facebook tracking Degenerative nervous system disorders without major complications cost: hospital prices by state (DRG 057)

Degenerative nervous system disorders without major complications

What 812 hospitals in the U.S. charged and were paid for a Medicare hospital stay for degenerative nervous system disorders without major complications (DRG 057), from 2024 Medicare claims.

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DRG 057 Inpatient 2024 Medicare data
Average charge $58,474 Hospital list price billed
Average payment $14,417 Medicare + patient + other payers
Medicare paid $11,625 Average per stay
Volume 21,094 Medicare hospital stays

Hospitals in the U.S. billed an average of $58,474 for degenerative nervous system disorders without major complications, about 4.1 times the average total payment of $14,417.

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 $14,417Billed $58,474

About 25¢ 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.

Lowest

Memorial Healthcare System, INCChattanooga, TN$8,064
Delray Medical CenterDelray Beach, FL$8,194
Fawcett Memorial HospitalPort Charlotte, FL$8,288
Weirton Medical CenterWeirton, WV$8,386
Mississippi Baptist Medical CenterJackson, MS$8,396
Sarasota Memorial Hospital - VeniceNorth Venice, FL$8,481
Baptist Health Medical Center-Little RockLittle Rock, AR$8,545
Lansdale HospitalLansdale, PA$8,567
Doylestown HospitalDoylestown, PA$8,635
Baptist Hospital EastLouisville, KY$8,649

Degenerative nervous system disorders without 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 8 $45,053 $12,362 $8,525 – $24,762
Alaska 2 $115,476 $14,643 $12,033 – $16,926
Arizona 12 $65,182 $11,603 $8,921 – $18,571
Arkansas 6 $36,820 $10,520 $8,545 – $13,819
California 67 $92,297 $16,272 $9,492 – $30,343
Colorado 5 $83,204 $11,947 $10,335 – $16,257
Connecticut 8 $56,415 $14,893 $11,441 – $17,788
Delaware 2 $48,071 $13,724 $13,597 – $14,205
Florida 66 $65,777 $10,795 $7,950 – $16,269
Georgia 21 $53,616 $15,038 $8,188 – $27,451
Hawaii 1 $47,448 $18,093 –
Idaho 4 $41,557 $10,274 $8,431 – $11,733
Illinois 37 $42,360 $12,334 $8,827 – $23,128
Indiana 14 $38,362 $10,827 $8,920 – $14,528
Iowa 5 $43,792 $10,910 $8,915 – $14,618
Kansas 7 $81,357 $11,842 $9,087 – $14,863
Kentucky 10 $43,444 $10,381 $8,649 – $15,930
Louisiana 6 $53,335 $9,970 $8,447 – $12,007
Maine 3 $40,330 $13,729 $11,578 – $14,293
Maryland 28 $31,984 $28,446 $11,172 – $50,258
Massachusetts 31 $34,877 $14,563 $9,560 – $31,151
Michigan 27 $32,720 $12,275 $8,638 – $18,773
Minnesota 10 $44,811 $13,490 $9,996 – $20,615
Mississippi 7 $37,699 $9,811 $8,396 – $15,059
Missouri 18 $38,972 $11,299 $8,804 – $15,656
Montana 3 $34,125 $11,018 $9,972 – $12,287
Nebraska 7 $40,741 $14,174 $8,996 – $21,454
Nevada 9 $108,519 $13,030 $11,269 – $17,054
New Hampshire 6 $46,179 $12,427 $9,297 – $17,582
New Jersey 36 $82,853 $13,770 $9,599 – $28,040
New Mexico 2 $26,020 $13,173 $10,560 – $15,633
New York 67 $85,405 $18,303 $11,281 – $61,596
North Carolina 23 $39,344 $12,987 $8,426 – $20,838
North Dakota 1 $30,809 $11,336 –
Ohio 35 $39,921 $11,524 $8,806 – $16,617
Oklahoma 9 $48,924 $10,150 $8,477 – $11,237
Oregon 7 $50,521 $15,589 $11,084 – $24,229
Pennsylvania 52 $61,982 $12,092 $8,567 – $19,252
Rhode Island 4 $34,606 $13,265 $10,436 – $15,862
South Carolina 16 $49,150 $12,327 $7,466 – $18,518
South Dakota 3 $52,365 $11,656 $10,706 – $13,443
Tennessee 14 $51,394 $12,157 $7,589 – $19,021
Texas 45 $74,018 $12,559 $8,782 – $54,002
Utah 3 $34,050 $13,253 $10,900 – $14,319
Vermont 1 $48,947 $11,490 –
Virginia 25 $43,790 $11,999 $8,497 – $26,039
Washington 21 $66,968 $13,556 $9,570 – $22,090
West Virginia 4 $36,013 $10,503 $8,386 – $12,442
Wisconsin 10 $47,838 $12,672 $8,601 – $21,161

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
New York-Presbyterian HospitalNew York, NY227$127,014$20,914
Adventhealth OrlandoOrlando, FL203$68,322$11,079
Johns Hopkins Bayview Medical CenterBaltimore, MD183$32,372$28,412
NYU Hospitals CenterNew York, NY162$123,763$21,982
Levindale Hebrew Geriatric Center and HospitalBaltimore, MD159$56,522$50,258
Sinai Hospital of BaltimoreBaltimore, MD151$34,693$30,652
Good Samaritan HospitalBaltimore, MD137$31,004$27,627
Lehigh Valley HospitalAllentown, PA130$71,030$12,845
Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD125$47,280$41,649
University HospitalStony Brook, NY116$120,738$17,900
Massachusetts General HospitalBoston, MA97$70,561$18,822
The Johns Hopkins HospitalBaltimore, MD96$36,732$32,392
Sarasota Memorial HospitalSarasota, FL93$44,188$9,882
Long Island Jewish Medical CenterNew Hyde Park, NY88$108,000$17,152
North Shore University HospitalManhasset, NY87$114,887$16,144

Questions

How much does degenerative nervous system disorders without major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for degenerative nervous system disorders without major complications (DRG 057) at 812 hospitals in the U.S. was billed at $58,474 on average, while the average total payment was $14,417, of which Medicare paid $11,625. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for degenerative nervous system disorders without major complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($28,446), New York ($18,303), California ($16,272) and lowest in Mississippi ($9,811), Louisiana ($9,970), Oklahoma ($10,150).

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 4.1 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.