Major Chest Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 163 · Inpatient stay · 432 U.S. hospitals publish a price
Cheapest quarter
under $131,547
Typical charge
$176,545
Dearest quarter
over $262,784
Actually paid
$43,934
The middle U.S. hospital bills $176,545 for Major Chest Procedures with Major Complications. The dearest hospitals charge about 3.6x what the cheapest do for the same coded work. Medicare actually paid about $43,934 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 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 | 6 | $53,537 | $33,460 – $91,927 |
| Arkansas | 9 | $105,090 | $91,007 – $156,802 |
| Massachusetts | 10 | $105,452 | $60,695 – $231,951 |
| Utah | 5 | $106,464 | $80,733 – $183,627 |
| Michigan | 14 | $121,414 | $93,187 – $195,280 |
| Mississippi | 4 | $122,872 | $100,665 – $158,018 |
| Iowa | 4 | $124,749 | $102,322 – $143,459 |
| Nebraska | 5 | $128,460 | $116,657 – $214,404 |
| Tennessee | 13 | $130,431 | $77,806 – $282,092 |
| Wisconsin | 4 | $139,816 | $79,201 – $190,816 |
| Illinois | 17 | $141,025 | $77,802 – $297,557 |
| Connecticut | 4 | $145,212 | $138,725 – $158,327 |
| Minnesota | 7 | $147,086 | $94,716 – $269,596 |
| Alabama | 6 | $147,719 | $100,254 – $290,361 |
| North Carolina | 11 | $151,213 | $75,963 – $270,683 |
| Missouri | 13 | $151,804 | $101,861 – $383,285 |
| Oklahoma | 7 | $152,048 | $86,304 – $653,199 |
| South Dakota | 4 | $152,096 | $126,787 – $165,680 |
| Oregon | 4 | $153,731 | $80,415 – $162,313 |
| Kentucky | 8 | $156,733 | $105,393 – $275,169 |
| West Virginia | 4 | $156,813 | $129,771 – $221,887 |
| Ohio | 16 | $160,500 | $74,950 – $267,049 |
| Virginia | 11 | $162,766 | $68,515 – $513,544 |
| Indiana | 9 | $170,201 | $113,692 – $268,789 |
| Idaho | 4 | $175,159 | $113,348 – $344,181 |
| South Carolina | 10 | $182,449 | $132,308 – $375,690 |
| Georgia | 8 | $185,502 | $150,520 – $278,297 |
| Washington | 11 | $189,060 | $105,802 – $590,811 |
| Arizona | 15 | $193,759 | $155,185 – $308,368 |
| Kansas | 4 | $197,628 | $120,648 – $376,720 |
| New York | 19 | $206,958 | $104,066 – $445,798 |
| New Jersey | 11 | $211,077 | $129,685 – $369,587 |
| Florida | 32 | $215,395 | $104,500 – $555,685 |
| Colorado | 8 | $232,288 | $130,021 – $455,081 |
| Pennsylvania | 19 | $246,023 | $123,488 – $570,492 |
| Texas | 39 | $255,032 | $119,040 – $688,874 |
| California | 34 | $306,127 | $140,048 – $887,051 |
| Nevada | 4 | $447,991 | $197,522 – $613,832 |
Where Major Chest Procedures 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 |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$33,460 | $31,124 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$43,677 | $39,126 |
|
Sinai Hospital Of Baltimore
Baltimore, MD |
$48,888 | $42,945 |
|
Adventist Healthcare White Oak Medical Center
Silver Spring, MD |
$58,187 | $52,026 |
|
Cape Cod Hospital
Hyannis, MA |
$60,695 | $48,172 |
|
South Shore Hospital
South Weymouth, MA |
$63,991 | $37,809 |
|
Winchester Medical Center
Winchester, VA |
$68,515 | $45,957 |
|
St. Patrick Hospital
Missoula, MT |
$70,342 | $36,257 |
|
Bethesda North
Cincinnati, OH |
$74,950 | $35,864 |
|
Rex Hospital
Raleigh, NC |
$75,963 | $33,856 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$77,802 | $34,117 |
|
Jackson-Madison County General Hospital
Jackson, TN |
$77,806 | $36,507 |
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 |
$887,051 | $106,382 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$755,038 | $70,007 |
|
Good Samaritan Hospital
San Jose, CA |
$721,860 | $50,796 |
|
Round Rock Medical Center
Round Rock, TX |
$688,874 | $39,187 |
|
O U Medical Center
Oklahoma City, OK |
$653,199 | $111,327 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$613,832 | $37,320 |
|
Swedish Medical Center
Seattle, WA |
$590,811 | $128,999 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$580,541 | $38,150 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$570,492 | $62,463 |
|
Medical City Dallas Hospital
Dallas, TX |
$564,375 | $42,132 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$564,143 | $72,505 |
|
Hca Florida Memorial Hospital
Jacksonville, FL |
$555,685 | $45,189 |
Questions people ask
What do U.S. hospitals charge for Major Chest Procedures with Major Complications?
Across 432 U.S. hospitals, the middle charge for Major Chest Procedures with Major Complications is $176,545. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $131,547 and the dearest quarter over $262,784.
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 Major Complications, the hospitals in the dearest tenth charge about 3.6x 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. $43,934 is roughly what Medicare actually paid per case, against an average charge of $214,895. 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 163: “MAJOR CHEST PROCEDURES 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.