How much does COPD (severe) cost?
MS-DRG 190 · Inpatient stay · 1,595 U.S. hospitals publish a price
Cheapest quarter
under $30,260
Typical charge
$41,850
Dearest quarter
over $60,503
Actually paid
$10,618
The middle U.S. hospital bills $41,850 for COPD (severe). The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $10,618 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.
COPD (severe) 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 | 41 | $16,892 | $11,158 – $30,391 |
| Massachusetts | 47 | $19,746 | $11,266 – $77,445 |
| Maine | 7 | $25,799 | $22,877 – $60,032 |
| Montana | 7 | $25,959 | $18,808 – $31,896 |
| Wyoming | 7 | $27,388 | $22,086 – $49,234 |
| North Dakota | 4 | $27,643 | $24,938 – $49,226 |
| Arkansas | 23 | $28,334 | $12,407 – $105,006 |
| Michigan | 52 | $28,720 | $15,589 – $63,051 |
| New Hampshire | 6 | $30,427 | $25,216 – $36,407 |
| Iowa | 14 | $31,184 | $22,446 – $63,513 |
| Virginia | 49 | $31,993 | $19,334 – $79,883 |
| South Dakota | 3 | $32,022 | $26,536 – $50,051 |
| Minnesota | 21 | $32,293 | $20,107 – $82,340 |
| Oregon | 13 | $32,478 | $22,689 – $46,424 |
| Utah | 4 | $32,520 | $27,890 – $41,261 |
| North Carolina | 62 | $33,708 | $15,537 – $53,065 |
| Mississippi | 20 | $33,950 | $21,653 – $131,790 |
| Delaware | 6 | $34,116 | $16,034 – $40,966 |
| Rhode Island | 8 | $34,275 | $21,598 – $49,293 |
| Wisconsin | 18 | $35,384 | $19,080 – $61,512 |
| Kentucky | 32 | $36,254 | $21,707 – $81,135 |
| Alabama | 34 | $36,308 | $12,881 – $145,626 |
| Indiana | 46 | $36,702 | $17,885 – $98,982 |
| West Virginia | 18 | $37,324 | $19,761 – $80,605 |
| Ohio | 71 | $37,591 | $14,458 – $65,846 |
| Tennessee | 41 | $37,870 | $13,381 – $78,101 |
| Louisiana | 24 | $38,015 | $14,826 – $93,344 |
| Nebraska | 8 | $38,354 | $29,208 – $46,172 |
| Idaho | 6 | $38,939 | $32,977 – $48,417 |
| Missouri | 31 | $39,278 | $14,764 – $118,484 |
| South Carolina | 27 | $39,990 | $25,594 – $66,466 |
| Oklahoma | 25 | $40,990 | $14,056 – $120,343 |
| Kansas | 11 | $41,088 | $28,434 – $70,963 |
| Illinois | 70 | $43,295 | $22,770 – $116,224 |
| Pennsylvania | 73 | $43,446 | $13,064 – $148,868 |
| Georgia | 53 | $46,264 | $20,358 – $99,163 |
| Connecticut | 22 | $48,368 | $30,084 – $70,910 |
| Arizona | 29 | $49,479 | $22,640 – $99,959 |
| Texas | 89 | $49,788 | $26,666 – $139,059 |
| New York | 92 | $50,395 | $13,308 – $209,302 |
| Washington | 19 | $52,958 | $30,691 – $76,834 |
| Hawaii | 3 | $54,072 | $31,168 – $54,571 |
| New Mexico | 9 | $54,149 | $19,303 – $127,650 |
| Alaska | 4 | $55,733 | $39,005 – $65,551 |
| Florida | 113 | $59,494 | $15,466 – $153,871 |
| Colorado | 18 | $64,108 | $24,692 – $116,361 |
| District of Columbia | 5 | $68,068 | $30,073 – $124,417 |
| California | 144 | $79,432 | $27,615 – $276,390 |
| New Jersey | 51 | $81,722 | $46,124 – $314,888 |
| Nevada | 13 | $89,723 | $27,464 – $154,088 |
Where COPD (severe) is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Meritus Medical Center
Hagerstown, MD |
$11,158 | $10,290 |
|
Baystate Noble Hospital
Westfield, MA |
$11,266 | $8,416 |
|
Nashoba Valley Medical Center
Ayer, MA |
$11,711 | $8,709 |
|
Holyoke Medical Center
Holyoke, MA |
$11,760 | $10,280 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$12,399 | $11,266 |
|
Arkansas Heart Hospital-Encore
Bryant, AR |
$12,407 | $6,817 |
|
Evergreen Medical Center
Evergreen, AL |
$12,881 | $9,024 |
|
Holy Cross Germantown Hospital
Germantown, MD |
$12,946 | $11,738 |
|
Washington Hospital, The
Washington, PA |
$13,064 | $8,086 |
|
Calverthealth Medical Center
Prince Frederick, MD |
$13,114 | $11,827 |
|
Frederick Health Hospital
Frederick, MD |
$13,185 | $12,050 |
|
Mount St. Mary's Hospital & Health Center
Lewiston, NY |
$13,308 | $9,905 |
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 |
|---|---|---|
|
Carepoint Health - Bayonne Medical Center
Bayonne, NJ |
$314,888 | $13,552 |
|
Capital Health Regional Medical Center
Trenton, NJ |
$306,039 | $13,782 |
|
Stanford Health Care
Stanford, CA |
$276,390 | $26,055 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$276,311 | $11,249 |
|
San Antonio Regional Hospital
Upland, CA |
$269,841 | $31,978 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$232,733 | $17,715 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$230,353 | $12,341 |
|
Westchester Medical Center
Valhalla, NY |
$209,302 | $18,833 |
|
Doctors Medical Center
Modesto, CA |
$205,870 | $11,922 |
|
Ucla West Valley Medical Center
West Hills, CA |
$202,535 | $11,276 |
|
Stanford Health Care Tri-Valley
Pleasanton, CA |
$187,745 | $18,129 |
|
Uci Health - Los Alamitos
Los Alamitos, CA |
$181,214 | $10,419 |
Questions people ask
How much does COPD (severe) cost in the United States?
Across 1,595 U.S. hospitals, the middle charge for COPD (severe) is $41,850. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $30,260 and the dearest quarter over $60,503.
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 COPD (severe), the hospitals in the dearest tenth charge about 3.8x 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. $10,618 is roughly what Medicare actually paid per case, against an average charge of $50,958. 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 190: “CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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.