Other Musculoskeletal System and Connective Tissue Diagnoses with Major Complications — what U.S. hospitals charge
MS-DRG 564 · Inpatient stay · 52 U.S. hospitals publish a price
Cheapest quarter
under $41,405
Typical charge
$64,277
Dearest quarter
over $104,103
Actually paid
$17,192
The middle U.S. hospital bills $64,277 for Other Musculoskeletal System and Connective Tissue Diagnoses with Major Complications. The dearest hospitals charge about 6.6x what the cheapest do for the same coded work. Medicare actually paid about $17,192 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 Musculoskeletal System and Connective Tissue 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 |
|---|---|---|---|
| Massachusetts | 8 | $26,195 | $22,730 – $167,000 |
| Illinois | 4 | $44,637 | $25,948 – $62,520 |
| Connecticut | 4 | $54,306 | $38,205 – $78,329 |
| Florida | 4 | $69,818 | $63,888 – $99,610 |
| Pennsylvania | 4 | $71,080 | $45,733 – $81,114 |
| New Jersey | 9 | $97,286 | $40,312 – $167,960 |
| New York | 7 | $141,028 | $63,948 – $272,216 |
Where Other Musculoskeletal System and Connective Tissue 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 |
|---|---|---|
|
Meritus Medical Center
Hagerstown, MD |
$18,518 | $17,044 |
|
Melrosewakefield Healthcare
Melrose, MA |
$22,730 | $14,449 |
|
Cape Cod Hospital
Hyannis, MA |
$24,470 | $16,136 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$24,641 | $22,920 |
|
Winchester Hospital
Winchester, MA |
$24,762 | $12,587 |
|
South Shore Hospital
South Weymouth, MA |
$24,961 | $13,035 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$25,948 | $11,390 |
|
Lowell General Hospital
Lowell, MA |
$27,429 | $13,458 |
|
Northeast Hospital Corporation
Beverly, MA |
$30,275 | $13,205 |
|
Northwest Community Hospital 1
Arlington Heights, IL |
$34,097 | $11,368 |
|
Yale-New Haven Hospital
New Haven, CT |
$38,205 | $19,273 |
|
Landmark Medical Center
Woonsocket, RI |
$38,915 | $14,267 |
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 |
|---|---|---|
|
Montefiore Medical Center
Bronx, NY |
$272,216 | $26,439 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$271,522 | $22,053 |
|
New York-Presbyterian Hospital
New York, NY |
$193,507 | $27,986 |
|
Mount Sinai West
New York, NY |
$177,762 | $24,728 |
|
Robert Wood Johnson University Hospital
New Brunswick, NJ |
$167,960 | $19,048 |
|
Massachusetts General Hospital
Boston, MA |
$167,000 | $36,808 |
|
Nyu Langone Hospitals
New York, NY |
$141,028 | $21,790 |
|
Jersey Shore University Medical Center
Neptune, NJ |
$133,138 | $15,915 |
|
Mainehealth Maine Medical Center
Portland, ME |
$130,453 | $69,409 |
|
Mount Sinai Beth Israel
New York, NY |
$122,351 | $21,463 |
|
Hackensack University Medical Center
Hackensack, NJ |
$113,482 | $18,424 |
|
North Shore University Hospital
Manhasset, NY |
$107,684 | $18,833 |
Questions people ask
What do U.S. hospitals charge for Other Musculoskeletal System and Connective Tissue Diagnoses with Major Complications?
Across 52 U.S. hospitals, the middle charge for Other Musculoskeletal System and Connective Tissue Diagnoses with Major Complications is $64,277. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $41,405 and the dearest quarter over $104,103.
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 Musculoskeletal System and Connective Tissue Diagnoses with Major Complications, the hospitals in the dearest tenth charge about 6.6x 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. $17,192 is roughly what Medicare actually paid per case, against an average charge of $84,324. 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 564: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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.