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Major Chest Procedures with Complications — what U.S. hospitals charge

MS-DRG 164 · Inpatient stay · 433 U.S. hospitals publish a price

Cheapest quarter

under $82,460

Typical charge

$108,705

Dearest quarter

over $153,651

Actually paid

$24,132

The middle U.S. hospital bills $108,705 for Major Chest Procedures with Complications. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $24,132 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.

Major Chest Procedures with 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 11 $42,158 $22,394 – $52,679
Massachusetts 16 $59,073 $37,102 – $123,597
Montana 3 $66,942 $59,861 – $67,556
Minnesota 11 $74,290 $53,851 – $118,972
Delaware 3 $75,826 $29,959 – $103,607
Michigan 12 $77,990 $53,013 – $106,043
Tennessee 11 $78,452 $64,724 – $165,414
Wisconsin 7 $79,002 $62,688 – $119,559
Connecticut 5 $81,474 $77,038 – $97,430
Utah 3 $83,499 $65,487 – $107,228
Kansas 5 $83,651 $77,344 – $186,772
Iowa 4 $84,494 $60,794 – $92,174
Mississippi 4 $84,597 $68,883 – $91,269
Arkansas 4 $85,259 $63,319 – $109,839
South Dakota 3 $91,374 $91,288 – $127,980
West Virginia 3 $93,527 $91,342 – $108,767
Virginia 13 $93,809 $35,605 – $454,888
Missouri 11 $94,202 $70,922 – $124,923
Idaho 3 $94,705 $84,150 – $202,724
Alabama 4 $95,013 $47,134 – $118,281
Nebraska 4 $96,562 $79,690 – $151,166
Oregon 6 $97,156 $42,660 – $114,101
Ohio 12 $102,221 $60,915 – $172,891
New Jersey 13 $105,752 $80,718 – $236,340
Louisiana 4 $109,052 $73,247 – $188,573
Colorado 6 $112,019 $101,031 – $164,784
North Carolina 17 $113,731 $51,122 – $165,988
Georgia 15 $113,817 $81,661 – $266,342
Illinois 16 $116,215 $54,777 – $191,448
Washington 10 $116,253 $84,141 – $152,865
Kentucky 8 $119,001 $79,628 – $184,607
South Carolina 9 $124,012 $100,998 – $362,921
Pennsylvania 22 $129,322 $50,815 – $303,323
Oklahoma 4 $130,943 $73,066 – $239,295
New York 24 $131,311 $50,427 – $281,499
District of Columbia 4 $132,498 $86,194 – $198,066
New Hampshire 3 $134,285 $93,263 – $161,752
Indiana 11 $136,565 $63,850 – $196,081
Florida 30 $150,033 $63,618 – $325,693
Arizona 11 $154,708 $105,597 – $222,727
Texas 24 $167,361 $73,861 – $395,143
California 33 $184,616 $105,014 – $374,610

Where Major Chest Procedures with Complications is charged least

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

Hospital Charged Actually paid
Luminis Health Anne Arundel Medical Center, Inc

Annapolis, MD

 $22,394 $20,823
Tidalhealth Nanticoke, Inc.

Seaford, DE

 $29,959 $23,637
Suburban Hospital

Bethesda, MD

 $34,170 $31,648
University Of Md Baltimore Washington Medical Center

Glen Burnie, MD

 $34,401 $31,866
Medstar Franklin Square Medical Center

Rosedale, MD

 $34,726 $31,164
Mary Washington Hospital

Fredericksburg, VA

 $35,605 $19,020
Johns Hopkins Hospital, The

Baltimore, MD

 $36,757 $32,769
South Shore Hospital

South Weymouth, MA

 $37,102 $22,133
Sinai Hospital Of Baltimore

Baltimore, MD

 $42,158 $37,059
Newton-Wellesley Hospital

Newton, MA

 $42,493 $23,514
Providence Portland Medical Center

Portland, OR

 $42,660 $24,913
Lahey Hospital & Medical Center, Burlington

Burlington, MA

 $43,947 $25,932

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
Cjw Medical Center

Richmond, VA

 $454,888 $19,979
Medical City Dallas Hospital

Dallas, TX

 $395,143 $24,284
Stanford Health Care

Stanford, CA

 $374,610 $41,761
Grand Strand Regional Medical Center

Myrtle Beach, SC

 $362,921 $20,926
Adventist Health St Helena

Saint Helena, CA

 $334,804 $27,018
Hca Florida North Florida Hospital

Gainesville, FL

 $325,693 $21,855
Cedars-Sinai Medical Center

Los Angeles, CA

 $322,205 $30,680
Mountainview Hospital

Las Vegas, NV

 $320,459 $27,623
Hca Houston Healthcare Clear Lake

Webster, TX

 $309,984 $25,665
Temple University Hospital

Philadelphia, PA

 $303,323 $30,207
Medical City Plano

Plano, TX

 $303,013 $18,693
Hca Florida Trinity Hospital

Trinity, FL

 $298,979 $24,784

Questions people ask

What do U.S. hospitals charge for Major Chest Procedures with Complications?

Across 433 U.S. hospitals, the middle charge for Major Chest Procedures with Complications is $108,705. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $82,460 and the dearest quarter over $153,651.

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 Chest Procedures with Complications, the hospitals in the dearest tenth charge about 3.3x 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. $24,132 is roughly what Medicare actually paid per case, against an average charge of $123,756. 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 164: “MAJOR CHEST PROCEDURES WITH CC”. 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.

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