Major Bladder Procedures without Complications/mcc — what U.S. hospitals charge
MS-DRG 655 · Inpatient stay · 7 U.S. hospitals publish a price
Cheapest quarter
under $99,511
Typical charge
$141,429
Dearest quarter
over $156,771
Actually paid
$28,004
The middle U.S. hospital bills $141,429 for Major Bladder Procedures without Complications/mcc. The dearest hospitals charge about 2.5x what the cheapest do for the same coded work. Medicare actually paid about $28,004 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 Major Bladder Procedures without 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 |
|---|---|---|
|
Johns Hopkins Hospital, The
Baltimore, MD |
$40,638 | $35,698 |
|
Mount Sinai Hospital
New York, NY |
$91,470 | $28,948 |
|
University Of Washington Medical Ctr
Seattle, WA |
$107,551 | $23,306 |
|
University Of Colorado Hospital Authority
Aurora, CO |
$141,429 | $22,732 |
|
Indiana University Health
Indianapolis, IN |
$142,808 | $21,742 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$170,735 | $25,761 |
|
Ucsf Medical Center
San Francisco, CA |
$194,011 | $37,839 |
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 |
|---|---|---|
|
Ucsf Medical Center
San Francisco, CA |
$194,011 | $37,839 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$170,735 | $25,761 |
|
Indiana University Health
Indianapolis, IN |
$142,808 | $21,742 |
|
University Of Colorado Hospital Authority
Aurora, CO |
$141,429 | $22,732 |
|
University Of Washington Medical Ctr
Seattle, WA |
$107,551 | $23,306 |
|
Mount Sinai Hospital
New York, NY |
$91,470 | $28,948 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$40,638 | $35,698 |
Questions people ask
What do U.S. hospitals charge for Major Bladder Procedures without Complications/mcc?
Across 7 U.S. hospitals, the middle charge for Major Bladder Procedures without Complications/mcc is $141,429. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $99,511 and the dearest quarter over $156,771.
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 Major Bladder Procedures without Complications/mcc, the hospitals in the dearest tenth charge about 2.5x 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. $28,004 is roughly what Medicare actually paid per case, against an average charge of $123,794. 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 655: “MAJOR BLADDER PROCEDURES WITHOUT 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.