Concussion with complications
What 4 hospitals in the U.S. charged and were paid for a Medicare hospital stay for concussion with complications (DRG 089), from 2024 Medicare claims.
Average charge
$112,157
Hospital list price billed
Average payment
$11,011
Medicare + patient + other payers
Medicare paid
$9,306
Average per stay
Volume
94
Medicare hospital stays
Hospitals in the U.S. billed an average of $112,157 for concussion with complications, about 10.2 times the average total payment of $11,011.
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.
Concussion 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 |
|---|---|---|---|---|
| Arizona | 1 | $112,745 | $8,803 | – |
| California | 1 | $64,790 | $12,540 | – |
| Florida | 1 | $238,270 | $11,625 | – |
| Pennsylvania | 1 | $54,900 | $11,163 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Orange County Global Medical CenterSanta Ana, CA | 35 | $64,790 | $12,540 |
| Carondelet St Josephs HospitalTucson, AZ | 30 | $112,745 | $8,803 |
| Kendall Regional Medical CenterMiami, FL | 18 | $238,270 | $11,625 |
| Lehigh Valley HospitalAllentown, PA | 11 | $54,900 | $11,163 |
Questions
How much does concussion with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for concussion with complications (DRG 089) at 4 hospitals in the U.S. was billed at $112,157 on average, while the average total payment was $11,011, of which Medicare paid $9,306. Your own cost depends on your insurance, deductible and the hospital.
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 10.2 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.