Other Ear, Nose, Mouth and Throat Diagnoses with Complications — what U.S. hospitals charge
MS-DRG 155 · Inpatient stay · 14 U.S. hospitals publish a price
Cheapest quarter
under $32,940
Typical charge
$57,551
Dearest quarter
over $80,957
Actually paid
$10,317
The middle U.S. hospital bills $57,551 for Other Ear, Nose, Mouth and Throat Diagnoses with Complications. The dearest hospitals charge about 4.2x what the cheapest do for the same coded work. Medicare actually paid about $10,317 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 Ear, Nose, Mouth and Throat 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 |
|---|---|---|---|
| Florida | 3 | $53,282 | $47,427 – $104,849 |
Where Other Ear, Nose, Mouth and Throat 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 |
|---|---|---|
|
South Shore Hospital
South Weymouth, MA |
$14,322 | $7,811 |
|
Northshore University Healthsystem - Evanston Hospital
Evanston, IL |
$27,796 | $8,804 |
|
Christiana Hospital
Newark, DE |
$28,340 | $8,186 |
|
Umass Memorial Medical Center/University Campus
Worcester, MA |
$32,058 | $13,160 |
|
Jefferson Abington Hospital
Abington, PA |
$35,585 | $8,173 |
|
Sarasota Memorial Hospital
Sarasota, FL |
$47,427 | $7,449 |
|
Adventhealth Orlando
Orlando, FL |
$53,282 | $9,884 |
|
Lehigh Valley Hospital
Allentown, PA |
$61,819 | $8,555 |
|
New York-Presbyterian Hospital
New York, NY |
$66,442 | $12,679 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$67,389 | $13,402 |
|
Morristown Medical Center
Morristown, NJ |
$85,480 | $12,251 |
|
Hca Florida Lawnwood Hospital
Fort Pierce, FL |
$104,849 | $8,046 |
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 |
|---|---|---|
|
Robert Wood Johnson University Hospital
New Brunswick, NJ |
$129,166 | $13,251 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$121,607 | $12,793 |
|
Hca Florida Lawnwood Hospital
Fort Pierce, FL |
$104,849 | $8,046 |
|
Morristown Medical Center
Morristown, NJ |
$85,480 | $12,251 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$67,389 | $13,402 |
|
New York-Presbyterian Hospital
New York, NY |
$66,442 | $12,679 |
|
Lehigh Valley Hospital
Allentown, PA |
$61,819 | $8,555 |
|
Adventhealth Orlando
Orlando, FL |
$53,282 | $9,884 |
|
Sarasota Memorial Hospital
Sarasota, FL |
$47,427 | $7,449 |
|
Jefferson Abington Hospital
Abington, PA |
$35,585 | $8,173 |
|
Umass Memorial Medical Center/University Campus
Worcester, MA |
$32,058 | $13,160 |
|
Christiana Hospital
Newark, DE |
$28,340 | $8,186 |
Questions people ask
What do U.S. hospitals charge for Other Ear, Nose, Mouth and Throat Diagnoses with Complications?
Across 14 U.S. hospitals, the middle charge for Other Ear, Nose, Mouth and Throat Diagnoses with Complications is $57,551. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $32,940 and the dearest quarter over $80,957.
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 Ear, Nose, Mouth and Throat Diagnoses with Complications, the hospitals in the dearest tenth charge about 4.2x 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. $10,317 is roughly what Medicare actually paid per case, against an average charge of $60,942. 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 155: “OTHER EAR, NOSE, MOUTH AND THROAT 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.