CostGrade

Other Infectious and Parasitic Diseases Diagnoses with Major Complications — what U.S. hospitals charge

MS-DRG 867 · Inpatient stay · 9 U.S. hospitals publish a price

Cheapest quarter

under $28,411

Typical charge

$88,774

Dearest quarter

over $200,778

Actually paid

$26,055

The middle U.S. hospital bills $88,774 for Other Infectious and Parasitic Diseases Diagnoses with Major Complications. The dearest hospitals charge about 9.3x what the cheapest do for the same coded work. Medicare actually paid about $26,055 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 Infectious and Parasitic Diseases Diagnoses with 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
Tennessee 3 $25,232 $23,220 – $200,778

Where Other Infectious and Parasitic Diseases Diagnoses with 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
Haywood County Community Hospital

Brownsville, TN

$23,220 $12,835
Henderson County Community Hospital

Lexington, TN

$25,232 $15,781
South Shore Hospital

South Weymouth, MA

$28,411 $17,149
Ecu Health Medical Center

Greenville, NC

$44,446 $19,521
Yale-New Haven Hospital

New Haven, CT

$88,774 $25,972
Adventhealth Orlando

Orlando, FL

$162,819 $15,350
Vanderbilt University Medical Center

Nashville, TN

$200,778 $48,203
New York-Presbyterian Hospital

New York, NY

$204,545 $34,082
Nyu Langone Hospitals

New York, NY

$339,475 $45,606

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
Nyu Langone Hospitals

New York, NY

$339,475 $45,606
New York-Presbyterian Hospital

New York, NY

$204,545 $34,082
Vanderbilt University Medical Center

Nashville, TN

$200,778 $48,203
Adventhealth Orlando

Orlando, FL

$162,819 $15,350
Yale-New Haven Hospital

New Haven, CT

$88,774 $25,972
Ecu Health Medical Center

Greenville, NC

$44,446 $19,521
South Shore Hospital

South Weymouth, MA

$28,411 $17,149
Henderson County Community Hospital

Lexington, TN

$25,232 $15,781
Haywood County Community Hospital

Brownsville, TN

$23,220 $12,835

Questions people ask

What do U.S. hospitals charge for Other Infectious and Parasitic Diseases Diagnoses with Major Complications?

Across 9 U.S. hospitals, the middle charge for Other Infectious and Parasitic Diseases Diagnoses with Major Complications is $88,774. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $28,411 and the dearest quarter over $200,778.

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 Major Complications, the hospitals in the dearest tenth charge about 9.3x 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. $26,055 is roughly what Medicare actually paid per case, against an average charge of $74,508. 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 867: “OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES 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.