CostGrade

Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with — what U.S. hospitals charge

MS-DRG 988 · Inpatient stay · 50 U.S. hospitals publish a price

Cheapest quarter

under $59,289

Typical charge

$75,741

Dearest quarter

over $114,126

Actually paid

$19,215

The middle U.S. hospital bills $75,741 for Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $19,215 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 cost by state

The middle charge in each state where at least three hospitals publish a price, cheapest first.

State Hospitals Typical charge Range
Texas 4 $61,538 $54,050 – $75,457
Massachusetts 4 $84,845 $47,936 – $103,190
Pennsylvania 3 $106,195 $56,524 – $226,675
Florida 5 $111,043 $67,833 – $145,167
New Jersey 3 $128,129 $50,064 – $185,435
New York 5 $142,970 $61,734 – $182,510
California 3 $238,228 $172,889 – $326,899

Where Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
Johns Hopkins Hospital, The

Baltimore, MD

$29,226 $26,030
University Of Md Baltimore Washington Medical Center

Glen Burnie, MD

$31,020 $28,465
Bronson Methodist Hospital

Kalamazoo, MI

$42,591 $13,017
Mainehealth Maine Medical Center

Portland, ME

$47,688 $18,454
Beth Israel Deaconess Medical Center

Boston, MA

$47,936 $21,463
Centrastate Medical Center

Freehold, NJ

$50,064 $20,956
Mayo Clinic Hospital Rochester

Rochester, MN

$53,901 $21,009
University Health System

San Antonio, TX

$54,050 $30,988
Saint Francis Hospital, Inc

Tulsa, OK

$55,551 $13,529
Reading Hospital

West Reading, PA

$56,524 $20,499
Christiana Hospital

Newark, DE

$57,344 $15,559
Baylor University Medical Center

Dallas, TX

$58,312 $16,706

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

$326,899 $31,207
Cedars-Sinai Medical Center

Los Angeles, CA

$238,228 $21,072
Upmc Presbyterian Shadyside

Pittsburgh, PA

$226,675 $18,809
Beaumont Hospital, Troy

Troy, MI

$225,484 $46,131
West Jersey Hospital

Voorhees, NJ

$185,435 $15,507
Nyu Langone Hospitals

New York, NY

$182,510 $25,227
Providence Santa Rosa Memorial Hospital

Santa Rosa, CA

$172,889 $19,367
Suny/Stony Brook University Hospital

Stony Brook, NY

$165,452 $27,471
Delray Medical Center

Delray Beach, FL

$145,167 $10,799
New York-Presbyterian Hospital

New York, NY

$142,970 $23,940
North Shore University Hospital

Manhasset, NY

$134,278 $23,355
Morristown Medical Center

Morristown, NJ

$128,129 $18,871

Questions people ask

What do U.S. hospitals charge for Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with?

Across 50 U.S. hospitals, the middle charge for Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with is $75,741. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $59,289 and the dearest quarter over $114,126.

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, the hospitals in the dearest tenth charge about 3.7x 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. $19,215 is roughly what Medicare actually paid per case, against an average charge of $100,303. 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 988: “NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC”. 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.