CostGrade

Pleural Effusion with Major Complications — what U.S. hospitals charge

MS-DRG 186 · Inpatient stay · 123 U.S. hospitals publish a price

Cheapest quarter

under $52,694

Typical charge

$71,137

Dearest quarter

over $93,251

Actually paid

$14,624

The middle U.S. hospital bills $71,137 for Pleural Effusion with Major Complications. The dearest hospitals charge about 2.9x what the cheapest do for the same coded work. Medicare actually paid about $14,624 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.

Pleural Effusion 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 $12,903 $10,490 – $18,965
Massachusetts 3 $26,240 $18,062 – $87,280
North Carolina 4 $47,266 $42,301 – $55,110
Tennessee 6 $52,233 $28,043 – $118,625
Illinois 6 $61,715 $36,051 – $65,637
Florida 19 $62,329 $43,449 – $113,994
Oklahoma 3 $64,477 $56,239 – $85,390
Arizona 6 $65,088 $53,481 – $88,216
Virginia 3 $76,097 $45,655 – $104,533
New Jersey 5 $82,786 $70,328 – $128,461
California 13 $87,698 $36,184 – $285,409
Georgia 4 $98,145 $71,978 – $108,419
Pennsylvania 4 $98,776 $74,882 – $174,478
Kansas 3 $103,894 $55,091 – $193,478
Texas 6 $110,326 $71,137 – $121,835
New York 9 $121,771 $63,733 – $190,702

Where Pleural Effusion 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
Johns Hopkins Howard County Medical Center

Columbia, MD

$10,490 $9,465
Meritus Medical Center

Hagerstown, MD

$12,903 $12,053
Milford Regional Medical Center

Milford, MA

$18,062 $12,071
Umd Upper Chesapeake Medical Center

Bel Air, MD

$18,965 $16,873
Baystate Medical Center

Springfield, MA

$26,240 $17,137
University Health System, Inc

Knoxville, TN

$28,043 $14,357
Hannibal Regional Hospital

Hannibal, MO

$35,051 $12,555
Good Samaritan Regional Hlth Center

Mount Vernon, IL

$36,051 $10,461
Saint Agnes Medical Center

Fresno, CA

$36,184 $16,344
Billings Clinic Hospital

Billings, MT

$36,201 $14,585
Mercy Hospital Southeast

Cape Girardeau, MO

$38,288 $11,601
Our Lady Of Lourdes Regional Medical Center, Inc

Lafayette, LA

$40,290 $10,331

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

$285,409 $37,043
Cedars-Sinai Medical Center

Los Angeles, CA

$256,179 $21,288
Wesley Medical Center

Wichita, KS

$193,478 $12,785
New York-Presbyterian Hospital

New York, NY

$190,702 $21,532
John Muir Medical Center - Walnut Creek Campus

Walnut Creek, CA

$178,980 $16,496
Nyu Langone Hospitals

New York, NY

$178,072 $25,545
Temple University Hospital

Philadelphia, PA

$174,478 $20,485
Mount Sinai Hospital

New York, NY

$165,936 $29,296
Long Island Jewish Medical Center

New Hyde Park, NY

$140,515 $20,387
West Jersey Hospital

Voorhees, NJ

$128,461 $11,894
Houston Methodist Hospital

Houston, TX

$121,835 $15,538
North Shore University Hospital

Manhasset, NY

$121,771 $18,515

Questions people ask

What do U.S. hospitals charge for Pleural Effusion with Major Complications?

Across 123 U.S. hospitals, the middle charge for Pleural Effusion with Major Complications is $71,137. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $52,694 and the dearest quarter over $93,251.

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 Pleural Effusion with Major Complications, the hospitals in the dearest tenth charge about 2.9x 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. $14,624 is roughly what Medicare actually paid per case, against an average charge of $81,947. 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 186: “PLEURAL EFFUSION 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.