Amputation for Musculoskeletal System and Connective Tissue Disorders with Complications — what U.S. hospitals charge
MS-DRG 475 · Inpatient stay · 10 U.S. hospitals publish a price
Cheapest quarter
under $98,501
Typical charge
$113,665
Dearest quarter
over $142,646
Actually paid
$27,704
The middle U.S. hospital bills $113,665 for Amputation for Musculoskeletal System and Connective Tissue Disorders with Complications. The dearest hospitals charge about 2.7x what the cheapest do for the same coded work. Medicare actually paid about $27,704 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.
Where Amputation for Musculoskeletal System and Connective Tissue Disorders with Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Mayo Clinic Hospital
Phoenix, AZ |
$80,191 | $28,964 |
|
University Of Iowa Hospital & Clinics
Iowa City, IA |
$88,038 | $20,903 |
|
Cleveland Clinic
Cleveland, OH |
$96,985 | $23,341 |
|
University Of Alabama Hospital
Birmingham, AL |
$103,047 | $21,186 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$107,352 | $45,935 |
|
Clovis Community Medical Center
Clovis, CA |
$119,979 | $22,953 |
|
Geisinger Wyoming Valley Medical Center
Wilkes Barre, PA |
$139,582 | $19,912 |
|
Massachusetts General Hospital
Boston, MA |
$143,667 | $26,731 |
|
New York-Presbyterian Hospital
New York, NY |
$218,088 | $27,383 |
|
Stanford Health Care
Stanford, CA |
$418,933 | $39,734 |
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 |
|---|---|---|
|
Stanford Health Care
Stanford, CA |
$418,933 | $39,734 |
|
New York-Presbyterian Hospital
New York, NY |
$218,088 | $27,383 |
|
Massachusetts General Hospital
Boston, MA |
$143,667 | $26,731 |
|
Geisinger Wyoming Valley Medical Center
Wilkes Barre, PA |
$139,582 | $19,912 |
|
Clovis Community Medical Center
Clovis, CA |
$119,979 | $22,953 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$107,352 | $45,935 |
|
University Of Alabama Hospital
Birmingham, AL |
$103,047 | $21,186 |
|
Cleveland Clinic
Cleveland, OH |
$96,985 | $23,341 |
|
University Of Iowa Hospital & Clinics
Iowa City, IA |
$88,038 | $20,903 |
|
Mayo Clinic Hospital
Phoenix, AZ |
$80,191 | $28,964 |
Questions people ask
What do U.S. hospitals charge for Amputation for Musculoskeletal System and Connective Tissue Disorders with Complications?
Across 10 U.S. hospitals, the middle charge for Amputation for Musculoskeletal System and Connective Tissue Disorders with Complications is $113,665. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $98,501 and the dearest quarter over $142,646.
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 Amputation for Musculoskeletal System and Connective Tissue Disorders with Complications, the hospitals in the dearest tenth charge about 2.7x 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. $27,704 is roughly what Medicare actually paid per case, against an average charge of $151,298. 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 475: “AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC”. 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.