Pneumothorax with Complications — what U.S. hospitals charge
MS-DRG 200 · Inpatient stay · 137 U.S. hospitals publish a price
Cheapest quarter
under $34,082
Typical charge
$47,776
Dearest quarter
over $69,054
Actually paid
$11,838
The middle U.S. hospital bills $47,776 for Pneumothorax with Complications. The dearest hospitals charge about 4.2x what the cheapest do for the same coded work. Medicare actually paid about $11,838 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.
Pneumothorax 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 |
|---|---|---|---|
| Maryland | 4 | $18,481 | $10,150 – $26,789 |
| Massachusetts | 6 | $23,455 | $16,510 – $54,944 |
| Kentucky | 3 | $36,487 | $28,374 – $46,005 |
| South Carolina | 4 | $38,963 | $27,370 – $134,021 |
| Missouri | 3 | $39,246 | $35,574 – $44,498 |
| Virginia | 10 | $40,185 | $20,439 – $84,804 |
| Washington | 3 | $41,274 | $41,105 – $49,744 |
| North Carolina | 7 | $43,153 | $29,262 – $51,809 |
| Arizona | 4 | $50,779 | $40,572 – $94,630 |
| Texas | 6 | $52,456 | $47,501 – $77,652 |
| Pennsylvania | 8 | $55,818 | $30,845 – $107,386 |
| Illinois | 4 | $56,558 | $19,197 – $90,618 |
| Tennessee | 5 | $58,486 | $31,512 – $126,912 |
| Georgia | 5 | $63,621 | $39,685 – $111,897 |
| Florida | 11 | $66,060 | $47,776 – $172,025 |
| New York | 8 | $79,641 | $34,082 – $164,230 |
| New Jersey | 5 | $87,090 | $66,554 – $125,326 |
| California | 8 | $105,959 | $49,328 – $246,860 |
Where Pneumothorax 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 |
|---|---|---|
|
Meritus Medical Center
Hagerstown, MD |
$10,150 | $9,353 |
|
Suburban Hospital
Bethesda, MD |
$14,085 | $12,576 |
|
Mercy Medical Center - Cedar Rapids
Cedar Rapids, IA |
$15,224 | $7,892 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$16,510 | $14,097 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$19,197 | $10,730 |
|
Winchester Medical Center
Winchester, VA |
$20,439 | $9,610 |
|
Riverside Regional Medical Center
Newport News, VA |
$21,501 | $9,217 |
|
Munson Medical Center
Traverse City, MI |
$21,818 | $10,721 |
|
Baystate Medical Center
Springfield, MA |
$22,437 | $12,843 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$22,637 | $12,759 |
|
Mercy Hospital Fort Smith
Fort Smith, AR |
$22,831 | $8,555 |
|
Sinai Hospital Of Baltimore
Baltimore, MD |
$22,876 | $20,144 |
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 |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$246,860 | $14,518 |
|
Hca Florida Lawnwood Hospital
Fort Pierce, FL |
$172,025 | $14,511 |
|
Stanford Health Care
Stanford, CA |
$165,157 | $19,012 |
|
New York-Presbyterian Hospital
New York, NY |
$164,230 | $25,887 |
|
Westchester Medical Center
Valhalla, NY |
$155,609 | $14,646 |
|
Hca Florida Orange Park Hospital
Orange Park, FL |
$147,114 | $10,966 |
|
Sharp Memorial Hospital
San Diego, CA |
$136,675 | $12,605 |
|
Delray Medical Center
Delray Beach, FL |
$134,585 | $6,307 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$134,546 | $11,608 |
|
Grand Strand Regional Medical Center
Myrtle Beach, SC |
$134,021 | $10,396 |
|
Tristar Skyline Medical Center
Nashville, TN |
$126,912 | $8,882 |
|
Robert Wood Johnson University Hospital
New Brunswick, NJ |
$125,326 | $20,059 |
Questions people ask
What do U.S. hospitals charge for Pneumothorax with Complications?
Across 137 U.S. hospitals, the middle charge for Pneumothorax with Complications is $47,776. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $34,082 and the dearest quarter over $69,054.
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 Pneumothorax with 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. $11,838 is roughly what Medicare actually paid per case, against an average charge of $60,773. 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 200: “PNEUMOTHORAX 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.