Atherosclerosis without Major Complications — what U.S. hospitals charge
MS-DRG 303 · Inpatient stay · 115 U.S. hospitals publish a price
Cheapest quarter
under $22,201
Typical charge
$30,232
Dearest quarter
over $47,070
Actually paid
$6,932
The middle U.S. hospital bills $30,232 for Atherosclerosis without Major Complications. The dearest hospitals charge about 3.4x what the cheapest do for the same coded work. Medicare actually paid about $6,932 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.
Atherosclerosis without 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 | 11 | $18,256 | $13,082 – $55,210 |
| Indiana | 3 | $21,116 | $20,133 – $22,636 |
| West Virginia | 3 | $21,583 | $19,542 – $32,189 |
| Alabama | 4 | $23,333 | $13,894 – $25,368 |
| Kentucky | 3 | $23,786 | $20,430 – $28,931 |
| Tennessee | 3 | $24,289 | $21,999 – $32,185 |
| North Carolina | 4 | $24,509 | $22,131 – $28,966 |
| Virginia | 6 | $25,097 | $15,124 – $53,312 |
| Ohio | 7 | $32,242 | $27,389 – $58,087 |
| Illinois | 3 | $32,499 | $30,239 – $42,744 |
| Florida | 23 | $32,711 | $25,080 – $73,258 |
| Texas | 5 | $52,361 | $30,859 – $53,368 |
| New Jersey | 4 | $53,884 | $43,774 – $68,041 |
| New York | 8 | $58,261 | $31,100 – $79,280 |
| California | 6 | $73,213 | $20,713 – $113,559 |
Where Atherosclerosis without 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 |
|---|---|---|
|
South Shore Hospital
South Weymouth, MA |
$13,082 | $5,663 |
|
Southcoast Hospitals Group
Fall River, MA |
$13,488 | $5,783 |
|
Dch Regional Medical Center
Tuscaloosa, AL |
$13,894 | $6,349 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$14,516 | $7,301 |
|
Winchester Medical Center
Winchester, VA |
$15,124 | $5,392 |
|
Chesapeake General Hospital
Chesapeake, VA |
$15,595 | $5,031 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$15,739 | $8,839 |
|
St Dominic-Jackson Memorial Hospital
Jackson, MS |
$17,186 | $5,441 |
|
Baystate Medical Center
Springfield, MA |
$18,038 | $7,635 |
|
Northeast Hospital Corporation
Beverly, MA |
$18,256 | $6,184 |
|
Sanford Medical Center Fargo
Fargo, ND |
$18,412 | $5,662 |
|
Abbott Northwestern Hospital
Minneapolis, MN |
$18,657 | $6,636 |
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 |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$113,559 | $8,936 |
|
Stanford Health Care
Stanford, CA |
$112,333 | $11,571 |
|
Mountainview Hospital
Las Vegas, NV |
$94,068 | $7,299 |
|
Montefiore Medical Center
Bronx, NY |
$79,280 | $11,260 |
|
Marinhealth Medical Center
Greenbrae, CA |
$74,793 | $7,763 |
|
Orlando Health
Orlando, FL |
$73,258 | $7,210 |
|
Nyu Langone Hospitals
New York, NY |
$73,061 | $10,384 |
|
Riverside Community Hospital
Riverside, CA |
$71,633 | $8,942 |
|
Robert Wood Johnson University Hospital
New Brunswick, NJ |
$68,041 | $10,443 |
|
Hca Florida Oak Hill Hospital
Brooksville, FL |
$67,765 | $6,096 |
|
New York-Presbyterian Hospital
New York, NY |
$66,454 | $9,519 |
|
North Shore University Hospital
Manhasset, NY |
$65,462 | $7,839 |
Questions people ask
What do U.S. hospitals charge for Atherosclerosis without Major Complications?
Across 115 U.S. hospitals, the middle charge for Atherosclerosis without Major Complications is $30,232. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $22,201 and the dearest quarter over $47,070.
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 Atherosclerosis without Major Complications, the hospitals in the dearest tenth charge about 3.4x 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. $6,932 is roughly what Medicare actually paid per case, against an average charge of $37,895. 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 303: “ATHEROSCLEROSIS WITHOUT 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.