21,910
Arkansas (statewide)12$7,431$8,112$8,908$5,189–$10,224
Atlanta GA9$15,897$16,447$16,961$15,897–$25,934
Austin TX13$5,801$10,199$10,568$5,456–$12,308
Boston MA15$7,080$8,056$8,978$5,738–$14,546
California (statewide)53$10,370$12,524$15,974$5,585–$45,905
Charlotte NC8$13,411$14,524$17,025$9,770–$17,025
Chicago IL10$10,927$12,666$14,502$8,366–$16,199
Cleveland OH11$10,861$12,050$12,450$10,249–$15,069
Colorado (statewide)16$11,440$16,955$20,138$5,336–$27,382
Columbus OH3———$11,711–$23,338
Connecticut (statewide)6$16,329$17,148$23,039$14,030–$25,400
Dallas-Fort Worth TX15$9,411$10,314$12,387$8,166–$19,812
Delaware (statewide)2———$10,502–$14,199
Denver CO15$9,978$11,365$17,298$7,763–$22,980
Detroit MI16$11,342$11,930$13,144$9,046–$16,755
Florida (statewide)90$9,848$12,008$17,583$6,575–$26,159
Georgia (statewide)42$12,406$16,806$22,263$7,906–$25,934
Hawaii (statewide)11$15,930$16,141$20,408$14,091–$26,616
Houston TX19$9,610$12,641$14,157$8,407–$26,341
Idaho (statewide)16$13,082$15,041$19,113$8,500–$21,478
Illinois (statewide)47$8,582$9,592$12,839$5,862–$31,842
Indiana (statewide)56$10,587$13,894$15,676$4,414–$21,019
Indianapolis IN6$14,799$15,471$18,792$13,700–$19,742
Iowa (statewide)26$8,406$9,815$13,367$5,037–$36,715
Kansas (statewide)32$7,812$8,234$10,631$4,003–$19,375
Kentucky (statewide)40$7,748$10,752$11,730$5,357–$20,316
Las Vegas NV1———$14,428–$14,428
Los Angeles CA18$14,543$15,572$16,676$11,647–$20,506
Louisiana (statewide)24$6,891$8,044$8,934$5,258–$11,837
Maine (statewide)14$16,402$23,618$26,042$6,715–$26,333
Maryland (statewide)1———$9,864–$9,864
Massachusetts (statewide)8$5,948$8,842$11,395$4,909–$14,788
Miami-Fort Lauderdale FL3———$9,288–$11,207
Michigan (statewide)38$9,471$11,407$12,523$6,064–$18,115
Minneapolis-St. Paul MN15$12,615$14,756$15,129$7,310–$16,428
Minnesota (statewide)26$10,851$11,113$15,079$4,781–$22,077
Mississippi (statewide)21$8,709$8,770$9,872$4,273–$14,428
Missouri (statewide)34$7,706$8,892$11,039$4,568–$17,709
Montana (statewide)8$11,115$15,066$20,535$4,205–$29,791
Nashville TN8$8,440$9,634$12,403$7,612–$16,911
Nebraska (statewide)15$14,762$15,483$18,310$10,312–$20,800
Nevada (statewide)5$11,820$13,765$17,297$9,918–$17,756
New Hampshire (statewide)8$10,024$11,898$14,579$7,110–$20,484
New Jersey (statewide)21$14,520$15,634$19,850$8,316–$25,455
New Mexico (statewide)11$6,658$9,240$14,073$4,140–$26,526
New York (statewide)48$10,012$11,754$15,937$6,318–$33,011
New York City9$16,333$16,775$24,573$7,850–$26,815
North Carolina (statewide)35$7,794$8,989$15,632$5,447–$26,968
North Dakota (statewide)7$10,454$11,194$11,468$9,100–$15,904
Ohio (statewide)56$11,295$13,272$16,394$5,594–$23,457
Oklahoma (statewide)28$5,691$8,028$9,630$3,895–$16,357
Oregon (statewide)14$14,298$16,903$18,528$7,770–$23,457
Pennsylvania (statewide)61$9,355$13,141$15,485$5,922–$25,007
Philadelphia PA11$15,096$15,976$18,315$14,428–$25,455
Phoenix AZ11$14,238$14,367$15,235$13,990–$16,358
Pittsburgh PA7$9,384$9,966$11,011$8,471–$12,754
Portland OR9$19,004$20,446$22,120$17,717–$22,821
Research Triangle NC9$8,412$10,972$11,715$7,782–$13,432
Rhode Island (statewide)7$10,405$14,140$17,512$9,122–$18,858
Richmond VA7$10,066$17,196$19,252$8,926–$20,954
Rio Grande Valley TX6$10,187$11,156$11,974$10,012–$13,950
Salt Lake City UT9$13,506$13,506$13,506$13,372–$13,506
San Antonio TX3———$8,028–$29,246
San Diego CA7$10,962$12,462$14,179$10,552–$15,222
San Francisco Bay Area CA2———$10,950–$16,549
Seattle-Tacoma WA16$17,466$19,363$20,112$17,138–$24,997
South Carolina (statewide)31$14,296$16,983$18,306$4,534–$26,392
South Dakota (statewide)4———$9,580–$14,165
St. Louis MO7$11,077$11,390$11,390$4,450–$14,666
Tampa FL11$17,189$17,804$17,978$13,464–$19,316
Tennessee (statewide)33$7,462$8,550$10,500$4,199–$16,911
Texas (statewide)90$8,323$10,438$14,446$4,125–$23,809
Utah (statewide)6$13,609$16,107$18,851$6,388–$19,036
Vermont (statewide)3———$11,012–$24,341
Virginia (statewide)34$11,006$16,600$18,083$8,286–$27,072
Washington (statewide)14$14,147$16,658$18,338$7,337–$37,066
Washington DC11$13,374$17,269$17,801$7,980–$18,338
West Virginia (statewide)14$4,155$8,014$12,806$3,578–$20,976
Wisconsin (statewide)55$11,948$16,267$17,928$7,965–$20,948
Wyoming (statewide)2———$13,826–$19,658

