facebook tracking Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o cost in New Hampshire: 2 hospitals compared (DRG 023)

Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in New Hampshire

What 2 hospitals in New Hampshire 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.

DRG 023 Inpatient 2024 Medicare data
Average charge $275,469 Hospital list price billed
Average payment $73,349 Medicare + patient + other payers
Medicare paid $57,582 Average per stay
Volume 56 Medicare hospital stays

Hospitals in New Hampshire billed an average of $275,469 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 3.8 times the average total payment of $73,349. That payment is 30% above the U.S. average 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 $73,349Billed $275,469

About 27¢ was paid for every $1 hospitals in New Hampshire billed for this stay.

New Hampshire hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o

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

Hospital Stays Avg charge Avg payment Medicare paid
Mary Hitchcock Mem HospitalLebanon 43 $217,312 $72,202 $63,746
Portsmouth Regional HospitalPortsmouth 13 $467,833 $77,143 $37,195
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Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states

Questions

How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in New Hampshire?

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 2 hospitals in New Hampshire was billed at $275,469 on average, while the average total payment was $73,349, of which Medicare paid $57,582. 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 New Hampshire, average charges were 3.8 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.