Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o
What 432 hospitals in the U.S. charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$281,418
Hospital list price billed
Average payment
$56,603
Medicare + patient + other payers
Medicare paid
$47,978
Average per stay
Volume
11,805
Medicare hospital stays
Hospitals in the U.S. billed an average of $281,418 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 5.0 times the average total payment of $56,603.
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 $56,603Billed $281,418
About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.
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
| St Vincent Medical Center/NorthSherwood, AR | $33,187 |
|---|---|
| Delray Medical CenterDelray Beach, FL | $33,901 |
| Washington Regional Med CenterFayetteville, AR | $34,231 |
| Mercy Health Center, INCOklahoma City, OK | $34,570 |
| Mem Hermann Southwest HospHouston, TX | $35,468 |
| Fawcett Memorial HospitalPort Charlotte, FL | $35,981 |
| Baptist Medical CenterSan Antonio, TX | $36,092 |
| Lafayette General Medical CenterLafayette, LA | $36,281 |
| Sarasota Memorial HospitalSarasota, FL | $36,656 |
| Martin Memorial Health SystemsStuart, FL | $36,767 |
Highest
| UCLA Medical CenterLos Angeles, CA | $125,340 |
|---|---|
| University of Illinois Hospital and ClinicsChicago, IL | $115,533 |
| Loyola University Medical CenterMaywood, IL | $113,452 |
| USC University HospitalLos Angeles, CA | $109,542 |
| Stanford HospitalPalo Alto, CA | $109,539 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $107,463 |
| UCSF Medical CenterSan Francisco, CA | $101,212 |
| Bellevue Hospital CenterNew York, NY | $100,047 |
| University of California Davis Medical CenterSacramento, CA | $100,035 |
| Loma Linda University Medical CenterLoma Linda, CA | $97,714 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o 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 | 7 | $226,902 | $45,996 | $32,562 – $61,239 |
| Alaska | 2 | $461,302 | $64,805 | $64,071 – $65,466 |
| Arizona | 9 | $282,026 | $48,472 | $41,427 – $58,495 |
| Arkansas | 4 | $156,931 | $38,498 | $33,187 – $53,896 |
| California | 54 | $462,864 | $74,234 | $37,007 – $129,319 |
| Colorado | 6 | $409,496 | $45,395 | $38,840 – $56,452 |
| Connecticut | 4 | $220,221 | $70,547 | $56,658 – $84,104 |
| Delaware | 1 | $176,325 | $52,384 | – |
| Florida | 37 | $315,761 | $44,481 | $32,615 – $60,387 |
| Georgia | 9 | $314,532 | $59,554 | $39,889 – $72,463 |
| Hawaii | 1 | $274,388 | $70,367 | – |
| Idaho | 3 | $203,015 | $44,762 | $38,751 – $56,971 |
| Illinois | 20 | $244,707 | $65,867 | $37,692 – $115,533 |
| Indiana | 7 | $216,793 | $46,667 | $39,516 – $54,976 |
| Iowa | 2 | $202,489 | $50,830 | $38,791 – $58,491 |
| Kansas | 3 | $303,397 | $47,031 | $41,472 – $50,108 |
| Kentucky | 6 | $280,250 | $46,700 | $28,385 – $55,977 |
| Louisiana | 6 | $194,602 | $45,304 | $36,281 – $51,638 |
| Maine | 1 | $211,169 | $54,649 | – |
| Maryland | 7 | $85,316 | $76,456 | $54,779 – $97,462 |
| Massachusetts | 8 | $174,398 | $70,757 | $61,829 – $89,881 |
| Michigan | 14 | $172,984 | $51,892 | $38,818 – $69,465 |
| Minnesota | 8 | $153,370 | $55,813 | $42,186 – $68,641 |
| Mississippi | 4 | $204,310 | $43,550 | $39,490 – $49,337 |
| Missouri | 10 | $221,382 | $51,751 | $38,445 – $63,500 |
| Montana | 3 | $113,364 | $43,656 | $41,949 – $44,395 |
| Nebraska | 3 | $178,644 | $50,249 | $42,893 – $55,604 |
| Nevada | 4 | $433,358 | $48,545 | $41,478 – $51,442 |
| New Hampshire | 2 | $275,469 | $73,349 | $72,202 – $77,143 |
| New Jersey | 14 | $342,501 | $58,754 | $46,528 – $76,511 |
| New Mexico | 1 | $153,591 | $69,787 | – |
| New York | 25 | $339,990 | $72,572 | $48,356 – $100,047 |
| North Carolina | 12 | $186,782 | $51,217 | $39,695 – $70,037 |
| North Dakota | 1 | $138,654 | $56,043 | – |
| Ohio | 13 | $203,780 | $47,101 | $35,780 – $55,624 |
| Oklahoma | 6 | $326,500 | $47,256 | $34,570 – $67,502 |
| Oregon | 5 | $185,903 | $59,875 | $48,868 – $66,250 |
| Pennsylvania | 21 | $318,984 | $55,367 | $37,354 – $71,600 |
| Rhode Island | 1 | $107,839 | $53,547 | – |
| South Carolina | 5 | $277,868 | $55,026 | $49,052 – $64,443 |
| South Dakota | 3 | $234,230 | $50,631 | $46,130 – $57,860 |
| Tennessee | 11 | $200,165 | $46,116 | $38,233 – $64,133 |
| Texas | 34 | $371,163 | $46,901 | $35,468 – $70,733 |
| Utah | 5 | $150,951 | $49,233 | $34,725 – $58,279 |
| Vermont | 1 | $185,129 | $41,512 | – |
| Virginia | 11 | $206,210 | $54,090 | $40,732 – $76,745 |
| Washington | 8 | $222,888 | $58,402 | $51,259 – $68,774 |
| West Virginia | 2 | $191,119 | $47,342 | $39,134 – $50,777 |
| Wisconsin | 5 | $232,188 | $55,014 | $37,995 – $69,423 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Rhode Island HospitalProvidence, RI | 98 | $107,839 | $53,547 |
| Inova Fairfax HospitalFalls Church, VA | 86 | $156,577 | $60,400 |
| Providence Sacred Heart Medical CenterSpokane, WA | 81 | $153,807 | $51,259 |
| Banner - University Medical Center PhoenixPhoenix, AZ | 77 | $189,551 | $51,107 |
| Baptist Medical CenterJacksonville, FL | 75 | $290,201 | $50,503 |
| Christiana Care Health Services, INC.Newark, DE | 74 | $176,325 | $52,384 |
| University of California Davis Medical CenterSacramento, CA | 71 | $374,726 | $100,035 |
| NYU Hospitals CenterNew York, NY | 71 | $513,753 | $76,649 |
| Wellstar Kennestone HospitalMarietta, GA | 68 | $441,994 | $61,104 |
| University of Kansas HospitalKansas City, KS | 68 | $281,140 | $50,108 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 67 | $211,439 | $54,158 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 66 | $142,337 | $68,641 |
| Community Regional Medical CenterFresno, CA | 64 | $304,536 | $62,474 |
| Doctors Medical CenterModesto, CA | 64 | $762,415 | $67,303 |
| Brigham and Women's HosptialBoston, MA | 61 | $202,088 | $66,835 |
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in the U.S.?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 432 hospitals in the U.S. was billed at $281,418 on average, while the average total payment was $56,603, of which Medicare paid $47,978. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($76,456), California ($74,234), New York ($72,572) and lowest in Arkansas ($38,498), Mississippi ($43,550), Montana ($43,656).
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 5.0 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.