Other Circulatory System Diagnoses with Major Complications — what U.S. hospitals charge
MS-DRG 314 · Inpatient stay · 1,000 U.S. hospitals publish a price
Cheapest quarter
under $57,029
Typical charge
$78,272
Dearest quarter
over $111,377
Actually paid
$19,941
The middle U.S. hospital bills $78,272 for Other Circulatory System Diagnoses with Major Complications. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $19,941 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 Major 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 | 30 | $31,136 | $17,780 – $69,052 |
| Montana | 5 | $41,465 | $28,870 – $74,646 |
| Massachusetts | 25 | $42,264 | $25,204 – $152,395 |
| North Dakota | 3 | $43,584 | $41,930 – $71,205 |
| Iowa | 7 | $49,296 | $33,569 – $107,670 |
| New Hampshire | 6 | $49,768 | $43,497 – $80,385 |
| Arkansas | 13 | $50,755 | $27,764 – $61,212 |
| New Mexico | 5 | $51,273 | $39,735 – $106,796 |
| Michigan | 27 | $53,270 | $32,043 – $123,932 |
| Rhode Island | 3 | $54,670 | $51,330 – $90,353 |
| West Virginia | 6 | $55,014 | $37,370 – $89,589 |
| Mississippi | 11 | $55,652 | $42,364 – $164,845 |
| Oregon | 8 | $56,449 | $39,725 – $85,096 |
| Louisiana | 14 | $60,109 | $23,885 – $119,331 |
| Alabama | 14 | $61,888 | $24,919 – $218,152 |
| Delaware | 4 | $62,585 | $48,419 – $71,216 |
| Utah | 7 | $63,051 | $48,715 – $80,014 |
| Kentucky | 13 | $63,567 | $49,559 – $139,098 |
| Missouri | 22 | $63,860 | $29,619 – $152,227 |
| Virginia | 29 | $64,254 | $29,778 – $160,152 |
| North Carolina | 22 | $64,555 | $39,524 – $114,943 |
| Tennessee | 22 | $65,504 | $21,773 – $151,865 |
| Nebraska | 5 | $66,628 | $43,740 – $81,268 |
| Wisconsin | 12 | $68,283 | $38,794 – $125,492 |
| Connecticut | 11 | $70,113 | $47,819 – $104,164 |
| Indiana | 21 | $70,862 | $33,003 – $215,509 |
| Illinois | 47 | $71,472 | $33,846 – $193,843 |
| Maine | 3 | $71,852 | $54,956 – $77,130 |
| Ohio | 35 | $72,816 | $27,387 – $153,336 |
| Oklahoma | 12 | $72,885 | $33,611 – $171,930 |
| Minnesota | 12 | $73,286 | $42,381 – $111,584 |
| Kansas | 7 | $75,317 | $65,556 – $187,560 |
| Georgia | 29 | $75,591 | $35,692 – $179,232 |
| South Dakota | 3 | $77,651 | $40,105 – $88,319 |
| Idaho | 4 | $80,811 | $46,514 – $91,451 |
| South Carolina | 16 | $81,731 | $52,030 – $110,609 |
| Arizona | 18 | $84,290 | $57,200 – $117,299 |
| Washington | 23 | $85,363 | $41,678 – $113,871 |
| Pennsylvania | 48 | $87,751 | $43,016 – $375,628 |
| New York | 57 | $91,367 | $29,413 – $294,086 |
| Florida | 74 | $92,440 | $45,044 – $240,141 |
| Colorado | 8 | $93,271 | $79,996 – $144,931 |
| Texas | 78 | $96,368 | $42,403 – $240,439 |
| District of Columbia | 4 | $104,769 | $56,824 – $232,619 |
| New Jersey | 37 | $122,481 | $71,333 – $821,153 |
| Alaska | 4 | $132,259 | $72,196 – $150,999 |
| California | 119 | $134,045 | $40,748 – $401,880 |
| Nevada | 11 | $224,796 | $75,251 – $281,833 |
Where Other Circulatory System Diagnoses with Major Complications 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 |
$17,780 | $16,570 |
|
Mercy Medical Center Inc
Baltimore, MD |
$19,395 | $16,727 |
|
Suburban Hospital
Bethesda, MD |
$20,670 | $18,522 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$20,764 | $18,619 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$20,981 | $18,879 |
|
Holy Cross Hospital
Silver Spring, MD |
$21,638 | $20,070 |
|
Haywood County Community Hospital
Brownsville, TN |
$21,773 | $13,295 |
|
Henderson County Community Hospital
Lexington, TN |
$22,969 | $15,756 |
|
University Of Md Shore Medical Center At Easton
Easton, MD |
$23,675 | $21,160 |
|
Baton Rouge General Medical Center
Baton Rouge, LA |
$23,885 | $15,053 |
|
Springhill Medical Center
Mobile, AL |
$24,919 | $15,359 |
|
South Shore Hospital
South Weymouth, MA |
$25,204 | $16,910 |
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 |
|---|---|---|
|
Capital Health Regional Medical Center
Trenton, NJ |
$821,153 | $28,749 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$404,556 | $17,773 |
|
Stanford Health Care
Stanford, CA |
$401,880 | $50,510 |
|
Crozer Chester Medical Center
Upland, PA |
$375,628 | $36,048 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$350,477 | $31,695 |
|
Doctors Medical Center
Modesto, CA |
$335,070 | $22,238 |
|
Desert Regional Medical Center
Palm Springs, CA |
$310,904 | $23,599 |
|
El Camino Health
Mountain View, CA |
$306,560 | $32,735 |
|
Uci Health - Fountain Valley
Fountain Valley, CA |
$304,386 | $26,902 |
|
Emanuel Medical Center
Turlock, CA |
$299,810 | $20,455 |
|
Westchester Medical Center
Valhalla, NY |
$294,086 | $36,257 |
|
Pennsylvania Hospital
Philadelphia, PA |
$289,924 | $30,470 |
Questions people ask
What do U.S. hospitals charge for Other Circulatory System Diagnoses with Major Complications?
Across 1,000 U.S. hospitals, the middle charge for Other Circulatory System Diagnoses with Major Complications is $78,272. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $57,029 and the dearest quarter over $111,377.
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 Major Complications, the hospitals in the dearest tenth charge about 3.8x 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. $19,941 is roughly what Medicare actually paid per case, against an average charge of $99,413. 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 314: “OTHER CIRCULATORY SYSTEM DIAGNOSES 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.