Viral Illness without Major Complications — what U.S. hospitals charge
MS-DRG 866 · Inpatient stay · 34 U.S. hospitals publish a price
Cheapest quarter
under $29,209
Typical charge
$44,708
Dearest quarter
over $66,866
Actually paid
$11,625
The middle U.S. hospital bills $44,708 for Viral Illness without Major Complications. The dearest hospitals charge about 4.4x what the cheapest do for the same coded work. Medicare actually paid about $11,625 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.
Viral Illness 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 |
|---|---|---|---|
| Massachusetts | 3 | $20,226 | $14,576 – $54,732 |
| Pennsylvania | 4 | $41,697 | $31,673 – $99,371 |
| New York | 7 | $75,079 | $42,958 – $153,577 |
Where Viral Illness 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 Hospital, The
Baltimore, MD |
$14,174 | $12,321 |
|
South Shore Hospital
South Weymouth, MA |
$14,576 | $7,547 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$20,226 | $11,986 |
|
Northwest Community Hospital 1
Arlington Heights, IL |
$20,846 | $6,809 |
|
Duke University Hospital
Durham, NC |
$23,347 | $11,835 |
|
Mayo Clinic Hospital
Phoenix, AZ |
$24,359 | $15,204 |
|
Beaumont Hospital, Troy
Troy, MI |
$24,896 | $6,502 |
|
Froedtert Memorial Lutheran Hospital
Milwaukee, WI |
$26,366 | $10,565 |
|
University Of Michigan Health System
Ann Arbor, MI |
$28,388 | $11,397 |
|
Chester County Hospital
West Chester, PA |
$31,673 | $6,777 |
|
Jefferson Abington Hospital
Abington, PA |
$32,403 | $7,908 |
|
Christiana Hospital
Newark, DE |
$34,096 | $8,868 |
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 |
|---|---|---|
|
Nyu Langone Hospitals
New York, NY |
$153,577 | $16,410 |
|
Montefiore Medical Center
Bronx, NY |
$114,824 | $15,715 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$99,371 | $13,208 |
|
North Shore University Hospital
Manhasset, NY |
$97,672 | $13,568 |
|
Ucsf Medical Center
San Francisco, CA |
$91,332 | $19,393 |
|
Hackensack University Medical Center
Hackensack, NJ |
$90,552 | $14,559 |
|
University Of Kansas Hospital
Kansas City, KS |
$89,771 | $12,074 |
|
New York-Presbyterian Hospital
New York, NY |
$75,079 | $12,422 |
|
Adventhealth Orlando
Orlando, FL |
$67,117 | $8,057 |
|
Cleveland Clinic
Cleveland, OH |
$66,112 | $13,627 |
|
Tampa General Hospital
Tampa, FL |
$56,351 | $10,747 |
|
Massachusetts General Hospital
Boston, MA |
$54,732 | $12,567 |
Questions people ask
What do U.S. hospitals charge for Viral Illness without Major Complications?
Across 34 U.S. hospitals, the middle charge for Viral Illness without Major Complications is $44,708. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $29,209 and the dearest quarter over $66,866.
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 Viral Illness without Major Complications, the hospitals in the dearest tenth charge about 4.4x 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. $11,625 is roughly what Medicare actually paid per case, against an average charge of $57,108. 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 866: “VIRAL ILLNESS 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.