Extracranial Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 037 · Inpatient stay · 9 U.S. hospitals publish a price
Cheapest quarter
under $114,009
Typical charge
$137,509
Dearest quarter
over $156,995
Actually paid
$35,850
The middle U.S. hospital bills $137,509 for Extracranial Procedures with Major Complications. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $35,850 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 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 |
|---|---|---|---|
| Texas | 3 | $136,636 | $94,382 – $156,995 |
Where Extracranial Procedures 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 |
|---|---|---|
|
St Elizabeth Edgewood
Edgewood, KY |
$70,801 | $26,859 |
|
Memorial Hermann Memorial City Hospital
Houston, TX |
$94,382 | $29,880 |
|
Christiana Hospital
Newark, DE |
$114,009 | $36,241 |
|
Christus Mother Frances Hospital
Tyler, TX |
$136,636 | $23,462 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$137,509 | $44,478 |
|
Jersey Shore University Medical Center
Neptune, NJ |
$149,950 | $29,739 |
|
Memorial Hermann Hospital System
Houston, TX |
$156,995 | $32,883 |
|
New York-Presbyterian Hospital
New York, NY |
$277,051 | $45,317 |
|
Nyu Langone Hospitals
New York, NY |
$314,956 | $53,793 |
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 |
|---|---|---|
|
Nyu Langone Hospitals
New York, NY |
$314,956 | $53,793 |
|
New York-Presbyterian Hospital
New York, NY |
$277,051 | $45,317 |
|
Memorial Hermann Hospital System
Houston, TX |
$156,995 | $32,883 |
|
Jersey Shore University Medical Center
Neptune, NJ |
$149,950 | $29,739 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$137,509 | $44,478 |
|
Christus Mother Frances Hospital
Tyler, TX |
$136,636 | $23,462 |
|
Christiana Hospital
Newark, DE |
$114,009 | $36,241 |
|
Memorial Hermann Memorial City Hospital
Houston, TX |
$94,382 | $29,880 |
|
St Elizabeth Edgewood
Edgewood, KY |
$70,801 | $26,859 |
Questions people ask
What do U.S. hospitals charge for Extracranial Procedures with Major Complications?
Across 9 U.S. hospitals, the middle charge for Extracranial Procedures with Major Complications is $137,509. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $114,009 and the dearest quarter over $156,995.
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 Major Complications, the hospitals in the dearest tenth charge about 3.2x 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. $35,850 is roughly what Medicare actually paid per case, against an average charge of $169,910. 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 037: “EXTRACRANIAL PROCEDURES 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.