CostGrade

Osteomyelitis with Complications — what U.S. hospitals charge

MS-DRG 540 · Inpatient stay · 5 U.S. hospitals publish a price

Cheapest quarter

under $57,180

Typical charge

$57,542

Dearest quarter

over $146,538

Actually paid

$16,496

The middle U.S. hospital bills $57,542 for Osteomyelitis with Complications. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $16,496 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.

Where Osteomyelitis with Complications is charged least

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

Hospital Charged Actually paid
Mayo Clinic

Jacksonville, FL

$42,052 $14,017
Adventhealth Orlando

Orlando, FL

$57,180 $13,492
Thomas Jefferson University Hospital

Philadelphia, PA

$57,542 $15,305
Nyu Langone Hospitals

New York, NY

$146,538 $17,780
Stanford Health Care

Stanford, CA

$160,703 $21,889

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

$160,703 $21,889
Nyu Langone Hospitals

New York, NY

$146,538 $17,780
Thomas Jefferson University Hospital

Philadelphia, PA

$57,542 $15,305
Adventhealth Orlando

Orlando, FL

$57,180 $13,492
Mayo Clinic

Jacksonville, FL

$42,052 $14,017

Questions people ask

What do U.S. hospitals charge for Osteomyelitis with Complications?

Across 5 U.S. hospitals, the middle charge for Osteomyelitis with Complications is $57,542. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $57,180 and the dearest quarter over $146,538.

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 Osteomyelitis with Complications, the hospitals in the dearest tenth charge about 3.2x 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. $16,496 is roughly what Medicare actually paid per case, against an average charge of $95,798. 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 540: “OSTEOMYELITIS 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.