Extensive operating room procedures unrelated to principal diagnosis with complications
What 256 hospitals in the U.S. charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with complications (DRG 982), from 2024 Medicare claims.
Average charge
$121,564
Hospital list price billed
Average payment
$24,742
Medicare + patient + other payers
Medicare paid
$20,080
Average per stay
Volume
4,289
Medicare hospital stays
Hospitals in the U.S. billed an average of $121,564 for extensive operating room procedures unrelated to principal diagnosis with complications, about 4.9 times the average total payment of $24,742.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $24,742Billed $121,564
About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Mercy Health Center, INCOklahoma City, OK | $15,937 |
|---|---|
| Deaconess Hospital INCEvansville, IN | $17,252 |
| Lexington Medical CenterWest Columbia, SC | $17,553 |
| Naples Community HospitalNaples, FL | $18,159 |
| Saint Francis Hospital, INCTulsa, OK | $18,621 |
| Lee Memorial HospitalFort Myers, FL | $18,697 |
| Sarasota Memorial HospitalSarasota, FL | $18,951 |
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | $19,114 |
| University of Kansas HospitalKansas City, KS | $20,037 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $20,263 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $49,400 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $47,029 |
| Stanford HospitalPalo Alto, CA | $39,623 |
| Massachusetts General HospitalBoston, MA | $36,680 |
| NYU Hospitals CenterNew York, NY | $36,631 |
| New York-Presbyterian HospitalNew York, NY | $35,370 |
| Brigham and Women's HosptialBoston, MA | $32,482 |
| University HospitalStony Brook, NY | $31,935 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $31,779 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $31,212 |
Extensive operating room procedures unrelated to principal diagnosis with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 4 | $88,706 | $19,778 | $16,686 – $23,001 |
| Arizona | 4 | $139,265 | $25,189 | $19,121 – $28,550 |
| Arkansas | 4 | $79,139 | $18,567 | $16,413 – $23,878 |
| California | 14 | $208,143 | $30,927 | $20,670 – $39,623 |
| Colorado | 1 | $154,836 | $18,919 | – |
| Connecticut | 2 | $90,227 | $30,341 | $29,702 – $30,785 |
| Delaware | 1 | $80,194 | $22,287 | – |
| Florida | 21 | $153,623 | $20,208 | $14,006 – $29,133 |
| Georgia | 6 | $120,647 | $21,904 | $20,943 – $22,939 |
| Hawaii | 1 | $105,216 | $25,746 | – |
| Idaho | 3 | $89,438 | $19,967 | $17,209 – $22,365 |
| Illinois | 13 | $108,831 | $26,148 | $19,344 – $56,125 |
| Indiana | 5 | $129,578 | $22,587 | $16,676 – $28,827 |
| Iowa | 1 | $104,879 | $23,781 | – |
| Kansas | 4 | $97,740 | $20,307 | $19,287 – $22,220 |
| Kentucky | 3 | $157,561 | $24,026 | $17,316 – $31,975 |
| Louisiana | 1 | $111,845 | $17,367 | – |
| Maine | 1 | $91,682 | $23,699 | – |
| Maryland | 7 | $37,959 | $34,027 | $19,891 – $49,400 |
| Massachusetts | 11 | $80,891 | $29,810 | $18,515 – $41,001 |
| Michigan | 5 | $91,236 | $22,355 | $16,141 – $35,472 |
| Minnesota | 5 | $77,903 | $26,241 | $19,831 – $31,212 |
| Mississippi | 3 | $73,801 | $16,479 | $16,056 – $17,287 |
| Missouri | 4 | $85,003 | $21,104 | $17,049 – $26,777 |
| Nebraska | 3 | $105,140 | $21,403 | $17,669 – $26,934 |
| Nevada | 1 | $209,269 | $25,192 | – |
| New Hampshire | 1 | $124,904 | $34,360 | – |
| New Jersey | 7 | $146,437 | $24,958 | $20,850 – $37,919 |
| New York | 14 | $174,022 | $31,269 | $20,521 – $37,399 |
| North Carolina | 14 | $96,659 | $23,365 | $15,776 – $34,038 |
| North Dakota | 2 | $70,444 | $20,730 | $19,002 – $22,601 |
| Ohio | 10 | $108,295 | $23,461 | $14,205 – $30,721 |
| Oklahoma | 7 | $90,461 | $19,035 | $15,937 – $23,476 |
| Oregon | 2 | $74,490 | $28,704 | $25,903 – $32,904 |
| Pennsylvania | 17 | $131,678 | $23,666 | $18,480 – $30,447 |
| South Carolina | 4 | $137,460 | $22,939 | $17,553 – $30,497 |
| South Dakota | 3 | $98,799 | $20,571 | $19,114 – $23,590 |
| Tennessee | 5 | $101,511 | $22,522 | $15,517 – $29,085 |
| Texas | 19 | $135,922 | $22,307 | $16,916 – $41,000 |
| Utah | 4 | $89,160 | $23,282 | $19,924 – $27,757 |
| Virginia | 7 | $113,827 | $28,437 | $18,535 – $53,747 |
| Washington | 4 | $123,210 | $33,480 | $22,847 – $41,992 |
| West Virginia | 2 | $132,531 | $28,739 | $26,239 – $31,395 |
| Wisconsin | 5 | $93,889 | $24,967 | $18,763 – $28,380 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 57 | $192,000 | $35,370 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 51 | $70,120 | $31,212 |
| NYU Hospitals CenterNew York, NY | 51 | $232,649 | $36,631 |
| Adventhealth OrlandoOrlando, FL | 44 | $178,188 | $22,489 |
| Sarasota Memorial HospitalSarasota, FL | 42 | $177,652 | $18,951 |
| Stanford HospitalPalo Alto, CA | 33 | $351,871 | $39,623 |
| Baptist Medical CenterJacksonville, FL | 31 | $143,956 | $20,674 |
| Lehigh Valley HospitalAllentown, PA | 31 | $132,668 | $21,236 |
| Vanderbilt University HospitalNashville, TN | 31 | $128,872 | $29,085 |
| Baylor University Medical CenterDallas, TX | 31 | $81,583 | $20,643 |
| Lee Memorial HospitalFort Myers, FL | 30 | $118,100 | $18,697 |
| Mayo ClinicJacksonville, FL | 30 | $94,368 | $29,133 |
| North Carolina Baptist HospitalWinston-Salem, NC | 30 | $107,985 | $30,205 |
| Memorial Hermann Texas Medical CenterHouston, TX | 29 | $158,992 | $28,345 |
| Christiana Care Health Services, INC.Newark, DE | 27 | $80,194 | $22,287 |
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with complications (DRG 982) at 256 hospitals in the U.S. was billed at $121,564 on average, while the average total payment was $24,742, of which Medicare paid $20,080. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for extensive operating room procedures unrelated to principal diagnosis with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($34,027), Washington ($33,480), New York ($31,269) and lowest in Mississippi ($16,479), Arkansas ($18,567), Oklahoma ($19,035).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 4.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.