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Wetzel County HospitalWest Virginia (statewide)$3,5780.6×12026-07-10
Cordell Memorial HospitalOklahoma (statewide)$3,8950.7×42026-06-24
Weatherford Regional Hospital, Inc Of WeatherfordOklahoma (statewide)$3,8950.7×52026-06-24
Carnegie Tri-County Municipal HospitalOklahoma (statewide)$3,8950.7×42026-09-01
Mcpherson Hospital IncKansas (statewide)$4,0030.7×32026-06-08
Weirton Medical Center, IncWest Virginia (statewide)$4,0160.7×22026-07-10
Reynolds Memorial Hospital, IncWest Virginia (statewide)$4,0300.7×32026-07-09
Sweeny Community HospitalTexas (statewide)$4,1250.7×12026-09-08
Los Alamos Medical CenterNew Mexico (statewide)$4,1400.7×32026-07-10
Thomas Memorial HospitalWest Virginia (statewide)$4,1500.7×32026-07-10
United Hospital Center, IncWest Virginia (statewide)$4,1690.7×32026-07-10
Livingston Regional HospitalTennessee (statewide)$4,1990.8×12026-04-01
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$27,3824.2×42026-03-22
Montefiore Mount Vernon HospitalNew York (statewide)$28,2473.6×102026-04-01
Stillwater Billings ClinicMontana (statewide)$29,0114.6×22025-12-19
Providence Alaska Medical CenterAlaska (statewide)$29,1274.2×42026-04-01
University Health SystemSan Antonio TX$29,2464.7×102025-10-14
Providence St Joseph Medical CenterMontana (statewide)$29,7914.7×12026-04-01
Taylorville Memorial HospitalIllinois (statewide)$31,8424.8×12026-09-17
Stony Brook University HospitalNew York (statewide)$33,0114.2×12026-06-10
Guthrie County HospitalIowa (statewide)$36,7156.1×12026-09-26
Providence Centralia HospitalWashington (statewide)$37,0665.3×22026-04-01
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$44,6145.5×12026-03-12
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$45,9055.6×12026-03-12

