How much does Diabetes (with complications) cost?
MS-DRG 638 · Inpatient stay · 1,193 U.S. hospitals publish a price
Cheapest quarter
under $25,432
Typical charge
$34,584
Dearest quarter
over $52,656
Actually paid
$9,133
The middle U.S. hospital bills $34,584 for Diabetes (with complications). The dearest hospitals charge about 3.9x what the cheapest do for the same coded work. Medicare actually paid about $9,133 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.
Diabetes (with 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 | 34 | $13,072 | $10,022 – $24,156 |
| Massachusetts | 38 | $16,562 | $9,872 – $71,439 |
| Montana | 4 | $18,242 | $16,052 – $41,182 |
| West Virginia | 10 | $21,666 | $16,615 – $40,106 |
| Mississippi | 14 | $23,492 | $12,061 – $71,412 |
| New Mexico | 6 | $23,572 | $17,341 – $43,757 |
| Nebraska | 6 | $23,746 | $15,393 – $33,309 |
| North Carolina | 37 | $24,765 | $13,352 – $44,476 |
| Michigan | 40 | $24,801 | $16,391 – $43,278 |
| Arkansas | 14 | $25,191 | $12,719 – $35,338 |
| Alabama | 19 | $25,526 | $16,885 – $75,285 |
| Virginia | 30 | $26,455 | $15,116 – $81,960 |
| Vermont | 3 | $27,087 | $17,390 – $34,260 |
| New Hampshire | 7 | $27,179 | $19,747 – $41,243 |
| South Carolina | 23 | $27,217 | $16,361 – $79,812 |
| Iowa | 9 | $27,693 | $15,891 – $54,250 |
| Minnesota | 15 | $27,982 | $17,094 – $44,008 |
| Oregon | 9 | $28,561 | $16,287 – $43,958 |
| Louisiana | 15 | $28,580 | $22,063 – $64,123 |
| Ohio | 56 | $29,018 | $16,871 – $53,389 |
| Delaware | 3 | $29,151 | $23,393 – $32,221 |
| Connecticut | 14 | $30,560 | $22,290 – $53,873 |
| Rhode Island | 3 | $30,654 | $24,385 – $30,934 |
| Idaho | 4 | $31,234 | $23,565 – $35,285 |
| Utah | 5 | $31,379 | $22,329 – $41,839 |
| Wisconsin | 11 | $31,786 | $15,131 – $67,095 |
| Kansas | 10 | $31,947 | $20,279 – $82,682 |
| Missouri | 24 | $32,572 | $20,124 – $78,421 |
| South Dakota | 3 | $32,702 | $29,683 – $41,911 |
| Oklahoma | 18 | $32,900 | $13,311 – $88,018 |
| Kentucky | 14 | $32,943 | $19,976 – $47,096 |
| Indiana | 27 | $33,045 | $19,286 – $54,580 |
| Wyoming | 3 | $33,178 | $19,821 – $60,442 |
| Pennsylvania | 61 | $33,889 | $13,062 – $123,084 |
| Tennessee | 26 | $34,427 | $12,184 – $84,559 |
| Illinois | 55 | $35,165 | $17,461 – $55,508 |
| Georgia | 36 | $35,842 | $14,690 – $65,931 |
| Maine | 3 | $36,424 | $27,933 – $59,756 |
| Arizona | 21 | $40,230 | $21,058 – $88,822 |
| Washington | 17 | $42,437 | $18,115 – $71,576 |
| Texas | 82 | $44,843 | $18,522 – $132,521 |
| New York | 76 | $47,803 | $9,515 – $152,448 |
| Florida | 100 | $48,875 | $21,042 – $129,548 |
| District of Columbia | 5 | $51,710 | $27,887 – $74,526 |
| Colorado | 5 | $54,473 | $40,830 – $87,755 |
| New Jersey | 45 | $60,872 | $33,120 – $247,534 |
| California | 114 | $61,951 | $21,285 – $181,705 |
| Nevada | 13 | $92,192 | $19,268 – $167,274 |
Where Diabetes (with complications) is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Upmc Chautauqua At Wca
Jamestown, NY |
$9,515 | $7,434 |
|
Sturdy Memorial Hospital
Attleboro, MA |
$9,872 | $7,652 |
|
Western Maryland Regional Medical Center
Cumberland, MD |
$10,022 | $8,909 |
|
Medstar Good Samaritan Hospital
Baltimore, MD |
$10,035 | $8,924 |
|
Holy Cross Hospital
Silver Spring, MD |
$10,123 | $9,246 |
|
Luminis Health Doctors Community Medical Ctr, Inc
Lanham, MD |
$10,316 | $9,696 |
|
Baystate Noble Hospital
Westfield, MA |
$10,912 | $6,899 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$10,918 | $10,096 |
|
Meritus Medical Center
Hagerstown, MD |
$11,076 | $10,279 |
|
Medstar Harbor Hospital
Baltimore, MD |
$11,097 | $10,055 |
|
Frederick Health Hospital
Frederick, MD |
$11,210 | $10,117 |
|
Union Hospital Of Cecil County
Elkton, MD |
$11,244 | $10,082 |
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 |
|---|---|---|
|
Capital Health Regional Medical Center
Trenton, NJ |
$247,534 | $11,878 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$232,023 | $11,313 |
|
Carepoint Health - Bayonne Medical Center
Bayonne, NJ |
$212,742 | $10,583 |
|
Trinitas Regional Medical Center
Elizabeth, NJ |
$211,241 | $21,871 |
|
Regional Medical Center Of San Jose
San Jose, CA |
$181,705 | $11,322 |
|
Centennial Hills Hospital Medical Center
Las Vegas, NV |
$167,274 | $8,753 |
|
Good Samaritan Hospital
San Jose, CA |
$155,994 | $10,147 |
|
Martin Luther King, Jr. Community Hospital
Los Angeles, CA |
$155,899 | $13,417 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$155,016 | $13,400 |
|
Westchester Medical Center
Valhalla, NY |
$152,448 | $11,268 |
|
Stanford Health Care
Stanford, CA |
$142,024 | $17,834 |
|
Valley Hospital Medical Center
Las Vegas, NV |
$135,560 | $9,941 |
Questions people ask
How much does Diabetes (with complications) cost in the United States?
Across 1,193 U.S. hospitals, the middle charge for Diabetes (with complications) is $34,584. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $25,432 and the dearest quarter over $52,656.
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 Diabetes (with complications), the hospitals in the dearest tenth charge about 3.9x 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. $9,133 is roughly what Medicare actually paid per case, against an average charge of $43,062. 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 638: “DIABETES WITH CC”. 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.