Other Musculoskeletal System and Connective Tissue Diagnoses with Complications — what U.S. hospitals charge
MS-DRG 565 · Inpatient stay · 119 U.S. hospitals publish a price
Cheapest quarter
under $30,591
Typical charge
$42,155
Dearest quarter
over $68,106
Actually paid
$10,371
The middle U.S. hospital bills $42,155 for Other Musculoskeletal System and Connective Tissue Diagnoses with Complications. The dearest hospitals charge about 4.7x what the cheapest do for the same coded work. Medicare actually paid about $10,371 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 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 |
|---|---|---|---|
| Maryland | 4 | $10,797 | $9,178 – $13,133 |
| Massachusetts | 11 | $19,290 | $14,375 – $42,508 |
| Illinois | 10 | $33,226 | $20,238 – $60,483 |
| Michigan | 3 | $34,377 | $21,628 – $35,089 |
| Virginia | 7 | $38,031 | $21,549 – $96,594 |
| Oklahoma | 3 | $39,741 | $25,605 – $81,545 |
| Georgia | 4 | $42,764 | $39,991 – $55,805 |
| Pennsylvania | 13 | $44,978 | $30,421 – $122,500 |
| Florida | 9 | $46,114 | $30,951 – $90,968 |
| Texas | 4 | $50,536 | $33,286 – $64,437 |
| New York | 15 | $65,006 | $16,467 – $163,323 |
| New Jersey | 14 | $68,106 | $42,155 – $94,590 |
| California | 3 | $109,535 | $71,757 – $197,066 |
Where Other Musculoskeletal System and Connective Tissue 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 |
|---|---|---|
|
Suburban Hospital
Bethesda, MD |
$9,178 | $8,227 |
|
Meritus Medical Center
Hagerstown, MD |
$10,151 | $9,404 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$11,442 | $10,270 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$13,133 | $12,282 |
|
Holy Family Hospital
Methuen, MA |
$14,375 | $9,363 |
|
Mercy Hospital Of Buffalo
Buffalo, NY |
$16,467 | $8,838 |
|
Northeast Hospital Corporation
Beverly, MA |
$16,766 | $8,518 |
|
Winchester Hospital
Winchester, MA |
$17,084 | $8,228 |
|
South Shore Hospital
South Weymouth, MA |
$17,151 | $8,685 |
|
Mercy Hospital South
Saint Louis, MO |
$18,002 | $7,487 |
|
Lowell General Hospital
Lowell, MA |
$18,946 | $8,913 |
|
Baystate Medical Center
Springfield, MA |
$19,290 | $11,176 |
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 |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$197,066 | $14,833 |
|
Montefiore Medical Center
Bronx, NY |
$163,323 | $17,789 |
|
Wesley Medical Center
Wichita, KS |
$139,522 | $9,275 |
|
Geisinger Medical Center
Danville, PA |
$122,500 | $12,058 |
|
Highland Hospital
Oakland, CA |
$109,535 | $19,470 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$102,563 | $13,946 |
|
New York-Presbyterian Hospital
New York, NY |
$98,866 | $14,492 |
|
Cjw Medical Center
Richmond, VA |
$96,594 | $8,379 |
|
Mount Sinai South Nassau
Oceanside, NY |
$96,147 | $10,233 |
|
St Joseph's University Medical Center Inc
Paterson, NJ |
$94,590 | $13,601 |
|
West Jersey Hospital
Voorhees, NJ |
$94,252 | $8,165 |
|
Morristown Medical Center
Morristown, NJ |
$91,535 | $28,214 |
Questions people ask
What do U.S. hospitals charge for Other Musculoskeletal System and Connective Tissue Diagnoses with Complications?
Across 119 U.S. hospitals, the middle charge for Other Musculoskeletal System and Connective Tissue Diagnoses with Complications is $42,155. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $30,591 and the dearest quarter over $68,106.
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 Complications, the hospitals in the dearest tenth charge about 4.7x 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. $10,371 is roughly what Medicare actually paid per case, against an average charge of $50,559. 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 565: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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.