CostGrade

Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Complications/mcc — what U.S. hospitals charge

MS-DRG 513 · Inpatient stay · 3 U.S. hospitals publish a price

Cheapest quarter

under $103,409

Typical charge

$134,669

Dearest quarter

over $144,694

Actually paid

$14,059

The middle U.S. hospital bills $134,669 for Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Complications/mcc. The dearest hospitals charge about 1.8x what the cheapest do for the same coded work. Medicare actually paid about $14,059 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.

Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Complications/mcc cost by state

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

State Hospitals Typical charge Range
Florida 3 $134,669 $72,149 – $154,720

Where Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Complications/mcc is charged least

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

Hospital Charged Actually paid
Adventhealth Orlando

Orlando, FL

$72,149 $12,782
Hca Florida Blake Hospital

Bradenton, FL

$134,669 $17,852
Marion Communtiy Hospital

Ocala, FL

$154,720 $11,543

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
Marion Communtiy Hospital

Ocala, FL

$154,720 $11,543
Hca Florida Blake Hospital

Bradenton, FL

$134,669 $17,852
Adventhealth Orlando

Orlando, FL

$72,149 $12,782

Questions people ask

What do U.S. hospitals charge for Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Complications/mcc?

Across 3 U.S. hospitals, the middle charge for Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Complications/mcc is $134,669. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $103,409 and the dearest quarter over $144,694.

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 Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Complications/mcc, the hospitals in the dearest tenth charge about 1.8x 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. $14,059 is roughly what Medicare actually paid per case, against an average charge of $120,512. 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 513: “HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/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.