Other Circulatory System Diagnoses with Complications — what U.S. hospitals charge
MS-DRG 315 · Inpatient stay · 452 U.S. hospitals publish a price
Cheapest quarter
under $31,667
Typical charge
$41,446
Dearest quarter
over $59,773
Actually paid
$9,825
The middle U.S. hospital bills $41,446 for Other Circulatory System Diagnoses with Complications. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $9,825 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.
Other Circulatory System Diagnoses with 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 | 16 | $13,119 | $8,635 – $26,560 |
| Mississippi | 3 | $21,358 | $18,700 – $29,173 |
| Massachusetts | 19 | $22,479 | $13,672 – $76,688 |
| Michigan | 10 | $30,339 | $18,704 – $42,135 |
| Arkansas | 4 | $30,365 | $16,999 – $35,886 |
| North Carolina | 14 | $33,142 | $21,130 – $49,107 |
| Virginia | 12 | $33,625 | $20,468 – $78,219 |
| Illinois | 25 | $33,825 | $19,333 – $72,304 |
| Louisiana | 5 | $34,345 | $24,449 – $53,688 |
| Oregon | 4 | $35,349 | $26,232 – $49,685 |
| Connecticut | 4 | $35,575 | $26,180 – $48,657 |
| Minnesota | 11 | $36,870 | $21,409 – $70,212 |
| Tennessee | 11 | $36,958 | $11,171 – $91,879 |
| Indiana | 10 | $37,125 | $19,918 – $52,188 |
| Alabama | 4 | $37,414 | $22,137 – $56,109 |
| Missouri | 10 | $38,089 | $27,382 – $71,201 |
| Washington | 5 | $38,145 | $35,406 – $50,683 |
| New Hampshire | 3 | $38,772 | $30,867 – $44,433 |
| Kentucky | 7 | $39,240 | $32,974 – $47,587 |
| Ohio | 13 | $39,258 | $23,165 – $58,958 |
| Nebraska | 3 | $39,288 | $23,891 – $39,843 |
| Utah | 3 | $39,535 | $35,935 – $51,257 |
| South Carolina | 10 | $39,827 | $30,464 – $74,684 |
| Arizona | 10 | $40,274 | $28,598 – $55,948 |
| Wisconsin | 6 | $40,798 | $12,726 – $48,530 |
| Georgia | 8 | $41,905 | $27,573 – $47,545 |
| Iowa | 4 | $44,413 | $21,264 – $100,426 |
| Florida | 48 | $46,041 | $22,997 – $117,247 |
| Texas | 27 | $55,081 | $26,636 – $114,888 |
| New York | 31 | $58,958 | $21,469 – $148,638 |
| Kansas | 3 | $59,166 | $29,834 – $80,732 |
| Pennsylvania | 25 | $60,052 | $26,108 – $173,313 |
| California | 39 | $68,540 | $31,087 – $165,880 |
| Oklahoma | 4 | $69,930 | $30,538 – $72,670 |
| New Jersey | 19 | $70,736 | $42,631 – $116,257 |
| Colorado | 3 | $77,961 | $39,469 – $94,444 |
| Nevada | 4 | $83,789 | $27,969 – $112,793 |
Where Other Circulatory System Diagnoses 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 |
|---|---|---|
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$8,635 | $7,845 |
|
Carroll Hospital Center
Westminster, MD |
$8,865 | $7,835 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$9,788 | $8,840 |
|
Medstar Good Samaritan Hospital
Baltimore, MD |
$10,365 | $9,385 |
|
Fort Sanders Regional Medical Center
Knoxville, TN |
$11,171 | $7,280 |
|
Frederick Health Hospital
Frederick, MD |
$11,520 | $10,662 |
|
Parkwest Medical Center
Knoxville, TN |
$11,862 | $6,323 |
|
Adventist Healthcare White Oak Medical Center
Silver Spring, MD |
$12,181 | $10,927 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$12,650 | $11,870 |
|
Gundersen Lutheran Medical Center
La Crosse, WI |
$12,726 | $8,547 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$12,896 | $11,577 |
|
Meritus Medical Center
Hagerstown, MD |
$13,342 | $12,152 |
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 |
|---|---|---|
|
Temple University Hospital
Philadelphia, PA |
$173,313 | $14,780 |
|
Stanford Health Care
Stanford, CA |
$165,880 | $17,644 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$159,519 | $13,524 |
|
Uci Health - Fountain Valley
Fountain Valley, CA |
$155,480 | $10,303 |
|
Westchester Medical Center
Valhalla, NY |
$148,638 | $12,134 |
|
Ucsf Medical Center
San Francisco, CA |
$136,110 | $20,680 |
|
University Of California Davis Medical Center
Sacramento, CA |
$130,881 | $15,991 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$127,663 | $9,690 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$119,612 | $14,271 |
|
New York-Presbyterian Hospital
New York, NY |
$119,185 | $15,933 |
|
Hca Florida Capital Hospital
Tallahassee, FL |
$117,247 | $9,162 |
|
Montefiore Medical Center
Bronx, NY |
$116,296 | $15,833 |
Questions people ask
What do U.S. hospitals charge for Other Circulatory System Diagnoses with Complications?
Across 452 U.S. hospitals, the middle charge for Other Circulatory System Diagnoses with Complications is $41,446. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $31,667 and the dearest quarter over $59,773.
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 Other Circulatory System Diagnoses with Complications, 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. $9,825 is roughly what Medicare actually paid per case, against an average charge of $52,030. 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 315: “OTHER CIRCULATORY SYSTEM DIAGNOSES 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.