Other Infectious and Parasitic Diseases Diagnoses with Complications — what U.S. hospitals charge
MS-DRG 868 · Inpatient stay · 3 U.S. hospitals publish a price
Cheapest quarter
under $43,684
Typical charge
$67,590
Dearest quarter
over $71,092
Actually paid
$12,671
The middle U.S. hospital bills $67,590 for Other Infectious and Parasitic Diseases Diagnoses with Complications. The dearest hospitals charge about 2.5x what the cheapest do for the same coded work. Medicare actually paid about $12,671 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 Infectious and Parasitic Diseases 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 |
|---|---|---|
|
Cape Cod Hospital
Hyannis, MA |
$19,777 | $11,168 |
|
Morristown Medical Center
Morristown, NJ |
$67,590 | $10,284 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$74,594 | $16,562 |
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 |
|---|---|---|
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$74,594 | $16,562 |
|
Morristown Medical Center
Morristown, NJ |
$67,590 | $10,284 |
|
Cape Cod Hospital
Hyannis, MA |
$19,777 | $11,168 |
Questions people ask
What do U.S. hospitals charge for Other Infectious and Parasitic Diseases Diagnoses with Complications?
Across 3 U.S. hospitals, the middle charge for Other Infectious and Parasitic Diseases Diagnoses with Complications is $67,590. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $43,684 and the dearest quarter over $71,092.
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 Infectious and Parasitic Diseases Diagnoses with Complications, the hospitals in the dearest tenth charge about 2.5x 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. $12,671 is roughly what Medicare actually paid per case, against an average charge of $56,026. 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 868: “OTHER INFECTIOUS AND PARASITIC DISEASES 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.