Other Endocrine, Nutritional and Metabolic Operating Room Procedures with Major — what U.S. hospitals charge
MS-DRG 628 · Inpatient stay · 7 U.S. hospitals publish a price
Cheapest quarter
under $111,186
Typical charge
$154,401
Dearest quarter
over $261,880
Actually paid
$41,720
The middle U.S. hospital bills $154,401 for Other Endocrine, Nutritional and Metabolic Operating Room Procedures with Major. The dearest hospitals charge about 4.1x what the cheapest do for the same coded work. Medicare actually paid about $41,720 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 Other Endocrine, Nutritional and Metabolic Operating Room Procedures with Major is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Ecu Health Medical Center
Greenville, NC |
$88,888 | $39,972 |
|
Norton Hospitals, Inc
Louisville, KY |
$105,139 | $31,056 |
|
Saint Francis Hospital, Inc
Tulsa, OK |
$117,233 | $25,833 |
|
Memorial Hermann Hospital System
Houston, TX |
$154,401 | $33,161 |
|
Adventhealth Orlando
Orlando, FL |
$164,816 | $38,491 |
|
Nyu Langone Hospitals
New York, NY |
$358,944 | $61,992 |
|
Stanford Health Care
Stanford, CA |
$467,912 | $61,534 |
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 |
$467,912 | $61,534 |
|
Nyu Langone Hospitals
New York, NY |
$358,944 | $61,992 |
|
Adventhealth Orlando
Orlando, FL |
$164,816 | $38,491 |
|
Memorial Hermann Hospital System
Houston, TX |
$154,401 | $33,161 |
|
Saint Francis Hospital, Inc
Tulsa, OK |
$117,233 | $25,833 |
|
Norton Hospitals, Inc
Louisville, KY |
$105,139 | $31,056 |
|
Ecu Health Medical Center
Greenville, NC |
$88,888 | $39,972 |
Questions people ask
What do U.S. hospitals charge for Other Endocrine, Nutritional and Metabolic Operating Room Procedures with Major?
Across 7 U.S. hospitals, the middle charge for Other Endocrine, Nutritional and Metabolic Operating Room Procedures with Major is $154,401. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $111,186 and the dearest quarter over $261,880.
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 Endocrine, Nutritional and Metabolic Operating Room Procedures with Major, the hospitals in the dearest tenth charge about 4.1x 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. $41,720 is roughly what Medicare actually paid per case, against an average charge of $203,282. 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 628: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES 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.