Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major — what U.S. hospitals charge
MS-DRG 987 · Inpatient stay · 120 U.S. hospitals publish a price
Cheapest quarter
under $116,779
Typical charge
$144,115
Dearest quarter
over $235,138
Actually paid
$40,311
The middle U.S. hospital bills $144,115 for Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major. The dearest hospitals charge about 3.9x what the cheapest do for the same coded work. Medicare actually paid about $40,311 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.
Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Massachusetts | 8 | $99,331 | $40,805 – $256,103 |
| North Carolina | 6 | $105,643 | $75,937 – $139,454 |
| Connecticut | 3 | $117,122 | $73,122 – $272,430 |
| Minnesota | 3 | $121,450 | $79,616 – $143,153 |
| Missouri | 4 | $122,884 | $76,912 – $148,606 |
| Ohio | 4 | $126,677 | $89,685 – $262,737 |
| Michigan | 4 | $130,452 | $93,901 – $180,678 |
| Tennessee | 3 | $133,826 | $102,590 – $238,101 |
| Illinois | 7 | $137,966 | $103,428 – $240,854 |
| Texas | 7 | $156,988 | $121,607 – $423,589 |
| Wisconsin | 3 | $161,058 | $145,816 – $171,715 |
| Florida | 10 | $163,108 | $114,211 – $255,811 |
| Pennsylvania | 8 | $209,814 | $83,716 – $481,911 |
| New Jersey | 6 | $248,301 | $172,024 – $387,132 |
| California | 7 | $282,426 | $195,352 – $966,192 |
| New York | 14 | $283,002 | $79,560 – $607,405 |
Where Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
South Shore Hospital
South Weymouth, MA |
$40,805 | $27,074 |
|
Baystate Medical Center
Springfield, MA |
$64,557 | $42,596 |
|
Bridgeport Hospital
Bridgeport, CT |
$73,122 | $34,432 |
|
Ecu Health Medical Center
Greenville, NC |
$75,937 | $29,569 |
|
Southcoast Hospitals Group
Fall River, MA |
$76,094 | $29,870 |
|
Mosaic Life Care At St Joseph
Saint Joseph, MO |
$76,912 | $31,367 |
|
Albany Medical Center Hospital
Albany, NY |
$79,560 | $34,842 |
|
Essentia Health St Mary's Medical Center
Duluth, MN |
$79,616 | $24,280 |
|
Inova Fairfax Hospital
Falls Church, VA |
$82,642 | $32,150 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$82,912 | $38,276 |
|
Lancaster General Hospital
Lancaster, PA |
$83,716 | $36,411 |
|
Presbyterian Hospital
Albuquerque, NM |
$84,009 | $28,245 |
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 |
$966,192 | $144,242 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$665,067 | $63,653 |
|
Westchester Medical Center
Valhalla, NY |
$607,405 | $53,360 |
|
Montefiore Medical Center
Bronx, NY |
$492,866 | $69,634 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$481,911 | $65,782 |
|
Houston Methodist Hospital
Houston, TX |
$423,589 | $59,485 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$422,213 | $38,638 |
|
Temple University Hospital
Philadelphia, PA |
$404,935 | $46,539 |
|
New York-Presbyterian Hospital
New York, NY |
$404,355 | $64,590 |
|
North Shore University Hospital
Manhasset, NY |
$398,804 | $57,836 |
|
Robert Wood Johnson University Hospital
New Brunswick, NJ |
$387,132 | $60,603 |
|
Nyu Langone Hospitals
New York, NY |
$359,204 | $56,361 |
Questions people ask
What do U.S. hospitals charge for Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major?
Across 120 U.S. hospitals, the middle charge for Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major is $144,115. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $116,779 and the dearest quarter over $235,138.
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 Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major, the hospitals in the dearest tenth charge about 3.9x 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. $40,311 is roughly what Medicare actually paid per case, against an average charge of $196,226. 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 987: “NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS 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.