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

MS-DRG 602: Cellulitis With McC

1563 hospitals in 83 markets. National Medicare rate $10,342.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)23$11,992$14,208$16,923$5,310–$34,981
Alaska (statewide)4———$12,656–$48,586
Arizona (statewide)27$16,785$24,174$25,800$10,897–$27,489
Arkansas (statewide)11$12,246$13,231$14,386$8,469–$15,386
Atlanta GA9$26,517$26,841$27,219$26,517–$43,260
Austin TX13$8,965$14,162$17,247$7,606–$20,316
Boston MA14$12,236$13,152$14,902$10,079–$29,488
California (statewide)55$16,242$20,135$25,687$9,316–$104,656
Charlotte NC8$22,369$24,226$27,785$15,944–$27,785
Chicago IL10$18,121$21,128$24,069$13,956–$26,436
Cleveland OH11$17,600$18,994$19,599$11,452–$23,982
Colorado (statewide)16$18,670$27,737$32,865$8,708–$44,687
Columbus OH2———$28,889–$38,087
Connecticut (statewide)6$23,910$25,110$26,670$16,238–$30,090
Dallas-Fort Worth TX15$14,262$16,113$19,097$12,662–$33,047
Delaware (statewide)2———$19,687–$30,940
Denver CO15$15,741$18,548$28,230$11,984–$37,862
Detroit MI17$19,469$19,690$26,571$14,946–$34,494
Florida (statewide)90$13,827$15,034$28,405$10,967–$42,692
Georgia (statewide)43$20,314$27,219$30,894$11,652–$43,260
Hawaii (statewide)11$23,986$24,456$28,717$20,935–$33,476
Houston TX19$14,534$18,866$23,089$13,855–$35,876
Idaho (statewide)16$21,696$28,808$32,341$13,304–$41,711
Illinois (statewide)44$13,828$15,654$20,555$9,566–$30,417
Indiana (statewide)54$14,732$19,663$23,882$7,732–$31,070
Indianapolis IN6$14,799$20,508$30,668$13,700–$32,219
Iowa (statewide)24$13,788$16,004$21,538$10,801–$32,197
Kansas (statewide)30$12,181$12,976$16,403$7,021–$28,132
Kentucky (statewide)39$12,500$16,051$19,242$6,192–$44,045
Las Vegas NV1———$24,066–$24,066
Los Angeles CA18$23,923$26,368$27,816$19,008–$34,205
Louisiana (statewide)24$11,242$13,416$14,902$6,915–$19,397
Maine (statewide)13$29,821$38,542$42,974$10,958–$42,974
Maryland (statewide)1———$11,519–$11,519
Massachusetts (statewide)8$16,138$18,518$19,868$10,133–$23,752
Miami-Fort Lauderdale FL3———$14,629–$18,342
Michigan (statewide)39$16,530$18,852$23,541$6,556–$30,525
Minneapolis-St. Paul MN15$20,766$24,082$25,235$11,839–$26,811
Minnesota (statewide)22$18,137$18,240$25,151$7,803–$36,826
Mississippi (statewide)19$14,298$15,530$16,064$9,042–$23,827
Missouri (statewide)33$12,110$14,388$18,036$8,012–$29,540
Montana (statewide)7$14,492$23,733$31,490$7,013–$48,690
Nashville TN8$12,514$13,382$18,032$11,665–$28,209
Nebraska (statewide)15$24,623$25,473$29,665$17,200–$33,945
Nevada (statewide)6$18,984$24,110$28,136$16,543–$47,777
New Hampshire (statewide)8$16,665$19,846$23,936$14,064–$33,429
New Jersey (statewide)21$24,609$27,555$32,396$13,465–$42,109
New Mexico (statewide)10$13,505$17,202$23,029$10,284–$44,248
New York (statewide)48$16,261$19,097$25,263$10,312–$47,118
New York City8$26,214$27,016$31,550$13,096–$43,762
North Carolina (statewide)34$13,078$15,414$26,519$9,086–$37,174
North Dakota (statewide)7$16,394$18,672$18,814$15,179–$26,529
Ohio (statewide)53$17,725$21,888$26,658$9,130–$38,867
Oklahoma (statewide)22$11,104$12,702$15,720$6,719–$27,284
Oregon (statewide)12$23,712$28,385$30,918$12,680–$38,867
Pennsylvania (statewide)63$17,696$21,448$26,635$10,877–$41,210
Philadelphia PA11$25,058$26,764$30,981$23,547–$42,109
Phoenix AZ11$23,237$23,448$24,640$23,237–$25,480
Pittsburgh PA7$18,128$19,200$21,530$14,832–$24,941
Portland OR9$29,553$31,460$36,152$29,370–$36,810
Research Triangle NC9$16,092$16,927$19,540$12,980–$21,920
Rhode Island (statewide)7$20,480$23,342$28,579$14,499–$30,776
Richmond VA7$16,427$28,683$31,419$14,278–$34,197
Rio Grande Valley TX6$15,626$17,154$17,624$14,611–$21,598
Salt Lake City UT9$24,970$24,970$24,970$24,722–$24,970
San Antonio TX3———$13,126–$36,348
San Diego CA7$17,434$20,337$22,404$16,613–$23,950
San Francisco Bay Area CA2———$16,976–$27,604
Seattle-Tacoma WA16$29,639$31,997$33,554$28,884–$41,697
South Carolina (statewide)31$24,292$27,148$31,000$8,893–$43,072
South Dakota (statewide)4———$15,634–$23,117
St. Louis MO7$16,178$17,107$17,107$7,263–$24,668
Tampa FL11$28,134$29,698$29,698$21,973–$31,523
Tennessee (statewide)33$11,883$13,974$15,707$8,118–$28,209
Texas (statewide)89$13,363$16,690$23,242$6,716–$38,204
Utah (statewide)5$24,970$33,825$35,194$10,426–$35,194
Vermont (statewide)3———$18,368–$40,601
Virginia (statewide)32$16,722$27,818$29,969$13,170–$44,181
Washington (statewide)13$24,910$27,658$30,668$12,102–$62,004
Washington DC11$20,891$28,805$29,693$13,023–$30,104
West Virginia (statewide)14$6,852$13,358$25,640$5,858–$34,233
Wisconsin (statewide)52$18,156$27,180$29,563$11,622–$34,187
Wyoming (statewide)2———$22,563–$33,052

