CostGrade

Benign Prostatic Hypertrophy without Major Complications — what U.S. hospitals charge

MS-DRG 726 · Inpatient stay · 6 U.S. hospitals publish a price

Cheapest quarter

under $14,622

Typical charge

$30,818

Dearest quarter

over $53,253

Actually paid

$8,509

The middle U.S. hospital bills $30,818 for Benign Prostatic Hypertrophy without Major Complications. The dearest hospitals charge about 5.6x what the cheapest do for the same coded work. Medicare actually paid about $8,509 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 Benign Prostatic Hypertrophy 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
Frederick Health Hospital

Frederick, MD

$9,597 $8,820
Medstar Franklin Square Medical Center

Rosedale, MD

$11,828 $10,593
Northshore University Healthsystem - Evanston Hospital

Evanston, IL

$23,001 $6,925
Sarasota Memorial Hospital

Sarasota, FL

$38,635 $6,372
New York-Presbyterian Hospital

New York, NY

$58,126 $11,688
Adventhealth Orlando

Orlando, FL

$61,946 $6,656

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
Adventhealth Orlando

Orlando, FL

$61,946 $6,656
New York-Presbyterian Hospital

New York, NY

$58,126 $11,688
Sarasota Memorial Hospital

Sarasota, FL

$38,635 $6,372
Northshore University Healthsystem - Evanston Hospital

Evanston, IL

$23,001 $6,925
Medstar Franklin Square Medical Center

Rosedale, MD

$11,828 $10,593
Frederick Health Hospital

Frederick, MD

$9,597 $8,820

Questions people ask

What do U.S. hospitals charge for Benign Prostatic Hypertrophy without Major Complications?

Across 6 U.S. hospitals, the middle charge for Benign Prostatic Hypertrophy without Major Complications is $30,818. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $14,622 and the dearest quarter over $53,253.

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 Benign Prostatic Hypertrophy without Major Complications, the hospitals in the dearest tenth charge about 5.6x 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. $8,509 is roughly what Medicare actually paid per case, against an average charge of $34,150. 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 726: “BENIGN PROSTATIC HYPERTROPHY 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.