Other Respiratory System Diagnoses without Major Complications — what U.S. hospitals charge
MS-DRG 206 · Inpatient stay · 97 U.S. hospitals publish a price
Cheapest quarter
under $29,204
Typical charge
$46,197
Dearest quarter
over $81,818
Actually paid
$10,827
The middle U.S. hospital bills $46,197 for Other Respiratory System Diagnoses without Major Complications. The dearest hospitals charge about 5.4x what the cheapest do for the same coded work. Medicare actually paid about $10,827 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 without 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 | 9 | $19,631 | $15,987 – $57,029 |
| North Carolina | 5 | $32,733 | $22,273 – $97,163 |
| California | 16 | $36,506 | $24,080 – $215,129 |
| Pennsylvania | 7 | $51,093 | $26,454 – $201,481 |
| Florida | 14 | $52,798 | $27,087 – $112,967 |
| New Jersey | 3 | $60,210 | $38,782 – $62,985 |
| Texas | 4 | $86,391 | $39,857 – $212,778 |
| New York | 9 | $88,120 | $47,254 – $147,877 |
Where Other Respiratory System Diagnoses without 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 |
|---|---|---|
|
Johns Hopkins Bayview Medical Center
Baltimore, MD |
$15,399 | $13,816 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$15,987 | $9,902 |
|
Southcoast Hospitals Group
Fall River, MA |
$16,372 | $7,618 |
|
South Shore Hospital
South Weymouth, MA |
$16,563 | $7,191 |
|
Northeast Hospital Corporation
Beverly, MA |
$18,241 | $7,640 |
|
Weirton Medical Center, Inc
Weirton, WV |
$19,026 | $6,052 |
|
Baystate Medical Center
Springfield, MA |
$19,631 | $10,051 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$19,755 | $17,617 |
|
Christiana Hospital
Newark, DE |
$22,186 | $8,427 |
|
Ecu Health Medical Center
Greenville, NC |
$22,273 | $8,568 |
|
Spectrum Health
Grand Rapids, MI |
$23,567 | $10,763 |
|
Newton-Wellesley Hospital
Newton, MA |
$24,049 | $8,190 |
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 |
$215,129 | $17,841 |
|
Houston Methodist Hospital
Houston, TX |
$212,778 | $22,677 |
|
Temple University Hospital
Philadelphia, PA |
$201,481 | $13,230 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$186,871 | $12,525 |
|
Riverside Community Hospital
Riverside, CA |
$156,539 | $11,243 |
|
New York-Presbyterian Hospital
New York, NY |
$147,877 | $18,730 |
|
St Josephs Hospital And Medical Center
Phoenix, AZ |
$143,034 | $15,782 |
|
Westchester Medical Center
Valhalla, NY |
$133,892 | $11,788 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$130,761 | $13,646 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$126,856 | $10,010 |
|
Montefiore Medical Center
Bronx, NY |
$123,885 | $16,313 |
|
Henderson Hospital
Henderson, NV |
$120,982 | $8,161 |
Questions people ask
What do U.S. hospitals charge for Other Respiratory System Diagnoses without Major Complications?
Across 97 U.S. hospitals, the middle charge for Other Respiratory System Diagnoses without Major Complications is $46,197. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $29,204 and the dearest quarter over $81,818.
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 without Major Complications, the hospitals in the dearest tenth charge about 5.4x 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. $10,827 is roughly what Medicare actually paid per case, against an average charge of $66,416. 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 206: “OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT 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.