CostGrade

Bone Diseases and Arthropathies with Major Complications — what U.S. hospitals charge

MS-DRG 553 · Inpatient stay · 9 U.S. hospitals publish a price

Cheapest quarter

under $55,546

Typical charge

$84,149

Dearest quarter

over $113,843

Actually paid

$17,052

The middle U.S. hospital bills $84,149 for Bone Diseases and Arthropathies with Major Complications. The dearest hospitals charge about 3.1x what the cheapest do for the same coded work. Medicare actually paid about $17,052 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.

Bone Diseases and Arthropathies 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
New York 5 $113,843 $84,149 – $181,009

Where Bone Diseases and Arthropathies 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
Los Angeles Community Hospital

Los Angeles, CA

$34,228 $14,351
Southern California Hospital At Hollywood

Hollywood, CA

$47,025 $14,160
Lehigh Valley Hospital

Allentown, PA

$55,546 $12,129
Adventhealth Orlando

Orlando, FL

$77,020 $10,400
North Shore University Hospital

Manhasset, NY

$84,149 $18,577
Nyu Langone Hospitals

New York, NY

$102,468 $19,003
New York-Presbyterian Hospital

New York, NY

$113,843 $18,807
Montefiore Medical Center

Bronx, NY

$125,055 $25,546
Long Island Jewish Medical Center

New Hyde Park, NY

$181,009 $20,491

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
Long Island Jewish Medical Center

New Hyde Park, NY

$181,009 $20,491
Montefiore Medical Center

Bronx, NY

$125,055 $25,546
New York-Presbyterian Hospital

New York, NY

$113,843 $18,807
Nyu Langone Hospitals

New York, NY

$102,468 $19,003
North Shore University Hospital

Manhasset, NY

$84,149 $18,577
Adventhealth Orlando

Orlando, FL

$77,020 $10,400
Lehigh Valley Hospital

Allentown, PA

$55,546 $12,129
Southern California Hospital At Hollywood

Hollywood, CA

$47,025 $14,160
Los Angeles Community Hospital

Los Angeles, CA

$34,228 $14,351

Questions people ask

What do U.S. hospitals charge for Bone Diseases and Arthropathies with Major Complications?

Across 9 U.S. hospitals, the middle charge for Bone Diseases and Arthropathies with Major Complications is $84,149. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $55,546 and the dearest quarter over $113,843.

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 Bone Diseases and Arthropathies with Major Complications, the hospitals in the dearest tenth charge about 3.1x 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. $17,052 is roughly what Medicare actually paid per case, against an average charge of $84,843. 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 553: “BONE DISEASES AND ARTHROPATHIES 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.