Other Factors Influencing Health Status — what U.S. hospitals charge
MS-DRG 951 · Inpatient stay · 148 U.S. hospitals publish a price
Cheapest quarter
under $15,029
Typical charge
$21,948
Dearest quarter
over $32,647
Actually paid
$5,909
The middle U.S. hospital bills $21,948 for Other Factors Influencing Health Status. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $5,909 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 Factors Influencing Health Status 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 | 5 | $5,868 | $2,058 – $7,290 |
| Massachusetts | 6 | $14,214 | $11,399 – $42,904 |
| South Carolina | 4 | $15,465 | $13,571 – $30,686 |
| North Carolina | 14 | $16,136 | $9,364 – $26,712 |
| Florida | 4 | $16,810 | $12,991 – $32,770 |
| Missouri | 4 | $17,383 | $10,375 – $18,697 |
| Maine | 4 | $18,920 | $12,729 – $24,347 |
| New Hampshire | 4 | $19,550 | $16,115 – $42,066 |
| Indiana | 3 | $20,012 | $15,290 – $24,828 |
| Pennsylvania | 3 | $21,823 | $15,039 – $36,388 |
| Illinois | 5 | $22,068 | $18,759 – $32,413 |
| Connecticut | 4 | $23,073 | $16,306 – $26,205 |
| Wisconsin | 3 | $25,279 | $14,687 – $26,336 |
| New York | 20 | $29,190 | $7,411 – $92,357 |
| New Jersey | 3 | $33,229 | $25,007 – $33,800 |
| Washington | 21 | $33,572 | $16,701 – $44,058 |
| California | 9 | $43,646 | $25,408 – $63,318 |
Where Other Factors Influencing Health Status is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Garrett Regional Medical Center
Oakland, MD |
$2,058 | $1,849 |
|
St Vincent's Birmingham
Birmingham, AL |
$3,839 | $4,498 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$4,606 | $4,142 |
|
Frederick Health Hospital
Frederick, MD |
$5,868 | $5,278 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$7,269 | $6,696 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$7,290 | $6,709 |
|
Olean General Hospital
Olean, NY |
$7,411 | $5,024 |
|
Auburn Community Hospital
Auburn, NY |
$8,168 | $5,116 |
|
Carteret General Hospital
Morehead City, NC |
$9,364 | $4,937 |
|
Mercy Hospital Of Buffalo
Buffalo, NY |
$9,421 | $5,293 |
|
St. Patrick Hospital
Missoula, MT |
$9,474 | $4,875 |
|
Mercy Hospital South
Saint Louis, MO |
$10,375 | $4,540 |
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 |
|---|---|---|
|
New York-Presbyterian Hospital
New York, NY |
$92,357 | $9,928 |
|
North Shore University Hospital
Manhasset, NY |
$91,894 | $8,066 |
|
Providence Queen Of The Valley Medical Center
Napa, CA |
$63,318 | $7,210 |
|
Providence Santa Rosa Memorial Hospital
Santa Rosa, CA |
$57,076 | $7,243 |
|
Providence St Joseph Hospital
Eureka, CA |
$54,571 | $6,809 |
|
Providence Alaska Medical Center
Anchorage, AK |
$53,684 | $6,267 |
|
Lenox Hill Hospital
New York, NY |
$52,697 | $8,450 |
|
Long Island Jewish Medical Center
New Hyde Park, NY |
$47,164 | $7,580 |
|
Wesley Medical Center
Wichita, KS |
$45,942 | $5,253 |
|
Palomar Medical Center Poway
Poway, CA |
$44,375 | $6,118 |
|
Prov Sacred Hrt Med Ctr & Childs Hosp.
Spokane, WA |
$44,058 | $8,742 |
|
Sierra Nevada Memorial Hospital
Grass Valley, CA |
$43,646 | $6,099 |
Questions people ask
What do U.S. hospitals charge for Other Factors Influencing Health Status?
Across 148 U.S. hospitals, the middle charge for Other Factors Influencing Health Status is $21,948. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $15,029 and the dearest quarter over $32,647.
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 Factors Influencing Health Status, 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. $5,909 is roughly what Medicare actually paid per case, against an average charge of $27,034. 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 951: “OTHER FACTORS INFLUENCING HEALTH STATUS”. 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.