Diabetes with Major Complications — what U.S. hospitals charge
MS-DRG 637 · Inpatient stay · 1,057 U.S. hospitals publish a price
Cheapest quarter
under $41,636
Typical charge
$56,387
Dearest quarter
over $84,754
Actually paid
$13,808
The middle U.S. hospital bills $56,387 for Diabetes with Major Complications. The dearest hospitals charge about 4.0x what the cheapest do for the same coded work. Medicare actually paid about $13,808 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 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 | 27 | $22,729 | $14,042 – $43,132 |
| Massachusetts | 31 | $24,912 | $17,571 – $109,430 |
| Montana | 3 | $27,877 | $26,276 – $29,782 |
| Mississippi | 13 | $34,088 | $20,875 – $113,934 |
| Alabama | 15 | $36,911 | $17,182 – $105,985 |
| West Virginia | 10 | $37,270 | $27,961 – $67,838 |
| Arkansas | 13 | $37,763 | $23,388 – $65,083 |
| Nebraska | 5 | $38,721 | $31,811 – $51,563 |
| Michigan | 35 | $39,062 | $24,259 – $113,599 |
| North Carolina | 28 | $40,539 | $21,868 – $65,926 |
| New Hampshire | 6 | $43,374 | $40,052 – $60,692 |
| Iowa | 6 | $43,461 | $19,235 – $79,877 |
| Rhode Island | 3 | $45,253 | $42,626 – $51,906 |
| Indiana | 21 | $45,623 | $27,898 – $88,514 |
| Virginia | 32 | $45,634 | $22,405 – $122,153 |
| Tennessee | 25 | $46,216 | $19,254 – $83,125 |
| Missouri | 23 | $46,752 | $24,540 – $183,633 |
| Utah | 5 | $46,763 | $44,654 – $48,652 |
| Kentucky | 10 | $46,883 | $31,264 – $86,298 |
| Delaware | 4 | $46,936 | $34,274 – $55,073 |
| Ohio | 39 | $47,736 | $26,500 – $110,231 |
| Minnesota | 15 | $48,829 | $28,661 – $80,951 |
| Louisiana | 10 | $49,070 | $18,625 – $78,231 |
| Oregon | 8 | $49,191 | $31,114 – $65,213 |
| Kansas | 11 | $49,847 | $30,412 – $115,685 |
| South Carolina | 18 | $51,307 | $25,066 – $157,559 |
| Wisconsin | 11 | $52,932 | $31,873 – $96,784 |
| Illinois | 49 | $54,203 | $30,312 – $90,201 |
| South Dakota | 3 | $54,734 | $52,894 – $57,623 |
| Oklahoma | 14 | $56,432 | $29,423 – $114,914 |
| Pennsylvania | 40 | $56,704 | $26,735 – $184,105 |
| New Mexico | 6 | $58,165 | $38,848 – $169,001 |
| Arizona | 15 | $58,269 | $42,484 – $103,503 |
| Washington | 20 | $58,526 | $28,618 – $112,850 |
| Georgia | 40 | $63,218 | $25,581 – $131,506 |
| Connecticut | 9 | $64,014 | $37,677 – $115,756 |
| Texas | 85 | $69,318 | $22,703 – $186,162 |
| New York | 61 | $71,399 | $26,457 – $222,156 |
| Florida | 92 | $73,579 | $34,701 – $177,153 |
| New Jersey | 40 | $90,774 | $44,152 – $367,270 |
| Colorado | 9 | $93,468 | $77,501 – $178,825 |
| California | 119 | $96,267 | $28,106 – $262,411 |
| District of Columbia | 4 | $98,548 | $52,353 – $192,785 |
| Nevada | 13 | $161,989 | $21,171 – $315,375 |
Where Diabetes 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 |
|---|---|---|
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$14,042 | $12,663 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$15,783 | $14,241 |
|
Carroll Hospital Center
Westminster, MD |
$16,815 | $14,894 |
|
Decatur Morgan Hospital - Decatur Campus
Decatur, AL |
$17,182 | $11,939 |
|
Medstar Southern Maryland Hospital Center
Clinton, MD |
$17,339 | $15,941 |
|
Good Samaritan Medical Center
Brockton, MA |
$17,571 | $11,014 |
|
Sturdy Memorial Hospital
Attleboro, MA |
$17,785 | $11,223 |
|
Beth Israel Deaconess Hospital - Milton
Milton, MA |
$18,033 | $10,951 |
|
University Of Md Charles Regional Medical Center
La Plata, MD |
$18,305 | $21,688 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$18,353 | $16,962 |
|
Baton Rouge General Medical Center
Baton Rouge, LA |
$18,625 | $10,061 |
|
Frederick Health Hospital
Frederick, MD |
$18,703 | $16,751 |
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 |
$367,270 | $15,126 |
|
Valley Hospital Medical Center
Las Vegas, NV |
$315,375 | $14,349 |
|
Stanford Health Care
Stanford, CA |
$262,411 | $26,262 |
|
Regional Medical Center Of San Jose
San Jose, CA |
$243,900 | $16,284 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$240,518 | $20,571 |
|
Martin Luther King, Jr. Community Hospital
Los Angeles, CA |
$227,188 | $17,550 |
|
Westchester Medical Center
Valhalla, NY |
$222,156 | $18,906 |
|
Good Samaritan Hospital
San Jose, CA |
$222,144 | $16,019 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$216,641 | $22,216 |
|
Adventist Health Lodi Memorial
Lodi, CA |
$208,456 | $15,277 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$202,871 | $11,934 |
|
Doctors Medical Center
Modesto, CA |
$201,750 | $15,879 |
Questions people ask
What do U.S. hospitals charge for Diabetes with Major Complications?
Across 1,057 U.S. hospitals, the middle charge for Diabetes with Major Complications is $56,387. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $41,636 and the dearest quarter over $84,754.
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 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. $13,808 is roughly what Medicare actually paid per case, against an average charge of $69,906. 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 637: “DIABETES 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.