CostGrade

Inflammation of the Male Reproductive System without Major Complications — what U.S. hospitals charge

MS-DRG 728 · Inpatient stay · 4 U.S. hospitals publish a price

Cheapest quarter

under $43,537

Typical charge

$48,900

Dearest quarter

over $61,621

Actually paid

$8,239

The middle U.S. hospital bills $48,900 for Inflammation of the Male Reproductive System without Major Complications. The dearest hospitals charge about 1.8x what the cheapest do for the same coded work. Medicare actually paid about $8,239 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.

Where Inflammation of the Male Reproductive System without 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
Sarasota Memorial Hospital

Sarasota, FL

$41,377 $6,504
Methodist Hospital

San Antonio, TX

$44,257 $6,462
Adventhealth Orlando

Orlando, FL

$53,544 $7,276
Nyu Langone Hospitals

New York, NY

$85,853 $12,714

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

$85,853 $12,714
Adventhealth Orlando

Orlando, FL

$53,544 $7,276
Methodist Hospital

San Antonio, TX

$44,257 $6,462
Sarasota Memorial Hospital

Sarasota, FL

$41,377 $6,504

Questions people ask

What do U.S. hospitals charge for Inflammation of the Male Reproductive System without Major Complications?

Across 4 U.S. hospitals, the middle charge for Inflammation of the Male Reproductive System without Major Complications is $48,900. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $43,537 and the dearest quarter over $61,621.

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 Inflammation of the Male Reproductive System without Major Complications, 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. $8,239 is roughly what Medicare actually paid per case, against an average charge of $58,724. 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 728: “INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT 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.