Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major — what U.S. hospitals charge
MS-DRG 981 · Inpatient stay · 680 U.S. hospitals publish a price
Cheapest quarter
under $135,477
Typical charge
$183,583
Dearest quarter
over $260,732
Actually paid
$44,870
The middle U.S. hospital bills $183,583 for Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major. The dearest hospitals charge about 3.6x what the cheapest do for the same coded work. Medicare actually paid about $44,870 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.
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major 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 | 19 | $58,518 | $32,647 – $149,612 |
| North Dakota | 3 | $102,722 | $78,174 – $129,706 |
| New Mexico | 3 | $107,566 | $82,787 – $126,288 |
| Massachusetts | 19 | $113,559 | $48,126 – $282,919 |
| Arkansas | 11 | $115,465 | $68,031 – $318,393 |
| Oregon | 6 | $124,131 | $75,530 – $202,169 |
| Mississippi | 10 | $125,105 | $71,127 – $574,076 |
| Utah | 5 | $126,130 | $111,250 – $193,455 |
| Michigan | 25 | $131,996 | $86,366 – $243,212 |
| Nebraska | 5 | $145,908 | $100,211 – $258,172 |
| Iowa | 7 | $147,432 | $101,937 – $234,295 |
| South Dakota | 3 | $151,081 | $143,496 – $216,826 |
| Delaware | 3 | $152,719 | $141,169 – $181,724 |
| Virginia | 21 | $153,163 | $62,506 – $612,597 |
| Indiana | 17 | $153,496 | $94,439 – $271,995 |
| Alabama | 11 | $156,239 | $76,958 – $440,108 |
| Minnesota | 12 | $157,376 | $93,805 – $349,880 |
| West Virginia | 6 | $160,523 | $109,248 – $221,875 |
| Tennessee | 17 | $162,825 | $81,296 – $216,721 |
| North Carolina | 20 | $164,201 | $92,953 – $247,219 |
| Oklahoma | 8 | $164,984 | $72,148 – $438,461 |
| Idaho | 4 | $165,193 | $131,986 – $190,280 |
| South Carolina | 10 | $165,498 | $109,263 – $369,232 |
| Connecticut | 6 | $167,724 | $144,775 – $207,306 |
| Illinois | 33 | $169,334 | $81,938 – $384,320 |
| Ohio | 19 | $170,881 | $75,583 – $307,818 |
| Kentucky | 13 | $182,460 | $115,933 – $216,395 |
| Washington | 15 | $182,549 | $128,644 – $358,735 |
| Missouri | 15 | $187,775 | $98,187 – $269,606 |
| Wisconsin | 5 | $191,304 | $109,974 – $344,801 |
| Louisiana | 7 | $192,615 | $115,920 – $382,152 |
| Texas | 47 | $194,992 | $106,127 – $596,968 |
| Georgia | 16 | $202,640 | $47,652 – $425,884 |
| Pennsylvania | 30 | $214,642 | $101,511 – $737,253 |
| New York | 39 | $215,843 | $62,024 – $750,021 |
| Kansas | 4 | $221,294 | $121,454 – $305,438 |
| Florida | 47 | $229,765 | $128,131 – $472,284 |
| Colorado | 6 | $234,578 | $198,843 – $504,053 |
| Arizona | 16 | $236,719 | $111,585 – $384,034 |
| New Jersey | 29 | $261,783 | $139,346 – $1,394,860 |
| District of Columbia | 3 | $270,330 | $207,426 – $514,738 |
| California | 65 | $297,469 | $101,595 – $989,908 |
| Nevada | 8 | $300,276 | $143,757 – $531,326 |
Where Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major 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 |
$32,647 | $30,130 |
|
Frederick Health Hospital
Frederick, MD |
$35,406 | $31,738 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$42,469 | $38,883 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$47,505 | $43,608 |
|
Southeast Georgia Health System- Brunswick Campus
Brunswick, GA |
$47,652 | $43,079 |
|
Winchester Hospital
Winchester, MA |
$48,126 | $31,904 |
|
University Of Md Shore Medical Center At Easton
Easton, MD |
$49,936 | $44,587 |
|
Western Maryland Regional Medical Center
Cumberland, MD |
$51,186 | $45,641 |
|
Greater Baltimore Medical Center
Baltimore, MD |
$52,462 | $46,458 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$53,398 | $43,460 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$55,750 | $50,145 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$58,518 | $51,609 |
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 |
$1,394,860 | $61,439 |
|
Doctors Medical Center
Modesto, CA |
$989,908 | $59,553 |
|
Stanford Health Care
Stanford, CA |
$790,784 | $102,982 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$753,399 | $97,864 |
|
Westchester Medical Center
Valhalla, NY |
$750,021 | $91,753 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$741,573 | $71,603 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$737,253 | $96,365 |
|
Uci Health - Fountain Valley
Fountain Valley, CA |
$727,893 | $66,778 |
|
Ronald Reagan Ucla Medical Center
Los Angeles, CA |
$627,664 | $158,720 |
|
Cjw Medical Center
Richmond, VA |
$612,597 | $35,410 |
|
Medical City Plano
Plano, TX |
$596,968 | $35,780 |
|
Merit Health Wesley
Hattiesburg, MS |
$574,076 | $35,939 |
Questions people ask
What do U.S. hospitals charge for Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major?
Across 680 U.S. hospitals, the middle charge for Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major is $183,583. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $135,477 and the dearest quarter over $260,732.
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 Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major, the hospitals in the dearest tenth charge about 3.6x 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. $44,870 is roughly what Medicare actually paid per case, against an average charge of $226,646. 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 981: “EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS 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.