Major Small and Large Bowel Procedures without Complications/mcc — what U.S. hospitals charge
MS-DRG 331 · Inpatient stay · 553 U.S. hospitals publish a price
Cheapest quarter
under $53,010
Typical charge
$74,449
Dearest quarter
over $101,049
Actually paid
$15,998
The middle U.S. hospital bills $74,449 for Major Small and Large Bowel Procedures without Complications/mcc. The dearest hospitals charge about 3.6x what the cheapest do for the same coded work. Medicare actually paid about $15,998 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 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 | 20 | $27,078 | $18,783 – $47,846 |
| Massachusetts | 14 | $39,065 | $24,234 – $73,418 |
| Utah | 3 | $44,888 | $31,431 – $115,579 |
| Mississippi | 9 | $47,103 | $35,920 – $125,200 |
| Nebraska | 4 | $49,277 | $38,580 – $77,229 |
| Iowa | 7 | $49,651 | $37,518 – $59,418 |
| Montana | 7 | $50,064 | $33,967 – $93,456 |
| Connecticut | 5 | $52,532 | $49,337 – $87,880 |
| Idaho | 3 | $53,325 | $49,863 – $126,442 |
| Delaware | 3 | $53,935 | $40,323 – $62,956 |
| Missouri | 13 | $54,750 | $37,597 – $108,299 |
| Michigan | 13 | $54,863 | $35,312 – $83,449 |
| Arkansas | 9 | $55,796 | $26,798 – $76,057 |
| Minnesota | 6 | $58,466 | $36,929 – $83,853 |
| Ohio | 17 | $60,653 | $32,162 – $115,832 |
| Wisconsin | 7 | $61,463 | $41,414 – $92,034 |
| Kentucky | 12 | $61,493 | $47,323 – $113,914 |
| South Dakota | 5 | $62,388 | $34,599 – $66,814 |
| Virginia | 16 | $63,290 | $32,650 – $312,456 |
| Oklahoma | 7 | $64,258 | $39,976 – $117,834 |
| Tennessee | 15 | $64,646 | $28,433 – $137,978 |
| Oregon | 7 | $67,721 | $52,367 – $87,407 |
| District of Columbia | 3 | $67,944 | $50,647 – $87,511 |
| North Carolina | 22 | $68,276 | $33,281 – $118,954 |
| Louisiana | 11 | $71,610 | $50,206 – $149,407 |
| Indiana | 13 | $72,071 | $44,296 – $109,206 |
| Alabama | 10 | $72,243 | $33,056 – $248,565 |
| Kansas | 7 | $73,252 | $42,277 – $209,627 |
| West Virginia | 5 | $76,460 | $48,000 – $118,596 |
| South Carolina | 12 | $77,465 | $65,209 – $241,061 |
| Illinois | 21 | $78,644 | $35,340 – $105,383 |
| New York | 26 | $81,826 | $28,927 – $183,309 |
| Pennsylvania | 23 | $84,197 | $45,437 – $158,319 |
| Georgia | 14 | $84,298 | $49,784 – $114,973 |
| New Jersey | 18 | $84,781 | $51,662 – $236,034 |
| Texas | 34 | $85,984 | $37,144 – $263,340 |
| Washington | 15 | $90,788 | $65,665 – $163,247 |
| Colorado | 9 | $98,108 | $68,495 – $244,696 |
| Arizona | 14 | $104,145 | $59,457 – $157,824 |
| Florida | 35 | $108,372 | $48,005 – $276,922 |
| California | 40 | $111,594 | $59,353 – $221,776 |
| Alaska | 3 | $114,026 | $104,518 – $170,851 |
| Nevada | 5 | $134,001 | $44,410 – $178,345 |
Where Major Small and Large Bowel 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 |
$18,783 | $17,952 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$19,285 | $17,279 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$19,501 | $17,939 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$22,073 | $19,703 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$22,221 | $19,909 |
|
Atlantic General Hospital
Berlin, MD |
$22,892 | $21,000 |
|
Holy Cross Hospital
Silver Spring, MD |
$23,733 | $21,469 |
|
South Shore Hospital
South Weymouth, MA |
$24,234 | $14,514 |
|
Medstar Southern Maryland Hospital Center
Clinton, MD |
$24,625 | $23,439 |
|
Saint Agnes Hospital
Baltimore, MD |
$25,496 | $22,087 |
|
Suburban Hospital
Bethesda, MD |
$25,788 | $23,404 |
|
St Bernards Medical Center
Jonesboro, AR |
$26,798 | $11,399 |
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 |
|---|---|---|
|
Henrico Doctors' Hospital
Richmond, VA |
$312,456 | $13,268 |
|
Marion Communtiy Hospital
Ocala, FL |
$276,922 | $13,038 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$263,340 | $14,497 |
|
Grandview Medical Center
Birmingham, AL |
$248,565 | $12,235 |
|
Hca Healthone Presbyterian St. Lukes
Denver, CO |
$244,696 | $14,166 |
|
Grand Strand Regional Medical Center
Myrtle Beach, SC |
$241,061 | $13,790 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$236,034 | $14,868 |
|
Cjw Medical Center
Richmond, VA |
$232,268 | $12,939 |
|
Trident Medical Center
Charleston, SC |
$227,149 | $14,840 |
|
Manatee Memorial Hospital
Bradenton, FL |
$224,335 | $12,758 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$221,776 | $21,364 |
|
John Muir Medical Center - Concord Campus
Concord, CA |
$217,577 | $19,454 |
Questions people ask
What do U.S. hospitals charge for Major Small and Large Bowel Procedures without Complications/mcc?
Across 553 U.S. hospitals, the middle charge for Major Small and Large Bowel Procedures without Complications/mcc is $74,449. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $53,010 and the dearest quarter over $101,049.
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 without Complications/mcc, 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. $15,998 is roughly what Medicare actually paid per case, against an average charge of $84,764. 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 331: “MAJOR SMALL AND LARGE BOWEL 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.