Precerebral Occlusion without Infarction without Major Complications — what U.S. hospitals charge
MS-DRG 068 · Inpatient stay · 38 U.S. hospitals publish a price
Cheapest quarter
under $36,580
Typical charge
$55,319
Dearest quarter
over $74,765
Actually paid
$8,747
The middle U.S. hospital bills $55,319 for Precerebral Occlusion without Infarction without Major Complications. The dearest hospitals charge about 3.4x what the cheapest do for the same coded work. Medicare actually paid about $8,747 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.
Precerebral Occlusion without Infarction 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 |
|---|---|---|---|
| Pennsylvania | 3 | $60,512 | $47,578 – $66,765 |
| New York | 7 | $67,887 | $28,606 – $89,798 |
| Texas | 5 | $82,533 | $70,990 – $102,147 |
| Florida | 5 | $90,324 | $50,336 – $96,602 |
Where Precerebral Occlusion without Infarction 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 |
|---|---|---|
|
University Of Md St Joseph Medical Center
Towson, MD |
$10,387 | $9,284 |
|
Baystate Medical Center
Springfield, MA |
$16,740 | $9,870 |
|
St Mary's Hospital
Athens, GA |
$21,669 | $8,232 |
|
Novant Health New Hanover Regional Medical Center
Wilmington, NC |
$25,988 | $7,358 |
|
Vassar Brothers Medical Center
Poughkeepsie, NY |
$28,606 | $9,674 |
|
Ascension St John Medical Center
Tulsa, OK |
$31,295 | $7,929 |
|
Bon Secours Memorial Regional Medical Center
Mechanicsville, VA |
$31,712 | $6,743 |
|
Henry Ford Macomb Hospital
Clinton Township, MI |
$32,769 | $7,957 |
|
Norton Hospitals, Inc
Louisville, KY |
$34,117 | $6,666 |
|
Kaleida Health
Buffalo, NY |
$36,061 | $9,939 |
|
Lexington Medical Center
West Columbia, SC |
$38,136 | $7,319 |
|
Bon Secours St Marys Hospital
Richmond, VA |
$39,163 | $6,744 |
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 |
$153,349 | $11,716 |
|
Medical City Plano
Plano, TX |
$102,147 | $8,536 |
|
Marion Communtiy Hospital
Ocala, FL |
$96,602 | $7,649 |
|
Adventhealth Orlando
Orlando, FL |
$94,912 | $7,692 |
|
Medical Center Of Mckinney
Mckinney, TX |
$94,165 | $7,341 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$90,324 | $8,100 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$89,798 | $11,077 |
|
New York-Presbyterian Hospital
New York, NY |
$82,856 | $12,106 |
|
Methodist Hospital
San Antonio, TX |
$82,533 | $7,347 |
|
Methodist Hospital Stone Oak
San Antonio, TX |
$75,146 | $6,565 |
|
Garnet Health Medical Center
Middletown, NY |
$73,622 | $9,698 |
|
Medical City Fort Worth
Fort Worth, TX |
$70,990 | $8,225 |
Questions people ask
What do U.S. hospitals charge for Precerebral Occlusion without Infarction without Major Complications?
Across 38 U.S. hospitals, the middle charge for Precerebral Occlusion without Infarction without Major Complications is $55,319. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $36,580 and the dearest quarter over $74,765.
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 Precerebral Occlusion without Infarction without Major Complications, the hospitals in the dearest tenth charge about 3.4x 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. $8,747 is roughly what Medicare actually paid per case, against an average charge of $60,333. 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 068: “PRECEREBRAL OCCLUSION WITHOUT INFARCTION 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.