Pulmonary Embolism without Major Complications — what U.S. hospitals charge
MS-DRG 176 · Inpatient stay · 515 U.S. hospitals publish a price
Cheapest quarter
under $27,193
Typical charge
$35,047
Dearest quarter
over $50,420
Actually paid
$8,142
The middle U.S. hospital bills $35,047 for Pulmonary Embolism without Major Complications. The dearest hospitals charge about 3.4x what the cheapest do for the same coded work. Medicare actually paid about $8,142 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 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 |
|---|---|---|---|
| Maryland | 22 | $11,607 | $7,234 – $25,638 |
| Iowa | 4 | $20,251 | $16,872 – $42,681 |
| Massachusetts | 19 | $20,323 | $12,821 – $50,209 |
| Rhode Island | 3 | $20,749 | $20,295 – $30,416 |
| Arkansas | 3 | $23,605 | $17,128 – $32,110 |
| Minnesota | 7 | $26,132 | $18,166 – $39,743 |
| Alabama | 7 | $26,860 | $19,649 – $55,445 |
| Mississippi | 4 | $27,320 | $22,403 – $32,817 |
| Ohio | 27 | $28,002 | $15,655 – $69,527 |
| Michigan | 11 | $28,199 | $16,439 – $39,099 |
| Indiana | 13 | $28,613 | $21,489 – $55,720 |
| Kentucky | 9 | $28,750 | $17,555 – $38,101 |
| Louisiana | 6 | $29,063 | $21,132 – $83,474 |
| North Carolina | 22 | $29,204 | $18,140 – $43,178 |
| Delaware | 3 | $29,657 | $26,909 – $32,269 |
| Nebraska | 5 | $29,777 | $18,095 – $34,638 |
| Connecticut | 3 | $29,926 | $23,508 – $49,680 |
| Wisconsin | 3 | $30,426 | $28,841 – $34,419 |
| New Hampshire | 5 | $30,466 | $22,640 – $53,385 |
| South Carolina | 12 | $30,990 | $15,292 – $64,165 |
| Idaho | 3 | $31,609 | $31,363 – $36,415 |
| Tennessee | 16 | $31,733 | $17,193 – $66,208 |
| West Virginia | 4 | $32,652 | $28,184 – $44,388 |
| Washington | 5 | $32,975 | $26,270 – $53,379 |
| Missouri | 16 | $34,232 | $24,801 – $54,039 |
| Virginia | 22 | $34,840 | $16,186 – $70,574 |
| Georgia | 15 | $35,037 | $26,308 – $62,265 |
| Illinois | 28 | $36,389 | $18,659 – $63,086 |
| Texas | 20 | $41,311 | $26,383 – $72,531 |
| Arizona | 17 | $41,812 | $27,939 – $69,830 |
| District of Columbia | 3 | $43,647 | $28,318 – $72,376 |
| Pennsylvania | 35 | $46,555 | $14,231 – $91,394 |
| Oklahoma | 4 | $47,998 | $24,563 – $65,351 |
| New York | 32 | $48,831 | $17,258 – $151,056 |
| Florida | 40 | $49,587 | $24,975 – $98,198 |
| Colorado | 3 | $51,585 | $41,392 – $58,537 |
| Kansas | 5 | $56,207 | $31,780 – $69,122 |
| New Jersey | 21 | $59,926 | $35,047 – $88,007 |
| California | 26 | $63,822 | $22,104 – $166,577 |
| Nevada | 4 | $115,947 | $26,583 – $145,801 |
Where Pulmonary Embolism 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 |
|---|---|---|
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$7,234 | $6,683 |
|
Suburban Hospital
Bethesda, MD |
$7,402 | $6,634 |
|
Holy Cross Hospital
Silver Spring, MD |
$8,265 | $7,804 |
|
Meritus Medical Center
Hagerstown, MD |
$9,737 | $9,007 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$9,769 | $9,251 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$9,839 | $8,810 |
|
Frederick Health Hospital
Frederick, MD |
$9,954 | $9,088 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$9,974 | $9,246 |
|
Carroll Hospital Center
Westminster, MD |
$10,048 | $8,882 |
|
Adventist Healthcare Shady Grove Medical Center
Rockville, MD |
$10,603 | $9,362 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$10,997 | $10,198 |
|
Luminis Health Doctors Community Medical Ctr, Inc
Lanham, MD |
$12,217 | $11,353 |
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 |
|---|---|---|
|
Desert Regional Medical Center
Palm Springs, CA |
$166,577 | $9,849 |
|
Stanford Health Care
Stanford, CA |
$161,151 | $13,934 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$155,412 | $11,032 |
|
Westchester Medical Center
Valhalla, NY |
$151,056 | $11,042 |
|
Henderson Hospital
Henderson, NV |
$145,801 | $7,358 |
|
Valley Hospital Medical Center
Las Vegas, NV |
$138,233 | $8,436 |
|
Good Samaritan Hospital
San Jose, CA |
$121,320 | $9,206 |
|
El Camino Health
Mountain View, CA |
$119,893 | $9,371 |
|
Dominican Hospital
Santa Cruz, CA |
$101,453 | $8,900 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$98,198 | $7,525 |
|
Hca Florida Brandon Hospital
Brandon, FL |
$97,230 | $8,498 |
|
Marinhealth Medical Center
Greenbrae, CA |
$95,724 | $9,471 |
Questions people ask
What do U.S. hospitals charge for Pulmonary Embolism without Major Complications?
Across 515 U.S. hospitals, the middle charge for Pulmonary Embolism without Major Complications is $35,047. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $27,193 and the dearest quarter over $50,420.
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 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. $8,142 is roughly what Medicare actually paid per case, against an average charge of $41,798. 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 176: “PULMONARY EMBOLISM 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.