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Flowers HospitalAlabama (statewide)$5,3100.6×12026-04-01
Wetzel County HospitalWest Virginia (statewide)$5,8580.6×22026-07-10
Pineville Community Health Center, IncKentucky (statewide)$6,1920.7×22026-01-24
Trinity Health Grand Haven HospitalMichigan (statewide)$6,5560.7×12025-11-21
Weirton Medical Center, IncWest Virginia (statewide)$6,6230.7×22026-07-10
Reynolds Memorial Hospital, IncWest Virginia (statewide)$6,6470.7×32026-07-09
Memorial Medical CenterTexas (statewide)$6,7160.7×12026-09-14
Carnegie Tri-County Municipal HospitalOklahoma (statewide)$6,7190.7×42026-09-01
Thomas Memorial HospitalWest Virginia (statewide)$6,8450.7×32026-07-10
United Hospital Center, IncWest Virginia (statewide)$6,8750.7×32026-07-10
Springhill Medical CenterLouisiana (statewide)$6,9150.8×12026-04-02
Wheeling Hospital, IncWest Virginia (statewide)$7,0000.7×32026-07-09
Presbyterian Espanola HospitalNew Mexico (statewide)$44,2484.4×22026-04-01
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$44,6874.2×42026-03-22
Garnet Health Medical Center CatskillsNew York (statewide)$44,9343.5×82026-04-01
Montefiore Mount Vernon HospitalNew York (statewide)$47,1183.7×102026-04-01
Mesa View Regional HospitalNevada (statewide)$47,7774.5×12026-09-17
Providence Alaska Medical CenterAlaska (statewide)$48,5864.3×42026-04-01
Providence St Joseph Medical CenterMontana (statewide)$48,6904.7×12026-04-01
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$61,2474.6×12026-03-12
Providence Centralia HospitalWashington (statewide)$62,0045.5×22026-04-01
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$62,9174.7×12026-03-12
Loma Linda University Children'S HospitalCalifornia (statewide)$73,7795.5×22026-09-02
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$104,6567.9×12026-03-12

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for skin infection (cellulitis) (hospital stay)?

Across 1600 hospitals in 83 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 603) is $12,271, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $9,275 to $16,439. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for skin infection (cellulitis) (hospital stay)?

Medicare's national inpatient base rate for MS-DRG 603 is $6,337, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for skin infection (cellulitis) (hospital stay)?

Lowest medians: Wetzel County Hospital ($3,578), Cordell Memorial Hospital ($3,895), Weatherford Regional Hospital, Inc Of Weatherford ($3,895). Highest: Lac/Olive View-Ucla Medical Center ($45,905), Lac/Harbor-Ucla Med Center ($44,614), Providence Centralia Hospital ($37,066). Coverage: every hospital whose price file we could read.