facebook tracking Cranial and peripheral nerve disorders with major complications cost: hospital prices by state (DRG 073)

Cranial and peripheral nerve disorders with major complications

What 59 hospitals in the U.S. charged and were paid for a Medicare hospital stay for cranial and peripheral nerve disorders with major complications (DRG 073), from 2024 Medicare claims.

DRG 073 Inpatient 2024 Medicare data
Average charge $88,515 Hospital list price billed
Average payment $18,465 Medicare + patient + other payers
Medicare paid $14,362 Average per stay
Volume 971 Medicare hospital stays

Hospitals in the U.S. billed an average of $88,515 for cranial and peripheral nerve disorders with major complications, about 4.8 times the average total payment of $18,465.

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 $18,465Billed $88,515

About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:

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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.

Cranial and peripheral nerve disorders with major 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 2 $99,892 $24,332 $15,335 – $30,930
California 16 $100,926 $20,014 $14,818 – $43,968
Connecticut 1 $112,077 $19,421 –
Delaware 1 $46,727 $14,041 –
Florida 3 $97,232 $14,332 $12,172 – $16,964
Georgia 1 $62,366 $21,712 –
Illinois 3 $58,144 $16,310 $12,219 – $18,505
Indiana 1 $61,137 $11,032 –
Kansas 1 $200,269 $28,759 –
Kentucky 1 $58,759 $10,328 –
Maryland 2 $14,897 $13,593 $9,511 – $21,387
Massachusetts 2 $54,762 $20,643 $14,625 – $25,056
Michigan 3 $34,149 $11,839 $10,470 – $13,783
Minnesota 1 $50,410 $26,816 –
Missouri 1 $107,747 $28,234 –
Nevada 2 $106,009 $17,466 $14,457 – $19,945
New Jersey 3 $59,963 $15,886 $13,978 – $18,317
New York 3 $155,061 $28,243 $23,175 – $33,598
North Carolina 2 $40,665 $13,655 $11,677 – $14,800
Ohio 2 $97,658 $15,492 $15,122 – $15,862
Pennsylvania 1 $185,916 $23,426 –
Tennessee 2 $67,323 $13,348 $12,452 – $14,501
Texas 4 $105,887 $14,122 $12,076 – $16,809

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Centinela Hospital Medical CenterInglewood, CA59$39,438$16,334
Adventhealth OrlandoOrlando, FL41$118,051$14,299
Hollywood Community Hospital of HollywoodLos Angeles, CA30$108,335$20,696
Northwestern Memorial HospitalChicago, IL29$74,163$18,505
Christiana Care Health Services, INC.Newark, DE27$46,727$14,041
St Joseph Mercy Port HuronPort Huron, MI26$34,015$10,470
Montefiore Medical CenterBronx, NY25$115,739$33,598
Advocate Christ Hospital & Medical CenterOak Lawn, IL21$47,880$15,423
Good Samaritan HospitalBaltimore, MD21$10,601$9,511
New York-Presbyterian HospitalNew York, NY20$166,761$23,175
University of California Davis Medical CenterSacramento, CA19$120,680$23,677
University of Kansas HospitalKansas City, KS19$200,269$28,759
Garden City HospitalGarden City, MI19$32,293$13,783
Mayo Clinic - Saint Marys HospitalRochester, MN19$50,410$26,816
ECU Health Medical CenterGreenville, NC19$46,500$14,800

Questions

How much does cranial and peripheral nerve disorders with major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for cranial and peripheral nerve disorders with major complications (DRG 073) at 59 hospitals in the U.S. was billed at $88,515 on average, while the average total payment was $18,465, of which Medicare paid $14,362. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for cranial and peripheral nerve disorders with major complications?

Among states with at least three hospitals reporting, the average total payment was highest in New York ($28,243), California ($20,014), Illinois ($16,310) and lowest in Michigan ($11,839), Texas ($14,122), Florida ($14,332).

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 4.8 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.