Other Respiratory System Operating Room Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 166 · Inpatient stay · 164 U.S. hospitals publish a price
Cheapest quarter
under $102,257
Typical charge
$145,613
Dearest quarter
over $216,874
Actually paid
$41,107
The middle U.S. hospital bills $145,613 for Other Respiratory System Operating Room Procedures with Major Complications. The dearest hospitals charge about 4.2x what the cheapest do for the same coded work. Medicare actually paid about $41,107 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 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 |
|---|---|---|---|
| Virginia | 3 | $79,602 | $72,952 – $418,948 |
| Arkansas | 4 | $85,752 | $62,680 – $124,273 |
| Michigan | 6 | $91,528 | $76,877 – $145,539 |
| Massachusetts | 7 | $91,669 | $62,937 – $180,358 |
| Kentucky | 5 | $106,924 | $91,807 – $145,400 |
| North Carolina | 6 | $108,199 | $61,801 – $195,310 |
| South Carolina | 3 | $111,932 | $95,283 – $116,396 |
| Tennessee | 5 | $120,402 | $92,010 – $205,413 |
| Georgia | 3 | $125,349 | $108,180 – $217,890 |
| Missouri | 4 | $129,330 | $77,716 – $195,891 |
| Indiana | 5 | $135,029 | $90,759 – $161,230 |
| Florida | 14 | $136,280 | $86,123 – $391,057 |
| Arizona | 4 | $148,220 | $117,725 – $192,259 |
| Illinois | 7 | $152,814 | $80,010 – $252,189 |
| Ohio | 6 | $164,691 | $71,849 – $228,574 |
| Texas | 11 | $165,400 | $102,263 – $365,364 |
| Kansas | 3 | $175,675 | $93,286 – $307,487 |
| Oklahoma | 3 | $193,588 | $92,731 – $361,267 |
| Pennsylvania | 10 | $201,838 | $95,145 – $401,247 |
| New Jersey | 5 | $216,535 | $165,052 – $275,896 |
| New York | 13 | $310,842 | $82,992 – $437,292 |
| California | 13 | $381,526 | $179,734 – $988,298 |
Where Other Respiratory System Operating Room Procedures 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 |
|---|---|---|
|
Carolina East Medical Center
New Bern, NC |
$61,801 | $33,509 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$62,517 | $49,096 |
|
St Bernards Medical Center
Jonesboro, AR |
$62,680 | $24,460 |
|
Baystate Medical Center
Springfield, MA |
$62,937 | $39,668 |
|
Berkshire Medical Center
Pittsfield, MA |
$65,652 | $43,255 |
|
Christ Hospital
Cincinnati, OH |
$71,849 | $29,636 |
|
Mercy Hospital Fort Smith
Fort Smith, AR |
$72,325 | $30,460 |
|
Centra Health - Lynchburg Gen Hospital
Lynchburg, VA |
$72,952 | $29,602 |
|
Our Lady Of The Lake Regional Medical Center
Baton Rouge, LA |
$73,707 | $26,833 |
|
North Mississippi Medical Center
Tupelo, MS |
$74,138 | $23,949 |
|
Trinity Health Ann Arbor Hospital
Ann Arbor, MI |
$76,877 | $35,936 |
|
Mercy Hospital St Louis
Saint Louis, MO |
$77,716 | $31,113 |
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 |
$988,298 | $120,228 |
|
University Of California Davis Medical Center
Sacramento, CA |
$590,702 | $92,120 |
|
John Muir Medical Center - Concord Campus
Concord, CA |
$481,016 | $62,382 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$478,788 | $50,597 |
|
Westchester Medical Center
Valhalla, NY |
$437,292 | $51,658 |
|
Cjw Medical Center
Richmond, VA |
$418,948 | $27,978 |
|
Sharp Memorial Hospital
San Diego, CA |
$418,734 | $67,945 |
|
Ucsf Medical Center
San Francisco, CA |
$405,908 | $88,773 |
|
Temple University Hospital
Philadelphia, PA |
$401,247 | $51,285 |
|
Orlando Health
Orlando, FL |
$391,057 | $32,233 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$382,498 | $34,026 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$382,432 | $64,290 |
Questions people ask
What do U.S. hospitals charge for Other Respiratory System Operating Room Procedures with Major Complications?
Across 164 U.S. hospitals, the middle charge for Other Respiratory System Operating Room Procedures with Major Complications is $145,613. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $102,257 and the dearest quarter over $216,874.
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 Major Complications, the hospitals in the dearest tenth charge about 4.2x 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. $41,107 is roughly what Medicare actually paid per case, against an average charge of $207,106. 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 166: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES 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.