Signs and Symptoms with Major Complications — what U.S. hospitals charge
MS-DRG 947 · Inpatient stay · 93 U.S. hospitals publish a price
Cheapest quarter
under $38,434
Typical charge
$54,591
Dearest quarter
over $82,323
Actually paid
$14,685
The middle U.S. hospital bills $54,591 for Signs and Symptoms with Major Complications. The dearest hospitals charge about 4.2x what the cheapest do for the same coded work. Medicare actually paid about $14,685 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.
Signs and Symptoms with 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 | 4 | $21,713 | $10,771 – $41,839 |
| Michigan | 5 | $36,550 | $19,483 – $69,548 |
| Washington | 3 | $43,155 | $38,492 – $49,633 |
| Illinois | 4 | $46,315 | $17,247 – $56,118 |
| Ohio | 3 | $49,033 | $26,476 – $59,901 |
| Massachusetts | 6 | $49,279 | $18,622 – $110,218 |
| Florida | 9 | $51,433 | $40,109 – $93,870 |
| North Carolina | 6 | $52,083 | $33,556 – $72,569 |
| California | 5 | $56,185 | $34,184 – $274,037 |
| Pennsylvania | 3 | $57,809 | $56,478 – $262,177 |
| Texas | 6 | $67,757 | $43,098 – $85,212 |
| New Jersey | 6 | $86,615 | $60,224 – $103,815 |
| New York | 10 | $114,210 | $54,228 – $169,998 |
Where Signs and Symptoms 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 |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$10,771 | $9,942 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$17,247 | $9,082 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$17,514 | $15,545 |
|
South Shore Hospital
South Weymouth, MA |
$18,622 | $9,526 |
|
Baystate Medical Center
Springfield, MA |
$19,276 | $13,831 |
|
The Nebraska Methodist Hospital
Omaha, NE |
$19,305 | $9,740 |
|
Henry Ford Macomb Hospital
Clinton Township, MI |
$19,483 | $9,014 |
|
Renown Regional Medical Center
Reno, NV |
$22,215 | $10,653 |
|
Winchester Medical Center
Winchester, VA |
$22,899 | $11,275 |
|
Medstar Good Samaritan Hospital
Baltimore, MD |
$25,911 | $23,417 |
|
Bethesda North
Cincinnati, OH |
$26,476 | $8,905 |
|
Regions Hospital
Saint Paul, MN |
$30,640 | $12,841 |
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 |
$274,037 | $26,698 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$262,177 | $27,423 |
|
Long Island Jewish Medical Center
New Hyde Park, NY |
$169,998 | $19,893 |
|
Nyu Langone Hospitals
New York, NY |
$138,730 | $19,614 |
|
North Shore University Hospital
Manhasset, NY |
$136,507 | $16,800 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$127,320 | $17,442 |
|
University Of California Davis Medical Center
Sacramento, CA |
$125,034 | $25,073 |
|
Montefiore Medical Center
Bronx, NY |
$117,061 | $17,902 |
|
New York-Presbyterian Hospital
New York, NY |
$111,359 | $18,051 |
|
Brigham And Women's Hospital
Boston, MA |
$110,218 | $24,113 |
|
Riverview Medical Center
Red Bank, NJ |
$103,815 | $11,362 |
|
University Of Iowa Hospital & Clinics
Iowa City, IA |
$103,395 | $16,341 |
Questions people ask
What do U.S. hospitals charge for Signs and Symptoms with Major Complications?
Across 93 U.S. hospitals, the middle charge for Signs and Symptoms with Major Complications is $54,591. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $38,434 and the dearest quarter over $82,323.
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 Signs and Symptoms 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. $14,685 is roughly what Medicare actually paid per case, against an average charge of $71,557. 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 947: “SIGNS AND SYMPTOMS 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.