Interstitial Lung Disease with Major Complications — what U.S. hospitals charge
MS-DRG 196 · Inpatient stay · 217 U.S. hospitals publish a price
Cheapest quarter
under $53,889
Typical charge
$80,187
Dearest quarter
over $116,587
Actually paid
$19,715
The middle U.S. hospital bills $80,187 for Interstitial Lung Disease with Major Complications. The dearest hospitals charge about 4.6x what the cheapest do for the same coded work. Medicare actually paid about $19,715 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.
Interstitial Lung Disease 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 |
|---|---|---|---|
| Maryland | 5 | $23,105 | $11,691 – $46,486 |
| Massachusetts | 11 | $32,587 | $15,740 – $142,131 |
| Mississippi | 3 | $41,124 | $29,291 – $46,134 |
| Virginia | 11 | $44,123 | $18,502 – $170,665 |
| Michigan | 4 | $47,355 | $39,911 – $74,226 |
| New Hampshire | 3 | $48,288 | $36,338 – $113,708 |
| Nebraska | 3 | $49,134 | $40,643 – $79,320 |
| Louisiana | 3 | $54,008 | $50,476 – $56,808 |
| Tennessee | 6 | $62,535 | $46,954 – $115,400 |
| Missouri | 4 | $62,804 | $56,986 – $123,585 |
| Alabama | 3 | $63,114 | $46,589 – $175,579 |
| Ohio | 4 | $66,548 | $33,938 – $113,814 |
| North Carolina | 4 | $68,672 | $57,253 – $78,403 |
| South Carolina | 3 | $71,645 | $51,656 – $81,310 |
| Connecticut | 3 | $76,500 | $39,004 – $100,150 |
| Illinois | 13 | $77,796 | $31,341 – $180,411 |
| Arizona | 4 | $81,076 | $56,390 – $107,098 |
| Florida | 17 | $82,428 | $50,015 – $179,725 |
| Minnesota | 4 | $85,027 | $27,850 – $119,961 |
| Wisconsin | 3 | $85,349 | $84,720 – $99,256 |
| Texas | 11 | $90,158 | $53,889 – $183,287 |
| Washington | 3 | $91,361 | $66,634 – $92,778 |
| Georgia | 4 | $92,981 | $82,673 – $137,227 |
| Colorado | 4 | $95,046 | $82,354 – $142,007 |
| Pennsylvania | 10 | $105,374 | $40,985 – $195,339 |
| New Jersey | 15 | $112,217 | $64,609 – $162,242 |
| New York | 17 | $126,724 | $34,448 – $240,508 |
| California | 20 | $129,302 | $82,913 – $1,094,250 |
| Nevada | 3 | $174,161 | $88,700 – $177,234 |
Where Interstitial Lung Disease 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 |
|---|---|---|
|
Suburban Hospital
Bethesda, MD |
$11,691 | $10,620 |
|
Beth Israel Deaconess Hospital Plymouth
Plymouth, MA |
$15,740 | $13,586 |
|
South Shore Hospital
South Weymouth, MA |
$18,372 | $13,869 |
|
Mary Washington Hospital
Fredericksburg, VA |
$18,502 | $13,648 |
|
Northeast Hospital Corporation
Beverly, MA |
$22,044 | $14,205 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$22,606 | $20,218 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$23,105 | $20,920 |
|
Centracare - St. Cloud Hospital
Saint Cloud, MN |
$27,850 | $18,135 |
|
North Mississippi Medical Center
Tupelo, MS |
$29,291 | $13,816 |
|
Brigham And Women Faulkner Hospital
Jamaica Plain, MA |
$29,622 | $17,767 |
|
Sinai Hospital Of Baltimore
Baltimore, MD |
$29,922 | $26,271 |
|
Billings Clinic Hospital
Billings, MT |
$30,319 | $15,159 |
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 |
$1,094,250 | $130,835 |
|
Good Samaritan Hospital
San Jose, CA |
$373,753 | $25,235 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$293,166 | $27,034 |
|
Montefiore Medical Center
Bronx, NY |
$240,508 | $30,293 |
|
Ucla West Valley Medical Center
West Hills, CA |
$237,165 | $17,271 |
|
El Camino Health
Mountain View, CA |
$232,232 | $21,613 |
|
North Shore University Hospital
Manhasset, NY |
$216,072 | $26,569 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$208,333 | $20,721 |
|
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital
Santa Monica, CA |
$206,593 | $40,333 |
|
Temple University Hospital
Philadelphia, PA |
$195,339 | $24,072 |
|
Hca Houston Healthcare Clear Lake
Webster, TX |
$183,287 | $16,545 |
|
Northwestern Lake Forest Hospital
Lake Forest, IL |
$180,411 | $25,838 |
Questions people ask
What do U.S. hospitals charge for Interstitial Lung Disease with Major Complications?
Across 217 U.S. hospitals, the middle charge for Interstitial Lung Disease with Major Complications is $80,187. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $53,889 and the dearest quarter over $116,587.
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 Interstitial Lung Disease with Major Complications, the hospitals in the dearest tenth charge about 4.6x 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. $19,715 is roughly what Medicare actually paid per case, against an average charge of $104,150. 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 196: “INTERSTITIAL LUNG DISEASE 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.