Extracranial procedures with complications
What 210 hospitals in the U.S. charged and were paid for a Medicare hospital stay for extracranial procedures with complications (DRG 038), from 2024 Medicare claims.
Average charge
$80,586
Hospital list price billed
Average payment
$14,903
Medicare + patient + other payers
Medicare paid
$12,004
Average per stay
Volume
3,458
Medicare hospital stays
Hospitals in the U.S. billed an average of $80,586 for extracranial procedures with complications, about 5.4 times the average total payment of $14,903.
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 $14,903Billed $80,586
About 18¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| Mississippi Baptist Medical CenterJackson, MS | $10,368 |
|---|---|
| Oklahoma Heart HospitalOklahoma City, OK | $10,441 |
| Baylor Scott and White Medical Center McKinneyMc Kinney, TX | $11,036 |
| Our Lady of Lourdes Regional Medical Center, INCLafayette, LA | $11,203 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $11,503 |
| Indian River Medical CenterVero Beach, FL | $11,596 |
| Holmes Regional Medical CenterMelbourne, FL | $11,794 |
| Bryan Medical CenterLincoln, NE | $11,796 |
| North Mississippi Medical CenterTupelo, MS | $11,800 |
| Trinity Mother Frances SystTyler, TX | $11,809 |
Highest
| New York-Presbyterian HospitalNew York, NY | $23,082 |
|---|---|
| Umass Memorial Medical Center INCWorcester, MA | $21,861 |
| NYU Hospitals CenterNew York, NY | $21,422 |
| Sutter General HospitalSacramento, CA | $20,868 |
| Beth Israel Deaconess Medical CenterBoston, MA | $20,088 |
| Massachusetts General HospitalBoston, MA | $19,771 |
| Baystate Medical CenterSpringfield, MA | $19,581 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $19,509 |
| Adventhealth OrlandoOrlando, FL | $18,529 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $18,114 |
Extracranial procedures with 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 | 4 | $119,772 | $12,388 | $11,166 – $14,769 |
| Arizona | 4 | $79,482 | $14,017 | $12,339 – $16,989 |
| Arkansas | 2 | $74,287 | $11,728 | $11,050 – $12,529 |
| California | 12 | $136,616 | $18,833 | $15,397 – $24,937 |
| Colorado | 2 | $103,630 | $12,925 | $12,500 – $13,350 |
| Connecticut | 1 | $74,398 | $20,053 | – |
| Delaware | 1 | $63,200 | $17,391 | – |
| Florida | 13 | $96,101 | $13,782 | $11,531 – $20,363 |
| Georgia | 8 | $97,487 | $14,519 | $11,768 – $17,260 |
| Idaho | 1 | $50,695 | $13,856 | – |
| Illinois | 10 | $82,662 | $13,659 | $10,799 – $21,092 |
| Indiana | 6 | $64,574 | $13,658 | $11,991 – $15,152 |
| Iowa | 1 | $51,566 | $11,503 | – |
| Kansas | 5 | $62,253 | $13,527 | $10,122 – $16,326 |
| Kentucky | 3 | $61,393 | $14,061 | $11,650 – $16,044 |
| Louisiana | 4 | $81,142 | $12,606 | $10,458 – $15,403 |
| Maine | 1 | $54,259 | $14,333 | – |
| Maryland | 7 | $21,401 | $19,351 | $11,105 – $31,130 |
| Massachusetts | 8 | $77,006 | $19,293 | $16,821 – $21,861 |
| Michigan | 4 | $53,428 | $14,171 | $13,166 – $15,041 |
| Minnesota | 7 | $56,485 | $15,080 | $12,704 – $18,114 |
| Mississippi | 4 | $49,401 | $11,705 | $10,368 – $14,356 |
| Missouri | 9 | $80,461 | $13,509 | $9,997 – $16,665 |
| Montana | 1 | $57,702 | $15,092 | – |
| Nebraska | 3 | $41,219 | $11,483 | $10,312 – $11,859 |
| Nevada | 1 | $60,435 | $14,846 | – |
| New Hampshire | 2 | $98,475 | $15,861 | $13,235 – $18,705 |
| New Jersey | 5 | $82,825 | $16,302 | $14,386 – $20,020 |
| New York | 10 | $101,655 | $19,740 | $14,314 – $26,674 |
| North Carolina | 6 | $61,744 | $13,808 | $11,725 – $16,788 |
| North Dakota | 2 | $60,208 | $13,143 | $12,991 – $13,405 |
| Ohio | 9 | $84,292 | $13,752 | $10,006 – $16,390 |
| Oklahoma | 6 | $64,671 | $12,099 | $10,354 – $14,170 |
| Oregon | 1 | $54,461 | $15,388 | – |
| Pennsylvania | 5 | $119,854 | $16,551 | $12,499 – $20,603 |
| South Carolina | 4 | $101,179 | $13,473 | $11,541 – $15,401 |
| South Dakota | 2 | $78,724 | $14,631 | $11,033 – $19,210 |
| Tennessee | 3 | $76,389 | $14,405 | $11,931 – $19,506 |
| Texas | 12 | $95,085 | $13,660 | $11,036 – $21,123 |
| Utah | 1 | $46,924 | $12,920 | – |
| Vermont | 1 | $49,433 | $10,387 | – |
| Virginia | 5 | $55,745 | $15,394 | $12,849 – $20,953 |
| Washington | 4 | $87,052 | $15,170 | $13,855 – $16,254 |
| West Virginia | 2 | $82,208 | $12,033 | $11,371 – $12,696 |
| Wisconsin | 8 | $50,528 | $14,163 | $12,220 – $17,080 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 48 | $157,938 | $21,422 |
| Morristown Memorial HospitalMorristown, NJ | 46 | $59,260 | $15,513 |
| Bryan Medical CenterLincoln, NE | 39 | $42,274 | $11,796 |
| Massachusetts General HospitalBoston, MA | 38 | $122,094 | $19,771 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 37 | $58,222 | $18,114 |
| Northeast Georgia Medical Center, INCGainesville, GA | 32 | $85,483 | $15,559 |
| Indian River Medical CenterVero Beach, FL | 29 | $46,250 | $11,596 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 28 | $196,483 | $19,509 |
| Adventhealth OrlandoOrlando, FL | 28 | $122,860 | $18,529 |
| Wellstar Kennestone HospitalMarietta, GA | 28 | $112,356 | $15,369 |
| North Mississippi Medical CenterTupelo, MS | 28 | $44,758 | $11,800 |
| Southeast Alabama Medical CenterDothan, AL | 27 | $111,319 | $12,184 |
| New York-Presbyterian HospitalNew York, NY | 27 | $123,389 | $23,082 |
| Hendrick Health SystemAbilene, TX | 27 | $139,031 | $12,324 |
| Luther Hospital Mayo Health SystemEau Claire, WI | 27 | $40,107 | $12,319 |
Questions
How much does extracranial procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for extracranial procedures with complications (DRG 038) at 210 hospitals in the U.S. was billed at $80,586 on average, while the average total payment was $14,903, of which Medicare paid $12,004. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for extracranial procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($19,740), Maryland ($19,351), Massachusetts ($19,293) and lowest in Nebraska ($11,483), Mississippi ($11,705), Oklahoma ($12,099).
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 5.4 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.