Other Musculoskeletal System and Connective Tissue Operating Room Procedures with — what U.S. hospitals charge
MS-DRG 516 · Inpatient stay · 338 U.S. hospitals publish a price
Cheapest quarter
under $67,198
Typical charge
$88,449
Dearest quarter
over $119,526
Actually paid
$19,150
The middle U.S. hospital bills $88,449 for Other Musculoskeletal System and Connective Tissue Operating Room Procedures with. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $19,150 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 Operating Room Procedures with 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 | $25,913 | $22,141 – $46,531 |
| Arkansas | 3 | $40,287 | $40,281 – $73,100 |
| Kentucky | 4 | $44,521 | $43,598 – $83,576 |
| Massachusetts | 10 | $55,181 | $33,046 – $120,991 |
| Mississippi | 3 | $59,569 | $51,044 – $65,909 |
| Minnesota | 6 | $59,891 | $39,741 – $76,667 |
| Michigan | 11 | $61,217 | $45,370 – $81,740 |
| North Carolina | 11 | $63,900 | $42,553 – $140,600 |
| Kansas | 7 | $64,520 | $52,375 – $223,024 |
| Tennessee | 8 | $64,616 | $46,153 – $119,081 |
| Oregon | 3 | $66,825 | $61,531 – $72,538 |
| Nebraska | 5 | $67,089 | $55,071 – $98,303 |
| Oklahoma | 9 | $70,955 | $44,344 – $270,544 |
| Idaho | 3 | $81,138 | $62,697 – $113,466 |
| South Dakota | 3 | $82,067 | $70,563 – $107,213 |
| Illinois | 23 | $84,670 | $56,069 – $132,591 |
| Ohio | 15 | $85,653 | $53,700 – $131,375 |
| Virginia | 13 | $86,377 | $39,671 – $258,253 |
| Indiana | 6 | $87,313 | $56,624 – $116,790 |
| Wisconsin | 5 | $87,836 | $59,224 – $111,762 |
| Missouri | 6 | $88,958 | $52,011 – $102,851 |
| Florida | 35 | $93,066 | $59,079 – $266,328 |
| Pennsylvania | 12 | $94,558 | $58,509 – $176,035 |
| South Carolina | 4 | $95,045 | $55,570 – $221,138 |
| Washington | 5 | $99,201 | $83,450 – $115,158 |
| Georgia | 12 | $99,741 | $64,621 – $136,399 |
| New Jersey | 6 | $104,104 | $89,101 – $146,913 |
| Arizona | 4 | $110,176 | $68,881 – $186,862 |
| Texas | 28 | $110,742 | $58,972 – $251,478 |
| Alabama | 3 | $118,360 | $78,426 – $158,094 |
| New York | 14 | $123,233 | $80,980 – $311,260 |
| Colorado | 6 | $146,452 | $92,174 – $406,436 |
| California | 34 | $147,486 | $69,715 – $372,974 |
Where Other Musculoskeletal System and Connective Tissue Operating Room Procedures with 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 |
$22,141 | $19,753 |
|
Western Maryland Regional Medical Center
Cumberland, MD |
$23,587 | $20,957 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$25,913 | $22,728 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$27,614 | $24,680 |
|
South Shore Hospital
South Weymouth, MA |
$33,046 | $16,490 |
|
Baystate Medical Center
Springfield, MA |
$36,289 | $22,156 |
|
New England Baptist Hospital
Boston, MA |
$38,822 | $16,982 |
|
Winchester Medical Center
Winchester, VA |
$39,671 | $16,369 |
|
Centracare - St. Cloud Hospital
Saint Cloud, MN |
$39,741 | $19,526 |
|
St Bernards Medical Center
Jonesboro, AR |
$40,281 | $13,734 |
|
University Of Arkansas Medical Sciences
Little Rock, AR |
$40,287 | $18,069 |
|
Rhode Island Hospital
Providence, RI |
$41,148 | $23,143 |
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 |
|---|---|---|
|
Hca-Healthone Dba Swedish Medical Center
Englewood, CO |
$406,436 | $26,149 |
|
Good Samaritan Hospital
San Jose, CA |
$372,974 | $22,000 |
|
Stanford Health Care
Stanford, CA |
$321,008 | $34,641 |
|
Westchester Medical Center
Valhalla, NY |
$311,260 | $26,571 |
|
Doctors Medical Center
Modesto, CA |
$308,705 | $21,596 |
|
University Of California Davis Medical Center
Sacramento, CA |
$287,441 | $33,530 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$278,851 | $25,766 |
|
Desert Regional Medical Center
Palm Springs, CA |
$272,109 | $22,890 |
|
O U Medical Center
Oklahoma City, OK |
$270,544 | $25,473 |
|
St Lucie Medical Center
Port Saint Lucie, FL |
$266,328 | $17,140 |
|
Henrico Doctors' Hospital
Richmond, VA |
$258,253 | $15,133 |
|
Medical Center Of Mckinney
Mckinney, TX |
$251,478 | $16,375 |
Questions people ask
What do U.S. hospitals charge for Other Musculoskeletal System and Connective Tissue Operating Room Procedures with?
Across 338 U.S. hospitals, the middle charge for Other Musculoskeletal System and Connective Tissue Operating Room Procedures with is $88,449. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $67,198 and the dearest quarter over $119,526.
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 Operating Room Procedures with, the hospitals in the dearest tenth charge about 3.3x 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. $19,150 is roughly what Medicare actually paid per case, against an average charge of $103,485. 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 516: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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.