Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face — what U.S. hospitals charge
MS-DRG 004 · Inpatient stay · 212 U.S. hospitals publish a price
Cheapest quarter
under $348,344
Typical charge
$537,962
Dearest quarter
over $791,914
Actually paid
$134,421
The middle U.S. hospital bills $537,962 for Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face. The dearest hospitals charge about 4.0x what the cheapest do for the same coded work. Medicare actually paid about $134,421 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.
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face 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 | 6 | $156,785 | $105,962 – $221,032 |
| Arkansas | 4 | $218,579 | $125,891 – $399,451 |
| Kentucky | 4 | $286,691 | $264,410 – $401,032 |
| Oklahoma | 3 | $298,874 | $284,903 – $666,503 |
| Missouri | 5 | $302,074 | $221,914 – $588,704 |
| Mississippi | 4 | $304,713 | $254,672 – $344,969 |
| Tennessee | 6 | $316,251 | $268,946 – $802,537 |
| Michigan | 6 | $351,182 | $269,238 – $666,880 |
| North Carolina | 6 | $356,959 | $216,044 – $478,799 |
| Arizona | 3 | $396,965 | $309,457 – $723,706 |
| South Carolina | 6 | $418,690 | $338,444 – $826,173 |
| Louisiana | 3 | $432,862 | $340,056 – $717,167 |
| Ohio | 8 | $453,378 | $279,978 – $854,470 |
| Georgia | 9 | $535,575 | $409,738 – $847,860 |
| Virginia | 5 | $556,760 | $436,403 – $1,176,747 |
| Illinois | 5 | $565,823 | $279,609 – $655,822 |
| Massachusetts | 4 | $581,882 | $337,587 – $680,249 |
| Texas | 15 | $590,457 | $303,187 – $1,271,769 |
| Florida | 18 | $629,925 | $316,707 – $923,282 |
| New Jersey | 10 | $703,442 | $340,729 – $1,032,968 |
| New York | 28 | $719,243 | $160,579 – $1,909,248 |
| Pennsylvania | 10 | $860,756 | $370,423 – $1,556,343 |
| Nevada | 4 | $969,798 | $522,502 – $2,355,622 |
| California | 22 | $987,057 | $580,407 – $4,272,292 |
Where Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Adventist Healthcare White Oak Medical Center
Silver Spring, MD |
$105,962 | $94,839 |
|
University Of Arkansas Medical Sciences
Little Rock, AR |
$125,891 | $79,261 |
|
Chi St. Vincent Hospital Hot Springs
Hot Springs, AR |
$140,791 | $45,527 |
|
Saint Agnes Hospital
Baltimore, MD |
$141,644 | $123,267 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$155,846 | $143,721 |
|
Holy Cross Hospital
Silver Spring, MD |
$157,724 | $142,146 |
|
Bronxcare Hospital Center
Bronx, NY |
$160,579 | $137,154 |
|
Suburban Hospital
Bethesda, MD |
$177,539 | $160,215 |
|
New York Community Hospital Of Brooklyn, Inc.
Brooklyn, NY |
$202,936 | $115,619 |
|
Moses H. Cone Memorial Hospital, The
Greensboro, NC |
$216,044 | $83,364 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$221,032 | $194,003 |
|
Missouri Baptist Medical Center
Saint Louis, MO |
$221,914 | $75,383 |
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 |
$4,272,292 | $539,356 |
|
Valley Hospital Medical Center
Las Vegas, NV |
$2,355,622 | $127,611 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$2,172,667 | $208,772 |
|
Riverside Community Hospital
Riverside, CA |
$1,916,302 | $145,392 |
|
Westchester Medical Center
Valhalla, NY |
$1,909,248 | $209,641 |
|
North Shore University Hospital
Manhasset, NY |
$1,700,384 | $195,307 |
|
Hca-Healthone Dba Swedish Medical Center
Englewood, CO |
$1,693,968 | $115,291 |
|
New York-Presbyterian Hospital
New York, NY |
$1,667,320 | $291,018 |
|
Mount Sinai West
New York, NY |
$1,590,286 | $280,867 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$1,556,343 | $116,086 |
|
Desert Regional Medical Center
Palm Springs, CA |
$1,423,891 | $130,034 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$1,411,143 | $226,641 |
Questions people ask
What do U.S. hospitals charge for Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face?
Across 212 U.S. hospitals, the middle charge for Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face is $537,962. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $348,344 and the dearest quarter over $791,914.
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 Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face, the hospitals in the dearest tenth charge about 4.0x 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. $134,421 is roughly what Medicare actually paid per case, against an average charge of $680,475. 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 004: “TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU”. 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.