Major Small and Large Bowel Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 329 · Inpatient stay · 988 U.S. hospitals publish a price
Cheapest quarter
under $129,023
Typical charge
$179,554
Dearest quarter
over $259,919
Actually paid
$42,195
The middle U.S. hospital bills $179,554 for Major Small and Large Bowel Procedures with Major Complications. The dearest hospitals charge about 4.0x what the cheapest do for the same coded work. Medicare actually paid about $42,195 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 Small and Large Bowel 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 | 24 | $51,724 | $39,998 – $91,805 |
| Rhode Island | 3 | $85,796 | $81,942 – $96,722 |
| Massachusetts | 24 | $92,792 | $56,345 – $196,810 |
| Arkansas | 13 | $99,160 | $65,604 – $236,359 |
| North Dakota | 5 | $104,276 | $79,304 – $145,872 |
| Montana | 6 | $110,610 | $66,260 – $147,466 |
| Delaware | 3 | $117,184 | $114,672 – $133,962 |
| Iowa | 12 | $119,853 | $72,357 – $219,463 |
| Utah | 5 | $119,895 | $84,590 – $162,995 |
| Michigan | 24 | $128,915 | $91,696 – $215,095 |
| Hawaii | 5 | $129,453 | $114,025 – $291,958 |
| Mississippi | 12 | $131,479 | $90,456 – $437,248 |
| North Carolina | 26 | $134,840 | $95,382 – $204,219 |
| Nebraska | 7 | $138,177 | $66,998 – $185,625 |
| Missouri | 27 | $139,199 | $73,236 – $458,247 |
| Virginia | 32 | $139,315 | $78,340 – $599,171 |
| Tennessee | 21 | $141,624 | $47,132 – $353,492 |
| Idaho | 5 | $146,102 | $107,705 – $244,857 |
| Connecticut | 10 | $148,827 | $127,736 – $236,243 |
| West Virginia | 7 | $150,789 | $110,853 – $193,841 |
| South Dakota | 4 | $152,028 | $115,677 – $177,474 |
| New Hampshire | 7 | $154,573 | $62,128 – $209,056 |
| Minnesota | 14 | $156,482 | $93,392 – $204,616 |
| Wisconsin | 15 | $157,262 | $100,038 – $223,923 |
| Oregon | 11 | $159,722 | $134,773 – $238,970 |
| Louisiana | 12 | $166,137 | $80,529 – $424,666 |
| Ohio | 35 | $167,124 | $74,559 – $304,822 |
| Kentucky | 15 | $171,608 | $78,522 – $202,421 |
| Illinois | 38 | $173,715 | $74,424 – $359,101 |
| Oklahoma | 14 | $180,860 | $81,677 – $378,635 |
| Indiana | 18 | $181,428 | $100,276 – $319,582 |
| South Carolina | 19 | $187,231 | $101,244 – $1,377,632 |
| Kansas | 11 | $188,089 | $90,709 – $492,812 |
| Georgia | 29 | $190,912 | $82,552 – $413,302 |
| New Mexico | 5 | $192,195 | $85,555 – $293,221 |
| Washington | 24 | $192,468 | $98,795 – $292,167 |
| Arizona | 25 | $203,437 | $117,191 – $478,524 |
| Texas | 73 | $208,046 | $89,412 – $606,827 |
| Pennsylvania | 43 | $208,541 | $77,815 – $552,341 |
| New York | 46 | $215,572 | $81,930 – $667,488 |
| Alabama | 17 | $215,942 | $82,136 – $472,692 |
| New Jersey | 34 | $233,893 | $130,128 – $1,007,261 |
| Colorado | 17 | $241,344 | $100,125 – $757,608 |
| Florida | 84 | $251,073 | $110,395 – $712,421 |
| District of Columbia | 4 | $264,649 | $115,742 – $557,854 |
| Alaska | 4 | $289,484 | $208,969 – $372,947 |
| California | 79 | $325,173 | $116,363 – $996,471 |
| Nevada | 15 | $410,455 | $98,473 – $727,647 |
Where Major Small and Large Bowel 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 |
|---|---|---|
|
Suburban Hospital
Bethesda, MD |
$39,998 | $36,045 |
|
Adventist Healthcare Shady Grove Medical Center
Rockville, MD |
$41,888 | $36,790 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$42,187 | $39,129 |
|
Frederick Health Hospital
Frederick, MD |
$45,724 | $41,506 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$45,787 | $40,453 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$46,917 | $42,243 |
|
Fort Sanders Regional Medical Center
Knoxville, TN |
$47,132 | $28,523 |
|
Meritus Medical Center
Hagerstown, MD |
$47,222 | $43,642 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$48,408 | $44,418 |
|
Atlantic General Hospital
Berlin, MD |
$48,602 | $44,701 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$49,401 | $44,803 |
|
Carroll Hospital Center
Westminster, MD |
$50,133 | $44,408 |
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 |
|---|---|---|
|
Prisma Health Richland Hospital
Columbia, SC |
$1,377,632 | $323,776 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$1,007,261 | $44,379 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$996,471 | $90,178 |
|
Ucla West Valley Medical Center
West Hills, CA |
$973,760 | $60,359 |
|
Good Samaritan Hospital
San Jose, CA |
$852,230 | $61,569 |
|
Northbay Medical Center
Fairfield, CA |
$840,441 | $74,615 |
|
Stanford Health Care
Stanford, CA |
$772,979 | $91,367 |
|
Sky Ridge Medical Center
Lone Tree, CO |
$757,608 | $87,221 |
|
Henderson Hospital
Henderson, NV |
$727,647 | $38,978 |
|
Uci Health - Los Alamitos
Los Alamitos, CA |
$721,557 | $49,614 |
|
Hca Florida Oak Hill Hospital
Brooksville, FL |
$712,421 | $38,271 |
|
Summerlin Hospital Medical Center
Las Vegas, NV |
$700,970 | $35,549 |
Questions people ask
What do U.S. hospitals charge for Major Small and Large Bowel Procedures with Major Complications?
Across 988 U.S. hospitals, the middle charge for Major Small and Large Bowel Procedures with Major Complications is $179,554. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $129,023 and the dearest quarter over $259,919.
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 Small and Large Bowel Procedures with Major Complications, the hospitals in the dearest tenth charge about 4.0x 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. $42,195 is roughly what Medicare actually paid per case, against an average charge of $219,524. 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 329: “MAJOR SMALL AND LARGE BOWEL 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.