Extracranial Procedures with Complications — what U.S. hospitals charge
MS-DRG 038 · Inpatient stay · 210 U.S. hospitals publish a price
Cheapest quarter
under $50,405
Typical charge
$67,192
Dearest quarter
over $103,255
Actually paid
$14,785
The middle U.S. hospital bills $67,192 for Extracranial Procedures with Complications. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $14,785 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.
Extracranial Procedures 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 | 7 | $21,214 | $12,003 – $34,591 |
| Nebraska | 3 | $40,612 | $38,760 – $42,274 |
| Mississippi | 4 | $44,296 | $31,372 – $81,203 |
| Virginia | 5 | $47,148 | $25,750 – $83,234 |
| Wisconsin | 8 | $49,272 | $30,951 – $84,092 |
| Indiana | 6 | $49,445 | $39,639 – $136,850 |
| Massachusetts | 8 | $50,728 | $31,093 – $140,679 |
| Minnesota | 7 | $54,718 | $46,400 – $66,131 |
| Michigan | 4 | $57,093 | $41,581 – $64,012 |
| Louisiana | 4 | $57,751 | $47,217 – $235,229 |
| Kansas | 5 | $59,494 | $13,499 – $147,868 |
| Kentucky | 3 | $59,923 | $44,616 – $89,805 |
| North Carolina | 6 | $62,850 | $32,131 – $104,051 |
| Missouri | 9 | $63,662 | $35,185 – $196,492 |
| Tennessee | 3 | $64,213 | $49,371 – $120,502 |
| Oklahoma | 6 | $64,753 | $38,890 – $92,910 |
| Arizona | 4 | $68,984 | $51,479 – $128,138 |
| Florida | 13 | $72,249 | $46,250 – $208,479 |
| Illinois | 10 | $73,041 | $42,623 – $146,613 |
| Washington | 4 | $83,032 | $55,537 – $141,235 |
| Texas | 12 | $83,042 | $38,961 – $183,794 |
| New York | 10 | $83,455 | $31,538 – $157,938 |
| Georgia | 8 | $89,350 | $52,769 – $168,269 |
| South Carolina | 4 | $90,805 | $72,737 – $172,940 |
| Ohio | 9 | $96,129 | $47,770 – $112,806 |
| Alabama | 4 | $101,456 | $68,920 – $227,947 |
| New Jersey | 5 | $103,780 | $59,260 – $156,064 |
| Pennsylvania | 5 | $128,691 | $52,937 – $156,498 |
| California | 12 | $132,802 | $76,465 – $252,642 |
Where Extracranial Procedures 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 |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$12,003 | $11,105 |
|
Kansas Heart Hospital
Wichita, KS |
$13,499 | $10,122 |
|
Meritus Medical Center
Hagerstown, MD |
$16,412 | $15,309 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$20,276 | $18,101 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$21,214 | $19,833 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$24,007 | $21,098 |
|
Inova Fair Oaks Hospital
Fairfax, VA |
$25,750 | $13,505 |
|
Carroll Hospital Center
Westminster, MD |
$26,261 | $23,299 |
|
Aspirus Wausau Hospital
Wausau, WI |
$30,951 | $12,342 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$31,093 | $16,922 |
|
Anderson Regional Medical Center
Meridian, MS |
$31,372 | $10,640 |
|
St Joseph's Hospital Health Center
Syracuse, NY |
$31,538 | $14,314 |
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 |
$252,642 | $24,937 |
|
East Jefferson General Hospital
Metairie, LA |
$235,229 | $12,925 |
|
Grandview Medical Center
Birmingham, AL |
$227,947 | $11,166 |
|
Marion Communtiy Hospital
Ocala, FL |
$208,479 | $12,693 |
|
Research Medical Center
Kansas City, MO |
$196,492 | $16,360 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$196,483 | $19,509 |
|
Baptist Medical Center
San Antonio, TX |
$183,794 | $21,123 |
|
Trident Medical Center
Charleston, SC |
$172,940 | $12,311 |
|
Adventhealth Redmond
Rome, GA |
$168,269 | $12,450 |
|
Adventhealth Ocala
Ocala, FL |
$162,303 | $11,742 |
|
Mercy San Juan Medical Center
Carmichael, CA |
$158,885 | $17,239 |
|
Nyu Langone Hospitals
New York, NY |
$157,938 | $21,422 |
Questions people ask
What do U.S. hospitals charge for Extracranial Procedures with Complications?
Across 210 U.S. hospitals, the middle charge for Extracranial Procedures with Complications is $67,192. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $50,405 and the dearest quarter over $103,255.
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 Extracranial Procedures with Complications, the hospitals in the dearest tenth charge about 3.7x 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. $14,785 is roughly what Medicare actually paid per case, against an average charge of $80,586. 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 038: “EXTRACRANIAL PROCEDURES 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.