Other Respiratory System Operating Room Procedures with Complications — what U.S. hospitals charge
MS-DRG 167 · Inpatient stay · 56 U.S. hospitals publish a price
Cheapest quarter
under $69,063
Typical charge
$77,450
Dearest quarter
over $126,616
Actually paid
$21,044
The middle U.S. hospital bills $77,450 for Other Respiratory System Operating Room Procedures with Complications. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $21,044 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 Operating Room Procedures 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 |
|---|---|---|---|
| Massachusetts | 4 | $55,721 | $24,670 – $111,583 |
| Illinois | 3 | $63,515 | $50,738 – $109,565 |
| South Carolina | 3 | $75,833 | $70,375 – $76,800 |
| Virginia | 4 | $95,415 | $40,511 – $212,252 |
| Florida | 4 | $133,974 | $74,120 – $192,205 |
| Pennsylvania | 3 | $142,814 | $94,517 – $300,020 |
| New York | 4 | $150,717 | $99,503 – $194,806 |
| California | 5 | $194,801 | $92,231 – $252,412 |
Where Other Respiratory System Operating Room Procedures 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 |
|---|---|---|
|
South Shore Hospital
South Weymouth, MA |
$24,670 | $16,486 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$28,892 | $28,507 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$31,295 | $28,269 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$31,475 | $22,012 |
|
Inova Fairfax Hospital
Falls Church, VA |
$40,511 | $17,905 |
|
Rush University Medical Center
Chicago, IL |
$50,738 | $23,236 |
|
Yale-New Haven Hospital
New Haven, CT |
$52,335 | $22,458 |
|
Henry Ford Health Hospital
Detroit, MI |
$55,292 | $22,319 |
|
Duke University Hospital
Durham, NC |
$56,259 | $20,837 |
|
University Of Utah Hospital And Clinics
Salt Lake City, UT |
$59,673 | $20,600 |
|
Memorial Medical Center
Springfield, IL |
$63,515 | $22,003 |
|
University Of Washington Medical Ctr
Seattle, WA |
$65,395 | $18,886 |
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 |
|---|---|---|
|
Temple University Hospital
Philadelphia, PA |
$300,020 | $28,115 |
|
Stanford Health Care
Stanford, CA |
$252,412 | $31,807 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$252,037 | $23,161 |
|
Houston Methodist Hospital
Houston, TX |
$212,999 | $29,543 |
|
Henrico Doctors' Hospital
Richmond, VA |
$212,252 | $13,858 |
|
Nyu Langone Hospitals
New York, NY |
$194,806 | $26,074 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$194,801 | $24,352 |
|
Adventhealth Orlando
Orlando, FL |
$192,205 | $17,048 |
|
El Camino Health
Mountain View, CA |
$172,771 | $19,922 |
|
New York-Presbyterian Hospital
New York, NY |
$159,110 | $28,902 |
|
Baptist Hospital Of Miami
Miami, FL |
$143,585 | $15,150 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$142,814 | $20,858 |
Questions people ask
What do U.S. hospitals charge for Other Respiratory System Operating Room Procedures with Complications?
Across 56 U.S. hospitals, the middle charge for Other Respiratory System Operating Room Procedures with Complications is $77,450. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $69,063 and the dearest quarter over $126,616.
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 Operating Room Procedures with Complications, the hospitals in the dearest tenth charge about 3.8x 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. $21,044 is roughly what Medicare actually paid per case, against an average charge of $109,818. 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 167: “OTHER RESPIRATORY SYSTEM 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.