Reticuloendothelial and Immunity Disorders with Complications — what U.S. hospitals charge
MS-DRG 815 · Inpatient stay · 10 U.S. hospitals publish a price
Cheapest quarter
under $61,688
Typical charge
$75,257
Dearest quarter
over $88,556
Actually paid
$20,818
The middle U.S. hospital bills $75,257 for Reticuloendothelial and Immunity Disorders with Complications. The dearest hospitals charge about 2.3x what the cheapest do for the same coded work. Medicare actually paid about $20,818 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.
Where Reticuloendothelial and Immunity Disorders 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 |
|---|---|---|
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$42,558 | $12,742 |
|
University Of Washington Medical Ctr
Seattle, WA |
$46,785 | $11,410 |
|
Vanderbilt University Medical Center
Nashville, TN |
$59,471 | $13,845 |
|
Massachusetts General Hospital
Boston, MA |
$68,339 | $14,526 |
|
Brigham And Women's Hospital
Boston, MA |
$69,460 | $13,461 |
|
University Of Colorado Hospital Authority
Aurora, CO |
$81,053 | $12,492 |
|
Adventhealth Orlando
Orlando, FL |
$84,530 | $11,250 |
|
Nyu Langone Hospitals
New York, NY |
$89,898 | $15,118 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$95,059 | $84,324 |
|
Stanford Health Care
Stanford, CA |
$218,817 | $19,011 |
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 |
$218,817 | $19,011 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$95,059 | $84,324 |
|
Nyu Langone Hospitals
New York, NY |
$89,898 | $15,118 |
|
Adventhealth Orlando
Orlando, FL |
$84,530 | $11,250 |
|
University Of Colorado Hospital Authority
Aurora, CO |
$81,053 | $12,492 |
|
Brigham And Women's Hospital
Boston, MA |
$69,460 | $13,461 |
|
Massachusetts General Hospital
Boston, MA |
$68,339 | $14,526 |
|
Vanderbilt University Medical Center
Nashville, TN |
$59,471 | $13,845 |
|
University Of Washington Medical Ctr
Seattle, WA |
$46,785 | $11,410 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$42,558 | $12,742 |
Questions people ask
What do U.S. hospitals charge for Reticuloendothelial and Immunity Disorders with Complications?
Across 10 U.S. hospitals, the middle charge for Reticuloendothelial and Immunity Disorders with Complications is $75,257. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $61,688 and the dearest quarter over $88,556.
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 Reticuloendothelial and Immunity Disorders with Complications, the hospitals in the dearest tenth charge about 2.3x 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. $20,818 is roughly what Medicare actually paid per case, against an average charge of $90,857. 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 815: “RETICULOENDOTHELIAL AND IMMUNITY DISORDERS 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.