Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications — what U.S. hospitals charge
MS-DRG 846 · Inpatient stay · 81 U.S. hospitals publish a price
Cheapest quarter
under $81,132
Typical charge
$107,532
Dearest quarter
over $149,592
Actually paid
$34,060
The middle U.S. hospital bills $107,532 for Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications. The dearest hospitals charge about 4.4x what the cheapest do for the same coded work. Medicare actually paid about $34,060 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.
Chemotherapy without Acute Leukemia as Secondary Diagnosis 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 | 4 | $66,876 | $37,637 – $143,446 |
| Tennessee | 3 | $70,657 | $52,382 – $95,266 |
| North Carolina | 4 | $81,969 | $50,181 – $196,898 |
| Illinois | 5 | $86,800 | $45,692 – $147,417 |
| Texas | 6 | $125,320 | $87,794 – $400,109 |
| Florida | 3 | $147,262 | $77,987 – $224,703 |
| California | 9 | $148,497 | $89,377 – $328,273 |
| Pennsylvania | 4 | $154,385 | $87,024 – $266,073 |
| New York | 4 | $186,531 | $133,902 – $233,392 |
| New Jersey | 3 | $202,474 | $161,280 – $211,577 |
Where Chemotherapy without Acute Leukemia as Secondary Diagnosis 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 |
|---|---|---|
|
Johns Hopkins Hospital, The
Baltimore, MD |
$30,254 | $26,783 |
|
Tufts Medical Center
Boston, MA |
$37,637 | $29,455 |
|
Henry Ford Health Hospital
Detroit, MI |
$38,451 | $26,868 |
|
Swedish Medical Center
Seattle, WA |
$45,289 | $26,770 |
|
University Of Illinois Hospital And Clinics
Chicago, IL |
$45,692 | $32,726 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$45,812 | $32,601 |
|
North Carolina Baptist Hospital
Winston-Salem, NC |
$50,181 | $31,211 |
|
Rush University Medical Center
Chicago, IL |
$51,992 | $32,486 |
|
Memorial Healthcare System, Inc
Chattanooga, TN |
$52,382 | $15,955 |
|
Yale-New Haven Hospital
New Haven, CT |
$64,518 | $29,371 |
|
University Of Maryland Medical Center
Baltimore, MD |
$67,351 | $60,526 |
|
University Of Iowa Hospital & Clinics
Iowa City, IA |
$67,655 | $24,127 |
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 |
|---|---|---|
|
Medical City Dallas Hospital
Dallas, TX |
$400,109 | $29,579 |
|
Medstar Georgetown University Hospital
Washington, DC |
$363,171 | $87,200 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$328,273 | $37,167 |
|
Stanford Health Care
Stanford, CA |
$304,210 | $50,457 |
|
Ucsf Medical Center
San Francisco, CA |
$278,048 | $54,386 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$266,073 | $41,481 |
|
Westchester Medical Center
Valhalla, NY |
$233,392 | $30,478 |
|
New York-Presbyterian Hospital
New York, NY |
$229,929 | $39,549 |
|
St David's South Austin Medical Center
Austin, TX |
$228,741 | $19,464 |
|
Baptist Hospital Of Miami
Miami, FL |
$224,703 | $31,172 |
|
Cleveland Clinic
Cleveland, OH |
$222,460 | $49,445 |
|
University Of California Davis Medical Center
Sacramento, CA |
$217,789 | $50,884 |
Questions people ask
What do U.S. hospitals charge for Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications?
Across 81 U.S. hospitals, the middle charge for Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications is $107,532. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $81,132 and the dearest quarter over $149,592.
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 Chemotherapy without Acute Leukemia as Secondary Diagnosis with Major Complications, the hospitals in the dearest tenth charge about 4.4x 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. $34,060 is roughly what Medicare actually paid per case, against an average charge of $145,911. 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 846: “CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS 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.