Complications of Treatment with Major Complications — what U.S. hospitals charge
MS-DRG 919 · Inpatient stay · 395 U.S. hospitals publish a price
Cheapest quarter
under $52,168
Typical charge
$74,766
Dearest quarter
over $108,493
Actually paid
$19,702
The middle U.S. hospital bills $74,766 for Complications of Treatment with Major Complications. The dearest hospitals charge about 4.0x what the cheapest do for the same coded work. Medicare actually paid about $19,702 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.
Complications of Treatment 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 |
|---|---|---|---|
| Maryland | 6 | $25,291 | $15,656 – $57,544 |
| Massachusetts | 14 | $41,084 | $22,744 – $124,251 |
| Michigan | 9 | $41,135 | $31,523 – $109,136 |
| Oregon | 6 | $45,135 | $37,607 – $96,924 |
| Mississippi | 5 | $47,727 | $32,744 – $69,549 |
| Nebraska | 3 | $49,463 | $46,400 – $112,435 |
| Arkansas | 4 | $50,086 | $35,478 – $63,257 |
| Delaware | 3 | $50,656 | $39,629 – $55,155 |
| Minnesota | 7 | $51,196 | $33,215 – $141,354 |
| Oklahoma | 7 | $56,113 | $45,518 – $205,829 |
| Virginia | 14 | $56,175 | $24,345 – $153,223 |
| Iowa | 4 | $56,982 | $28,497 – $76,241 |
| Kansas | 5 | $58,644 | $54,489 – $181,860 |
| Missouri | 7 | $59,953 | $38,567 – $82,689 |
| Georgia | 8 | $61,853 | $27,758 – $137,534 |
| Alabama | 3 | $63,016 | $39,418 – $96,547 |
| South Carolina | 4 | $64,478 | $41,291 – $80,584 |
| Tennessee | 7 | $64,654 | $46,008 – $310,173 |
| Indiana | 4 | $65,843 | $31,594 – $106,685 |
| Connecticut | 4 | $66,478 | $49,152 – $117,544 |
| Ohio | 15 | $66,583 | $38,697 – $97,629 |
| Washington | 8 | $67,964 | $41,202 – $146,824 |
| Illinois | 22 | $72,708 | $33,945 – $176,792 |
| Arizona | 7 | $73,275 | $52,684 – $115,221 |
| Wisconsin | 6 | $74,517 | $66,109 – $100,600 |
| North Carolina | 11 | $74,721 | $42,440 – $119,740 |
| Florida | 33 | $79,266 | $39,478 – $170,682 |
| Pennsylvania | 20 | $79,962 | $45,874 – $283,304 |
| Colorado | 4 | $83,456 | $47,086 – $180,223 |
| Texas | 28 | $98,217 | $45,927 – $249,829 |
| New Jersey | 19 | $118,392 | $73,164 – $224,489 |
| California | 44 | $124,157 | $63,640 – $456,920 |
| New York | 24 | $132,338 | $35,763 – $222,194 |
| Nevada | 6 | $160,587 | $60,569 – $269,801 |
Where Complications of Treatment 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 Howard County Medical Center
Columbia, MD |
$15,656 | $14,377 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$21,133 | $19,501 |
|
Southcoast Hospitals Group
Fall River, MA |
$22,744 | $14,945 |
|
Frederick Health Hospital
Frederick, MD |
$22,815 | $20,735 |
|
Sentara Martha Jefferson Hospital
Charlottesville, VA |
$24,345 | $11,368 |
|
South Shore Hospital
South Weymouth, MA |
$25,006 | $14,816 |
|
Emory Houston Hospital Warner Robins
Warner Robins, GA |
$27,758 | $13,076 |
|
University Of Md Shore Medical Center At Easton
Easton, MD |
$27,768 | $24,801 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$28,041 | $26,007 |
|
Genesis Medical Center-Davenport
Davenport, IA |
$28,497 | $12,308 |
|
Inova Fair Oaks Hospital
Fairfax, VA |
$31,332 | $13,273 |
|
Unm Hospital
Albuquerque, NM |
$31,339 | $20,315 |
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 |
$456,920 | $56,859 |
|
Tristar Centennial Medical Center
Nashville, TN |
$310,173 | $27,289 |
|
University Of California Davis Medical Center
Sacramento, CA |
$288,018 | $62,651 |
|
Geisinger Medical Center
Danville, PA |
$283,304 | $30,216 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$282,542 | $25,973 |
|
Spring Valley Hospital Medical Center
Las Vegas, NV |
$269,801 | $17,700 |
|
Medical City Dallas Hospital
Dallas, TX |
$249,829 | $17,684 |
|
Riverside Community Hospital
Riverside, CA |
$244,545 | $23,548 |
|
Medstar Georgetown University Hospital
Washington, DC |
$224,601 | $49,012 |
|
Huntington Hospital
Pasadena, CA |
$224,490 | $20,159 |
|
Saint Peter's University Hospital
New Brunswick, NJ |
$224,489 | $22,033 |
|
St Peter's Hospital
Albany, NY |
$222,194 | $50,597 |
Questions people ask
What do U.S. hospitals charge for Complications of Treatment with Major Complications?
Across 395 U.S. hospitals, the middle charge for Complications of Treatment with Major Complications is $74,766. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $52,168 and the dearest quarter over $108,493.
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 Complications of Treatment with Major Complications, the hospitals in the dearest tenth charge about 4.0x 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. $19,702 is roughly what Medicare actually paid per case, against an average charge of $97,787. 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 919: “COMPLICATIONS OF TREATMENT 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.