Pulmonary Embolism with Major Complications or Acute Cor Pulmonale — what U.S. hospitals charge
MS-DRG 175 · Inpatient stay · 990 U.S. hospitals publish a price
Cheapest quarter
under $41,298
Typical charge
$54,540
Dearest quarter
over $79,083
Actually paid
$13,139
The middle U.S. hospital bills $54,540 for Pulmonary Embolism with Major Complications or Acute Cor Pulmonale. The dearest hospitals charge about 3.9x what the cheapest do for the same coded work. Medicare actually paid about $13,139 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.
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale 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 | 31 | $18,662 | $13,104 – $35,842 |
| Montana | 7 | $28,361 | $23,801 – $54,388 |
| Massachusetts | 35 | $28,921 | $16,974 – $101,101 |
| Wyoming | 3 | $30,663 | $24,372 – $43,007 |
| North Dakota | 6 | $30,950 | $25,146 – $60,437 |
| Mississippi | 10 | $33,946 | $27,156 – $72,061 |
| Iowa | 11 | $35,605 | $22,861 – $60,097 |
| Vermont | 3 | $37,309 | $25,151 – $65,088 |
| Rhode Island | 3 | $37,600 | $37,214 – $38,860 |
| Utah | 7 | $37,819 | $26,820 – $57,222 |
| Michigan | 29 | $40,414 | $27,046 – $77,804 |
| New Hampshire | 9 | $41,316 | $33,841 – $53,815 |
| West Virginia | 9 | $41,772 | $25,506 – $79,610 |
| Oregon | 7 | $43,392 | $24,144 – $93,301 |
| Arkansas | 9 | $43,972 | $28,606 – $64,114 |
| Louisiana | 12 | $44,367 | $30,231 – $83,869 |
| North Carolina | 31 | $44,557 | $24,337 – $83,771 |
| Tennessee | 22 | $45,663 | $22,169 – $115,473 |
| Kentucky | 14 | $45,732 | $24,367 – $70,344 |
| Virginia | 34 | $45,741 | $27,196 – $116,412 |
| Wisconsin | 14 | $46,151 | $20,611 – $90,385 |
| Ohio | 41 | $46,546 | $28,487 – $87,786 |
| Minnesota | 12 | $46,754 | $26,445 – $62,941 |
| New Mexico | 7 | $47,325 | $29,323 – $89,254 |
| Nebraska | 7 | $47,928 | $34,314 – $103,828 |
| Delaware | 5 | $48,405 | $25,998 – $67,204 |
| Oklahoma | 13 | $48,496 | $28,364 – $118,371 |
| Indiana | 24 | $48,760 | $29,823 – $111,266 |
| Alabama | 10 | $49,741 | $28,871 – $128,224 |
| Washington | 22 | $50,313 | $35,985 – $89,123 |
| Missouri | 18 | $50,353 | $29,845 – $101,306 |
| Idaho | 6 | $51,288 | $32,917 – $61,405 |
| South Dakota | 4 | $52,069 | $48,756 – $62,899 |
| Kansas | 10 | $52,076 | $28,325 – $150,858 |
| Maine | 3 | $52,272 | $40,256 – $57,830 |
| Georgia | 34 | $55,923 | $29,340 – $111,174 |
| Connecticut | 12 | $56,069 | $35,888 – $79,170 |
| South Carolina | 19 | $56,157 | $31,916 – $104,734 |
| Illinois | 52 | $58,265 | $24,958 – $119,885 |
| Pennsylvania | 43 | $61,614 | $28,211 – $175,831 |
| Florida | 63 | $62,868 | $36,004 – $186,106 |
| Colorado | 22 | $66,773 | $46,707 – $144,135 |
| Arizona | 27 | $71,705 | $35,922 – $113,087 |
| Texas | 58 | $72,793 | $40,912 – $224,821 |
| District of Columbia | 3 | $76,388 | $59,792 – $77,834 |
| New York | 42 | $83,507 | $27,267 – $210,506 |
| New Jersey | 30 | $96,384 | $51,866 – $388,493 |
| California | 83 | $109,696 | $28,605 – $302,631 |
| Nevada | 11 | $137,357 | $40,248 – $239,180 |
Where Pulmonary Embolism with Major Complications or Acute Cor Pulmonale 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 |
$13,104 | $12,204 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$13,326 | $12,367 |
|
Atlantic General Hospital
Berlin, MD |
$14,147 | $12,955 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$14,324 | $12,992 |
|
Frederick Health Hospital
Frederick, MD |
$14,737 | $13,292 |
|
Meritus Medical Center
Hagerstown, MD |
$14,781 | $13,819 |
|
Carroll Hospital Center
Westminster, MD |
$15,481 | $13,778 |
|
University Of Md Capital Region Medical Center
Upper Marlboro, MD |
$15,876 | $15,223 |
|
Adventist Healthcare Shady Grove Medical Center
Rockville, MD |
$15,924 | $13,969 |
|
Suburban Hospital
Bethesda, MD |
$16,080 | $15,062 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$16,153 | $14,568 |
|
Luminis Health Doctors Community Medical Ctr, Inc
Lanham, MD |
$16,502 | $16,106 |
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 |
|---|---|---|
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$388,493 | $13,627 |
|
Stanford Health Care
Stanford, CA |
$302,631 | $29,134 |
|
Good Samaritan Hospital
San Jose, CA |
$289,543 | $15,577 |
|
Doctors Medical Center
Modesto, CA |
$268,332 | $14,826 |
|
Valley Hospital Medical Center
Las Vegas, NV |
$239,180 | $13,900 |
|
South Texas Health System
Edinburg, TX |
$224,821 | $13,199 |
|
Centennial Hills Hospital Medical Center
Las Vegas, NV |
$215,608 | $10,890 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$214,473 | $18,454 |
|
Henderson Hospital
Henderson, NV |
$213,481 | $11,737 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$210,718 | $11,684 |
|
Montefiore Medical Center
Bronx, NY |
$210,506 | $22,989 |
|
Summerlin Hospital Medical Center
Las Vegas, NV |
$202,522 | $12,342 |
Questions people ask
What do U.S. hospitals charge for Pulmonary Embolism with Major Complications or Acute Cor Pulmonale?
Across 990 U.S. hospitals, the middle charge for Pulmonary Embolism with Major Complications or Acute Cor Pulmonale is $54,540. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $41,298 and the dearest quarter over $79,083.
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 Pulmonary Embolism with Major Complications or Acute Cor Pulmonale, the hospitals in the dearest tenth charge about 3.9x 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. $13,139 is roughly what Medicare actually paid per case, against an average charge of $66,507. 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 175: “PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE”. 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.