Reticuloendothelial and Immunity Disorders with Major Complications — what U.S. hospitals charge
MS-DRG 814 · Inpatient stay · 20 U.S. hospitals publish a price
Cheapest quarter
under $98,233
Typical charge
$123,566
Dearest quarter
over $162,740
Actually paid
$48,844
The middle U.S. hospital bills $123,566 for Reticuloendothelial and Immunity Disorders with Major Complications. The dearest hospitals charge about 4.2x what the cheapest do for the same coded work. Medicare actually paid about $48,844 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 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 |
|---|---|---|
|
Adventhealth Orlando
Orlando, FL |
$60,815 | $16,423 |
|
Mayo Clinic Hospital
Phoenix, AZ |
$65,743 | $29,811 |
|
Yale-New Haven Hospital
New Haven, CT |
$84,152 | $29,495 |
|
Vanderbilt University Medical Center
Nashville, TN |
$87,097 | $26,176 |
|
Unc Hospitals
Chapel Hill, NC |
$90,280 | $31,038 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$100,883 | $37,970 |
|
University Of Wi Hospitals & Clinics Authority
Madison, WI |
$101,777 | $26,013 |
|
Ohsu Hospital And Clinics
Portland, OR |
$106,297 | $31,166 |
|
Cleveland Clinic
Cleveland, OH |
$107,522 | $42,815 |
|
University Of Washington Medical Ctr
Seattle, WA |
$113,954 | $42,037 |
|
University Of Kansas Hospital
Kansas City, KS |
$133,177 | $21,013 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$144,232 | $124,962 |
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 |
$729,437 | $76,768 |
|
Ucsf Medical Center
San Francisco, CA |
$392,479 | $66,455 |
|
New York-Presbyterian Hospital
New York, NY |
$339,029 | $59,528 |
|
Northwestern Memorial Hospital
Chicago, IL |
$316,719 | $166,509 |
|
Massachusetts General Hospital
Boston, MA |
$201,859 | $49,108 |
|
Brigham And Women's Hospital
Boston, MA |
$149,700 | $33,865 |
|
Barnes Jewish Hospital
Saint Louis, MO |
$147,843 | $31,191 |
|
Froedtert Memorial Lutheran Hospital
Milwaukee, WI |
$146,320 | $34,549 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$144,232 | $124,962 |
|
University Of Kansas Hospital
Kansas City, KS |
$133,177 | $21,013 |
|
University Of Washington Medical Ctr
Seattle, WA |
$113,954 | $42,037 |
|
Cleveland Clinic
Cleveland, OH |
$107,522 | $42,815 |
Questions people ask
What do U.S. hospitals charge for Reticuloendothelial and Immunity Disorders with Major Complications?
Across 20 U.S. hospitals, the middle charge for Reticuloendothelial and Immunity Disorders with Major Complications is $123,566. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $98,233 and the dearest quarter over $162,740.
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 Major 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. $48,844 is roughly what Medicare actually paid per case, against an average charge of $175,794. 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 814: “RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH 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.