Major Chest Procedures without Complications/mcc — what U.S. hospitals charge
MS-DRG 165 · Inpatient stay · 208 U.S. hospitals publish a price
Cheapest quarter
under $61,715
Typical charge
$83,219
Dearest quarter
over $116,581
Actually paid
$19,110
The middle U.S. hospital bills $83,219 for Major Chest Procedures without Complications/mcc. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $19,110 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 without Complications/mcc 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 | $28,793 | $16,549 – $36,372 |
| Massachusetts | 11 | $52,055 | $30,959 – $111,504 |
| Minnesota | 3 | $53,112 | $41,006 – $107,019 |
| Virginia | 7 | $54,565 | $26,439 – $163,414 |
| Oregon | 5 | $60,105 | $39,093 – $97,423 |
| Tennessee | 6 | $61,152 | $48,873 – $144,182 |
| Michigan | 7 | $64,535 | $41,188 – $90,291 |
| North Carolina | 8 | $71,335 | $40,782 – $135,388 |
| Alabama | 4 | $72,244 | $37,606 – $88,073 |
| New Jersey | 12 | $75,337 | $60,116 – $204,698 |
| Ohio | 7 | $75,550 | $55,759 – $130,868 |
| Colorado | 3 | $81,232 | $62,056 – $97,187 |
| Louisiana | 3 | $84,201 | $59,039 – $172,263 |
| Georgia | 6 | $85,029 | $65,311 – $147,986 |
| District of Columbia | 3 | $91,175 | $58,255 – $108,460 |
| Kentucky | 4 | $92,603 | $62,928 – $125,639 |
| Pennsylvania | 12 | $96,558 | $46,973 – $241,368 |
| New York | 13 | $97,363 | $35,268 – $182,146 |
| Washington | 8 | $97,679 | $72,257 – $141,908 |
| Texas | 6 | $99,217 | $67,560 – $191,560 |
| South Carolina | 6 | $104,188 | $70,601 – $265,492 |
| Illinois | 11 | $104,283 | $28,399 – $166,648 |
| Indiana | 4 | $109,416 | $96,940 – $318,081 |
| Arizona | 5 | $116,545 | $83,324 – $155,622 |
| Florida | 9 | $132,342 | $70,054 – $204,467 |
| Oklahoma | 3 | $147,283 | $63,598 – $222,551 |
| California | 11 | $164,258 | $80,394 – $271,709 |
Where Major Chest 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 |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$16,549 | $15,423 |
|
Suburban Hospital
Bethesda, MD |
$18,097 | $17,294 |
|
Mary Washington Hospital
Fredericksburg, VA |
$26,439 | $13,936 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$28,399 | $15,288 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$28,787 | $26,230 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$28,798 | $26,878 |
|
Tidalhealth Nanticoke, Inc.
Seaford, DE |
$29,103 | $18,464 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$30,959 | $19,328 |
|
University Of Maryland Medical Center
Baltimore, MD |
$32,101 | $29,619 |
|
Rhode Island Hospital
Providence, RI |
$33,290 | $22,841 |
|
South Shore Hospital
South Weymouth, MA |
$34,434 | $15,349 |
|
Albany Medical Center Hospital
Albany, NY |
$35,268 | $19,970 |
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 |
|---|---|---|
|
Northwest Health - Porter
Valparaiso, IN |
$318,081 | $19,683 |
|
Stanford Health Care
Stanford, CA |
$271,709 | $30,254 |
|
Grand Strand Regional Medical Center
Myrtle Beach, SC |
$265,492 | $19,242 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$251,817 | $22,607 |
|
University Of California Davis Medical Center
Sacramento, CA |
$249,404 | $29,855 |
|
Lehigh Valley Hospital
Allentown, PA |
$241,368 | $16,263 |
|
Loma Linda University Medical Center
Loma Linda, CA |
$237,621 | $28,182 |
|
O U Medical Center
Oklahoma City, OK |
$222,551 | $20,701 |
|
West Jersey Hospital
Voorhees, NJ |
$204,698 | $17,265 |
|
Orlando Health
Orlando, FL |
$204,467 | $16,500 |
|
Hca Florida Blake Hospital
Bradenton, FL |
$204,336 | $15,805 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$203,912 | $18,043 |
Questions people ask
What do U.S. hospitals charge for Major Chest Procedures without Complications/mcc?
Across 208 U.S. hospitals, the middle charge for Major Chest Procedures without Complications/mcc is $83,219. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $61,715 and the dearest quarter over $116,581.
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 without Complications/mcc, the hospitals in the dearest tenth charge about 3.8x 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. $19,110 is roughly what Medicare actually paid per case, against an average charge of $99,262. 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 165: “MAJOR CHEST 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.