Degenerative nervous system disorders with major complications
What 408 hospitals in the U.S. charged and were paid for a Medicare hospital stay for degenerative nervous system disorders with major complications (DRG 056), from 2024 Medicare claims.
Average charge
$105,221
Hospital list price billed
Average payment
$24,633
Medicare + patient + other payers
Medicare paid
$20,347
Average per stay
Volume
8,619
Medicare hospital stays
Hospitals in the U.S. billed an average of $105,221 for degenerative nervous system disorders with major complications, about 4.3 times the average total payment of $24,633.
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 $24,633Billed $105,221
About 23¢ 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:
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
| Delray Medical CenterDelray Beach, FL | $12,255 |
|---|---|
| Martin Memorial Health SystemsStuart, FL | $14,396 |
| Florida Hospital WatermanEustis, FL | $14,437 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $14,529 |
| Northwest Community HospitalArlington Heights, IL | $14,608 |
| William Beaumont Hospital-TroyTroy, MI | $15,129 |
| Ocala Regional Medical CenterOcala, FL | $15,308 |
| Methodist HospitalSan Antonio, TX | $15,457 |
| Lexington Medical CenterWest Columbia, SC | $15,522 |
| Naples Community HospitalNaples, FL | $15,690 |
Highest
| Levindale Hebrew Geriatric Center and HospitalBaltimore, MD | $85,474 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $59,355 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | $53,087 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $51,198 |
| UCSF Medical CenterSan Francisco, CA | $47,730 |
| The Johns Hopkins HospitalBaltimore, MD | $46,389 |
| Mount Sinai HospitalNew York, NY | $44,689 |
| University of California San Diego Medical CenterSan Diego, CA | $44,509 |
| Stanford HospitalPalo Alto, CA | $44,220 |
| University HospitalStony Brook, NY | $43,529 |
Degenerative nervous system 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 | 3 | $76,405 | $16,883 | $15,108 – $19,327 |
| Arizona | 3 | $101,972 | $26,216 | $16,404 – $35,079 |
| Arkansas | 3 | $43,860 | $14,446 | $14,115 – $14,807 |
| California | 33 | $179,402 | $30,347 | $18,554 – $49,695 |
| Colorado | 3 | $104,364 | $18,097 | $15,989 – $23,151 |
| Connecticut | 5 | $100,487 | $29,187 | $17,756 – $36,511 |
| Delaware | 1 | $64,051 | $21,803 | – |
| Florida | 46 | $100,795 | $17,715 | $12,255 – $26,010 |
| Georgia | 8 | $102,691 | $24,137 | $15,807 – $41,666 |
| Hawaii | 1 | $152,720 | $33,887 | – |
| Idaho | 1 | $81,087 | $18,815 | – |
| Illinois | 18 | $72,819 | $22,182 | $14,608 – $33,907 |
| Indiana | 6 | $64,361 | $19,124 | $16,296 – $24,978 |
| Iowa | 3 | $79,544 | $19,819 | $17,657 – $24,112 |
| Kansas | 4 | $134,841 | $20,783 | $15,155 – $27,293 |
| Kentucky | 3 | $77,189 | $19,343 | $13,542 – $25,153 |
| Louisiana | 3 | $94,999 | $17,956 | $16,388 – $21,668 |
| Maine | 1 | $90,978 | $23,551 | – |
| Maryland | 19 | $46,501 | $41,978 | $14,650 – $85,474 |
| Massachusetts | 19 | $56,821 | $24,834 | $16,208 – $39,168 |
| Michigan | 11 | $53,256 | $19,872 | $14,908 – $29,252 |
| Minnesota | 8 | $102,016 | $29,774 | $16,911 – $41,678 |
| Mississippi | 6 | $65,148 | $16,955 | $15,110 – $23,959 |
| Missouri | 8 | $67,041 | $23,777 | $15,104 – $40,846 |
| Nebraska | 3 | $64,059 | $20,388 | $14,958 – $28,543 |
| Nevada | 2 | $127,781 | $21,452 | $21,023 – $21,954 |
| New Hampshire | 2 | $85,153 | $28,192 | $19,083 – $32,746 |
| New Jersey | 20 | $132,365 | $22,509 | $15,949 – $31,633 |
| New Mexico | 1 | $41,880 | $17,076 | – |
| New York | 33 | $166,010 | $31,574 | $18,159 – $80,683 |
| North Carolina | 13 | $77,212 | $23,664 | $13,907 – $51,198 |
| Ohio | 13 | $77,834 | $19,599 | $15,440 – $25,227 |
| Oklahoma | 3 | $52,479 | $16,240 | $13,499 – $17,444 |
| Oregon | 4 | $71,997 | $25,127 | $18,406 – $29,997 |
| Pennsylvania | 21 | $120,585 | $22,584 | $11,819 – $34,286 |
| Rhode Island | 2 | $59,557 | $23,021 | $18,388 – $25,338 |
| South Carolina | 8 | $97,974 | $20,161 | $15,522 – $34,445 |
| South Dakota | 2 | $89,533 | $22,392 | $20,702 – $23,851 |
| Tennessee | 9 | $75,358 | $20,799 | $12,054 – $32,066 |
| Texas | 23 | $132,564 | $22,111 | $14,447 – $39,369 |
| Utah | 1 | $57,436 | $26,050 | – |
| Vermont | 1 | $99,120 | $23,708 | – |
| Virginia | 15 | $86,312 | $23,440 | $16,013 – $59,355 |
| Washington | 9 | $101,243 | $22,480 | $17,564 – $36,461 |
| West Virginia | 2 | $79,050 | $21,475 | $16,417 – $25,522 |
| Wisconsin | 3 | $115,795 | $31,671 | $19,477 – $48,961 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 148 | $236,410 | $33,974 |
| Adventhealth OrlandoOrlando, FL | 141 | $103,644 | $17,596 |
| NYU Hospitals CenterNew York, NY | 130 | $237,760 | $35,481 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 70 | $151,751 | $26,609 |
| Lehigh Valley HospitalAllentown, PA | 70 | $84,541 | $20,346 |
| Stanford HospitalPalo Alto, CA | 67 | $343,620 | $44,220 |
| Northwestern Memorial HospitalChicago, IL | 66 | $90,596 | $27,261 |
| North Shore University HospitalManhasset, NY | 66 | $169,764 | $29,894 |
| Massachusetts General HospitalBoston, MA | 64 | $128,797 | $34,908 |
| South Shore HospitalSouth Weymouth, MA | 61 | $36,013 | $19,006 |
| Saint Francis Hospital, INCTulsa, OK | 53 | $51,303 | $16,767 |
| Methodist Hospital,TheHouston, TX | 51 | $256,907 | $38,210 |
| Inova Fairfax HospitalFalls Church, VA | 51 | $51,622 | $22,044 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | 50 | $59,866 | $53,087 |
| Mount Sinai WestNew York, NY | 50 | $191,808 | $38,124 |
Questions
How much does degenerative nervous system disorders with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for degenerative nervous system disorders with major complications (DRG 056) at 408 hospitals in the U.S. was billed at $105,221 on average, while the average total payment was $24,633, of which Medicare paid $20,347. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for degenerative nervous system disorders with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($41,978), Wisconsin ($31,671), New York ($31,574) and lowest in Arkansas ($14,446), Oklahoma ($16,240), Alabama ($16,883).
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 4.3 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.