DRG 138 Surgical
Mouth Procedures without CC/MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$5,760
National average
Avg Length of Stay
1.6 days
CMS MS-DRG
Est. Commercial Insurance
$8,640 — $14,401
1.5x — 2.5x Medicare
Cost by Severity Level
NY SPARCS hospital discharge data (2022) — costs reflect New York State hospitals
| Severity | Discharges | Avg LOS | Avg Charges | Avg Costs | Median Costs |
|---|---|---|---|---|---|
| Extreme | 182 | 9 days | $97,497 | $37,405 | $26,488 |
| Major | 1,244 | 4.7 days | $43,350 | $16,674 | $12,864 |
| Minor | 3,838 | 2.1 days | $14,692 | $6,326 | $4,681 |
| Moderate | 3,184 | 2.8 days | $20,036 | $8,292 | $5,985 |
Frequently Asked Questions
How much does a hospital stay for mouth procedures without cc/mcc cost?
The average Medicare payment for DRG 138 is $5,760. Commercial insurance typically pays 150-250% of Medicare rates ($8,640 — $14,401).
How long is the hospital stay for DRG 138?
The average length of stay is 1.6 days. This varies by severity — NY data shows stays from 2.1 to 9.0 days depending on severity.
How much does this hospital stay cost without insurance?
Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.