Other Disorders of the Eye without Major Complications — what U.S. hospitals charge
MS-DRG 125 · Inpatient stay · 48 U.S. hospitals publish a price
Cheapest quarter
under $29,755
Typical charge
$42,815
Dearest quarter
over $60,008
Actually paid
$9,899
The middle U.S. hospital bills $42,815 for Other Disorders of the Eye without Major Complications. The dearest hospitals charge about 3.1x what the cheapest do for the same coded work. Medicare actually paid about $9,899 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 Disorders of the Eye without 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 |
|---|---|---|---|
| Massachusetts | 4 | $32,059 | $14,078 – $53,337 |
| Pennsylvania | 4 | $41,850 | $39,139 – $46,590 |
| Texas | 4 | $42,127 | $29,775 – $77,780 |
| Florida | 7 | $50,289 | $29,694 – $83,386 |
| New York | 8 | $67,598 | $59,764 – $109,749 |
Where Other Disorders of the Eye without 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 |
|---|---|---|
|
South Shore Hospital
South Weymouth, MA |
$14,078 | $6,747 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$17,578 | $15,420 |
|
University Of Maryland Medical Center
Baltimore, MD |
$18,481 | $17,111 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$18,677 | $10,903 |
|
Christiana Hospital
Newark, DE |
$20,148 | $7,437 |
|
Renown Regional Medical Center
Reno, NV |
$25,534 | $8,110 |
|
West Virginia University Hospitals, Inc
Morgantown, WV |
$25,781 | $8,880 |
|
Musc Medical Center
Charleston, SC |
$27,822 | $10,589 |
|
Memorial Mission Hospital And Asheville Surgery Ce
Asheville, NC |
$28,765 | $6,720 |
|
Beaumont Hospital Royal Oak
Royal Oak, MI |
$29,565 | $7,605 |
|
Duke University Hospital
Durham, NC |
$29,642 | $12,070 |
|
Uf Health Shands Hospital
Gainesville, FL |
$29,694 | $9,453 |
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 |
|---|---|---|
|
Westchester Medical Center
Valhalla, NY |
$109,749 | $10,375 |
|
Marion Communtiy Hospital
Ocala, FL |
$83,386 | $6,927 |
|
Montefiore Medical Center
Bronx, NY |
$78,840 | $12,945 |
|
Houston Methodist Hospital
Houston, TX |
$77,780 | $10,535 |
|
Orlando Health
Orlando, FL |
$77,764 | $9,343 |
|
Ronald Reagan Ucla Medical Center
Los Angeles, CA |
$71,041 | $19,548 |
|
Long Island Jewish Medical Center
New Hyde Park, NY |
$67,674 | $10,403 |
|
North Shore University Hospital
Manhasset, NY |
$67,628 | $10,088 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$67,568 | $10,938 |
|
Adventhealth Orlando
Orlando, FL |
$60,994 | $7,112 |
|
Mount Sinai Hospital
New York, NY |
$60,990 | $13,650 |
|
University Hospital S U N Y Health Science Center
Syracuse, NY |
$60,741 | $9,624 |
Questions people ask
What do U.S. hospitals charge for Other Disorders of the Eye without Major Complications?
Across 48 U.S. hospitals, the middle charge for Other Disorders of the Eye without Major Complications is $42,815. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $29,755 and the dearest quarter over $60,008.
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 Disorders of the Eye without Major Complications, the hospitals in the dearest tenth charge about 3.1x 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. $9,899 is roughly what Medicare actually paid per case, against an average charge of $46,123. 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 125: “OTHER DISORDERS OF THE EYE WITHOUT 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.