Other Respiratory System Diagnoses with Major Complications — what U.S. hospitals charge
MS-DRG 205 · Inpatient stay · 199 U.S. hospitals publish a price
Cheapest quarter
under $54,678
Typical charge
$76,403
Dearest quarter
over $110,683
Actually paid
$19,535
The middle U.S. hospital bills $76,403 for Other Respiratory System Diagnoses with Major Complications. The dearest hospitals charge about 3.6x what the cheapest do for the same coded work. Medicare actually paid about $19,535 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 Respiratory System 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 |
|---|---|---|---|
| Maryland | 3 | $27,454 | $17,832 – $35,992 |
| Massachusetts | 13 | $37,659 | $25,429 – $145,141 |
| Connecticut | 3 | $50,716 | $37,932 – $73,989 |
| North Carolina | 5 | $55,740 | $39,853 – $67,623 |
| Michigan | 8 | $58,287 | $30,816 – $69,948 |
| Minnesota | 6 | $58,504 | $22,036 – $107,416 |
| Missouri | 4 | $59,001 | $50,070 – $83,840 |
| Virginia | 5 | $59,084 | $40,469 – $106,174 |
| Alabama | 3 | $62,595 | $51,615 – $102,053 |
| Indiana | 5 | $62,971 | $42,523 – $110,283 |
| Tennessee | 5 | $65,061 | $38,395 – $83,444 |
| Illinois | 11 | $72,274 | $36,029 – $111,082 |
| Ohio | 5 | $75,032 | $38,070 – $103,416 |
| Georgia | 4 | $84,087 | $73,286 – $126,041 |
| Florida | 15 | $92,280 | $48,632 – $138,267 |
| New Jersey | 11 | $98,136 | $65,761 – $153,622 |
| Texas | 15 | $99,172 | $46,829 – $144,604 |
| New York | 15 | $108,888 | $50,108 – $257,958 |
| Arizona | 4 | $111,165 | $86,517 – $148,767 |
| Pennsylvania | 9 | $124,202 | $49,556 – $281,584 |
| California | 20 | $133,128 | $39,249 – $416,569 |
Where Other Respiratory System 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 |
|---|---|---|
|
Western Maryland Regional Medical Center
Cumberland, MD |
$17,832 | $15,783 |
|
Centracare - St. Cloud Hospital
Saint Cloud, MN |
$22,036 | $17,679 |
|
South Shore Hospital
South Weymouth, MA |
$25,429 | $12,598 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$27,454 | $24,496 |
|
North Shore Medical Center -
Salem, MA |
$28,433 | $17,436 |
|
Baystate Medical Center
Springfield, MA |
$28,709 | $18,364 |
|
Ascension Providence Hospital, Southfield And Novi
Southfield, MI |
$30,816 | $15,268 |
|
Northeast Hospital Corporation
Beverly, MA |
$31,990 | $14,386 |
|
Wentworth-Douglass Hospital
Dover, NH |
$32,833 | $11,140 |
|
Cape Cod Hospital
Hyannis, MA |
$33,332 | $19,034 |
|
Spectrum Health
Grand Rapids, MI |
$35,377 | $17,062 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$35,992 | $31,650 |
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 |
|---|---|---|
|
Stanford Health Care
Stanford, CA |
$416,569 | $59,635 |
|
El Camino Health
Mountain View, CA |
$411,893 | $34,780 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$299,596 | $25,485 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$281,584 | $24,721 |
|
Temple University Hospital
Philadelphia, PA |
$271,502 | $26,133 |
|
New York-Presbyterian Hospital
New York, NY |
$257,958 | $37,597 |
|
Ucsf Medical Center
San Francisco, CA |
$237,706 | $48,692 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$235,090 | $29,258 |
|
Nyu Langone Hospitals
New York, NY |
$220,165 | $34,992 |
|
Montefiore Medical Center
Bronx, NY |
$201,611 | $34,623 |
|
Henderson Hospital
Henderson, NV |
$191,305 | $16,014 |
|
University Of California Davis Medical Center
Sacramento, CA |
$174,068 | $29,027 |
Questions people ask
What do U.S. hospitals charge for Other Respiratory System Diagnoses with Major Complications?
Across 199 U.S. hospitals, the middle charge for Other Respiratory System Diagnoses with Major Complications is $76,403. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $54,678 and the dearest quarter over $110,683.
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 Respiratory System Diagnoses with Major Complications, the hospitals in the dearest tenth charge about 3.6x 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. $19,535 is roughly what Medicare actually paid per case, against an average charge of $112,096. 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 205: “OTHER RESPIRATORY SYSTEM 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.