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Cranial and peripheral nerve disorders with major complications in Nevada

What 2 hospitals in Nevada 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 $106,009 Hospital list price billed
Average payment $17,466 Medicare + patient + other payers
Medicare paid $13,258 Average per stay
Volume 31 Medicare hospital stays

Hospitals in Nevada billed an average of $106,009 for cranial and peripheral nerve disorders with major complications, about 6.1 times the average total payment of $17,466. That payment is 5% below the U.S. average 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 $17,466Billed $106,009

About 16¢ was paid for every $1 hospitals in Nevada billed for this stay.

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

Nevada hospitals: cranial and peripheral nerve disorders with major complications

Every Nevada hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Mountainview HospitalLas Vegas 17 $161,298 $19,945 $13,303
North Vista HospitalNorth las Vegas 14 $38,872 $14,457 $13,204
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Cranial and peripheral nerve disorders with major complications in other states

Questions

How much does cranial and peripheral nerve disorders with major complications cost in Nevada?

In 2024 Medicare data, a hospital stay for cranial and peripheral nerve disorders with major complications (DRG 073) at 2 hospitals in Nevada was billed at $106,009 on average, while the average total payment was $17,466, of which Medicare paid $13,258. 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 Nevada, average charges were 6.1 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.