Acute Myocardial Infarction, Expired with Major Complications — what U.S. hospitals charge
MS-DRG 283 · Inpatient stay · 145 U.S. hospitals publish a price
Cheapest quarter
under $60,875
Typical charge
$85,247
Dearest quarter
over $124,394
Actually paid
$20,977
The middle U.S. hospital bills $85,247 for Acute Myocardial Infarction, Expired with Major Complications. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $20,977 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Acute Myocardial Infarction, Expired with Major Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Massachusetts | 10 | $45,765 | $33,361 – $166,303 |
| Wisconsin | 4 | $50,696 | $34,348 – $160,031 |
| North Carolina | 5 | $65,169 | $55,500 – $73,318 |
| Florida | 11 | $66,127 | $52,875 – $156,580 |
| Michigan | 3 | $66,159 | $50,224 – $112,189 |
| Washington | 8 | $72,353 | $66,943 – $171,031 |
| Tennessee | 7 | $78,192 | $43,225 – $218,137 |
| South Carolina | 5 | $82,773 | $47,524 – $132,626 |
| Virginia | 11 | $83,416 | $35,636 – $122,041 |
| New Jersey | 6 | $86,925 | $75,735 – $108,756 |
| Oklahoma | 3 | $92,935 | $56,680 – $178,386 |
| Illinois | 6 | $96,603 | $59,998 – $107,313 |
| Ohio | 3 | $103,623 | $76,344 – $136,117 |
| Alabama | 3 | $108,528 | $75,871 – $145,134 |
| Pennsylvania | 5 | $121,721 | $44,006 – $346,079 |
| Texas | 7 | $124,271 | $51,962 – $185,262 |
| California | 7 | $140,937 | $119,072 – $323,589 |
| New York | 8 | $213,487 | $34,266 – $286,560 |
Where Acute Myocardial Infarction, Expired with Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Medstar Union Memorial Hospital
Baltimore, MD |
$26,827 | $23,685 |
|
Centracare - St. Cloud Hospital
Saint Cloud, MN |
$29,324 | $18,848 |
|
Deaconess Hospital Inc
Evansville, IN |
$31,260 | $15,436 |
|
Beth Israel Deaconess Hospital Plymouth
Plymouth, MA |
$33,361 | $16,227 |
|
Baystate Medical Center
Springfield, MA |
$34,173 | $21,257 |
|
United Health Services Hospitals, Inc
Binghamton, NY |
$34,266 | $18,817 |
|
Gundersen Lutheran Medical Center
La Crosse, WI |
$34,348 | $19,064 |
|
Riverside Regional Medical Center
Newport News, VA |
$35,636 | $15,564 |
|
Cape Cod Hospital
Hyannis, MA |
$35,636 | $20,285 |
|
Mayo Clinic Health System Eau Claire Hospital
Eau Claire, WI |
$40,843 | $15,152 |
|
Lowell General Hospital
Lowell, MA |
$41,004 | $16,911 |
|
Providence St Vincent Medical Center
Portland, OR |
$42,742 | $18,435 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$346,079 | $28,509 |
|
Ucsf Medical Center
San Francisco, CA |
$323,589 | $57,823 |
|
New York-Presbyterian Hospital
New York, NY |
$286,560 | $35,419 |
|
Mount Sinai Hospital
New York, NY |
$273,217 | $42,442 |
|
Nyu Langone Hospitals
New York, NY |
$267,816 | $37,811 |
|
Mount Sinai West
New York, NY |
$250,599 | $33,136 |
|
Adventist Health And Rideout
Marysville, CA |
$248,147 | $31,967 |
|
Marinhealth Medical Center
Greenbrae, CA |
$219,497 | $22,258 |
|
Vanderbilt University Medical Center
Nashville, TN |
$218,137 | $37,693 |
|
Baptist Medical Center
San Antonio, TX |
$185,262 | $15,143 |
|
Northeast Georgia Medical Center, Inc
Gainesville, GA |
$180,238 | $20,605 |
|
Methodist Hospital
San Antonio, TX |
$178,421 | $14,079 |
Questions people ask
What do U.S. hospitals charge for Acute Myocardial Infarction, Expired with Major Complications?
Across 145 U.S. hospitals, the middle charge for Acute Myocardial Infarction, Expired with Major Complications is $85,247. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $60,875 and the dearest quarter over $124,394.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Acute Myocardial Infarction, Expired with Major Complications, the hospitals in the dearest tenth charge about 3.8x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $20,977 is roughly what Medicare actually paid per case, against an average charge of $103,299. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 283: “ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.