CostGrade

ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except — what U.S. hospitals charge

MS-DRG 003 · Inpatient stay · 272 U.S. hospitals publish a price

Cheapest quarter

under $617,297

Typical charge

$878,344

Dearest quarter

over $1,267,619

Actually paid

$220,889

The middle U.S. hospital bills $878,344 for ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except. The dearest hospitals charge about 3.5x what the cheapest do for the same coded work. Medicare actually paid about $220,889 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.

ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except cost by state

The middle charge in each state where at least three hospitals publish a price, cheapest first.

State Hospitals Typical charge Range
Arkansas 3 $527,538 $281,693 – $580,755
Nebraska 3 $530,708 $450,569 – $718,562
Louisiana 6 $608,361 $490,730 – $836,220
Kentucky 3 $627,268 $440,633 – $653,835
Tennessee 8 $633,898 $311,301 – $1,904,251
Missouri 5 $655,533 $558,365 – $1,119,192
Ohio 11 $693,031 $451,605 – $1,578,461
Illinois 11 $693,940 $510,629 – $1,798,599
North Carolina 9 $698,013 $354,688 – $959,410
Michigan 6 $708,484 $553,036 – $1,910,874
Massachusetts 8 $715,344 $523,254 – $1,222,379
South Carolina 6 $742,835 $516,307 – $1,233,053
Indiana 5 $768,127 $536,549 – $1,056,933
Minnesota 5 $842,226 $452,243 – $1,047,446
Wisconsin 3 $849,051 $702,656 – $1,047,222
Arizona 4 $856,400 $520,834 – $989,167
Washington 5 $875,566 $562,252 – $1,298,828
Connecticut 3 $907,628 $840,633 – $1,001,352
Florida 28 $953,556 $460,839 – $2,208,510
Pennsylvania 13 $965,502 $514,657 – $3,088,763
Alabama 3 $974,696 $738,479 – $1,282,615
Georgia 8 $986,320 $612,355 – $1,560,365
Virginia 6 $999,124 $780,636 – $2,106,944
Oklahoma 5 $1,041,961 $428,907 – $1,353,400
New Jersey 9 $1,076,014 $724,756 – $1,337,947
Texas 21 $1,115,422 $489,814 – $2,674,439
New York 22 $1,182,162 $444,346 – $2,468,194
Nevada 3 $1,267,538 $634,236 – $2,110,034
District of Columbia 3 $1,383,536 $832,673 – $1,481,184
California 24 $1,556,267 $590,499 – $5,161,515

Where ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
University Of Maryland Medical Center

Baltimore, MD

$258,674 $236,966
University Of Arkansas Medical Sciences

Little Rock, AR

$281,693 $150,766
University Health System, Inc

Knoxville, TN

$311,301 $121,726
Johns Hopkins Hospital, The

Baltimore, MD

$322,632 $285,045
Ecu Health Medical Center

Greenville, NC

$354,688 $150,898
Unm Hospital

Albuquerque, NM

$369,755 $222,577
Kootenai Health

Coeur D'alene, ID

$402,866 $166,223
Monument Health Rapid City Hospital

Rapid City, SD

$413,314 $235,436
Ascension St John Medical Center

Tulsa, OK

$428,907 $101,752
Methodist Hospitals Of Memphis

Memphis, TN

$435,213 $129,865
Sanford Medical Center Fargo

Fargo, ND

$437,880 $154,012
University Of Louisville Hospital

Louisville, KY

$440,633 $134,871

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

$5,161,515 $624,169
Cedars-Sinai Medical Center

Los Angeles, CA

$3,991,515 $372,321
Temple University Hospital

Philadelphia, PA

$3,088,763 $292,662
Mercy General Hospital

Sacramento, CA

$2,891,854 $378,306
Hospital Of Univ Of Pennsylvania

Philadelphia, PA

$2,726,336 $407,445
Houston Methodist Hospital

Houston, TX

$2,674,439 $415,642
Hca-Healthone Dba Swedish Medical Center

Englewood, CO

$2,622,658 $374,011
Desert Regional Medical Center

Palm Springs, CA

$2,480,440 $178,164
Westchester Medical Center

Valhalla, NY

$2,468,194 $282,173
Penn Presbyterian Medical Center

Philadelphia, PA

$2,411,638 $322,998
Hca Houston Healthcare Medical Center

Houston, TX

$2,406,039 $166,850
North Shore University Hospital

Manhasset, NY

$2,340,880 $306,044

Questions people ask

What do U.S. hospitals charge for ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except?

Across 272 U.S. hospitals, the middle charge for ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except is $878,344. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $617,297 and the dearest quarter over $1,267,619.

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 ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except, the hospitals in the dearest tenth charge about 3.5x 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. $220,889 is roughly what Medicare actually paid per case, against an average charge of $1,160,394. 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 003: “ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC”. 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.