Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio — what U.S. hospitals charge
MS-DRG 809 · Inpatient stay · 203 U.S. hospitals publish a price
Cheapest quarter
under $41,396
Typical charge
$55,001
Dearest quarter
over $90,436
Actually paid
$14,582
The middle U.S. hospital bills $55,001 for Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio. The dearest hospitals charge about 4.6x what the cheapest do for the same coded work. Medicare actually paid about $14,582 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 Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 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 | 9 | $15,171 | $12,893 – $47,138 |
| Mississippi | 3 | $29,626 | $25,591 – $50,128 |
| Massachusetts | 10 | $29,699 | $21,475 – $145,467 |
| Arkansas | 4 | $31,400 | $27,789 – $49,070 |
| Michigan | 5 | $37,375 | $27,116 – $60,466 |
| North Carolina | 8 | $39,422 | $24,397 – $91,115 |
| Minnesota | 5 | $43,480 | $21,261 – $98,762 |
| Louisiana | 4 | $43,550 | $34,365 – $54,792 |
| Illinois | 7 | $48,711 | $37,828 – $96,630 |
| Kentucky | 3 | $53,886 | $52,156 – $56,427 |
| South Carolina | 4 | $54,189 | $43,367 – $55,890 |
| Indiana | 4 | $54,853 | $41,249 – $99,040 |
| Arizona | 3 | $56,341 | $40,643 – $72,660 |
| Virginia | 6 | $56,682 | $27,220 – $146,269 |
| Oklahoma | 4 | $57,088 | $20,556 – $101,258 |
| Florida | 15 | $57,372 | $30,908 – $154,477 |
| Georgia | 5 | $57,453 | $41,543 – $119,049 |
| Texas | 11 | $62,767 | $37,015 – $240,244 |
| Ohio | 6 | $64,934 | $38,030 – $139,748 |
| Missouri | 3 | $69,553 | $48,081 – $102,452 |
| Tennessee | 5 | $71,987 | $41,098 – $186,128 |
| Pennsylvania | 11 | $86,730 | $14,688 – $206,041 |
| New York | 13 | $91,650 | $46,730 – $203,521 |
| New Jersey | 13 | $99,639 | $51,751 – $115,055 |
| California | 14 | $104,110 | $51,788 – $301,717 |
Where Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Meritus Medical Center
Hagerstown, MD |
$12,893 | $12,283 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$13,848 | $12,717 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$14,146 | $12,999 |
|
Frederick Health Hospital
Frederick, MD |
$14,340 | $12,993 |
|
Washington Hospital, The
Washington, PA |
$14,688 | $9,923 |
|
Carroll Hospital Center
Westminster, MD |
$15,171 | $13,325 |
|
Suburban Hospital
Bethesda, MD |
$15,501 | $14,076 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$17,881 | $16,142 |
|
Ascension St John Medical Center
Tulsa, OK |
$20,556 | $10,263 |
|
Centracare - St. Cloud Hospital
Saint Cloud, MN |
$21,261 | $11,371 |
|
Baystate Medical Center
Springfield, MA |
$21,475 | $13,577 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$23,060 | $12,959 |
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 |
$301,717 | $31,896 |
|
Ucsf Medical Center
San Francisco, CA |
$248,179 | $48,446 |
|
Medical City Dallas Hospital
Dallas, TX |
$240,244 | $18,457 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$206,041 | $22,618 |
|
North Shore University Hospital
Manhasset, NY |
$203,521 | $23,933 |
|
Tristar Centennial Medical Center
Nashville, TN |
$186,128 | $13,004 |
|
Mountainview Hospital
Las Vegas, NV |
$175,618 | $13,297 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$173,905 | $14,001 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$172,217 | $16,145 |
|
Montefiore Medical Center
Bronx, NY |
$170,745 | $20,655 |
|
University Of Colorado Hospital Authority
Aurora, CO |
$157,089 | $19,800 |
|
Baptist Hospital Of Miami
Miami, FL |
$154,477 | $20,427 |
Questions people ask
What do U.S. hospitals charge for Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio?
Across 203 U.S. hospitals, the middle charge for Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio is $55,001. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $41,396 and the dearest quarter over $90,436.
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 Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio, 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. $14,582 is roughly what Medicare actually paid per case, against an average charge of $73,295. 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 809: “MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO”. 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.