Headaches without major complications
What 110 hospitals in the U.S. charged and were paid for a Medicare hospital stay for headaches without major complications (DRG 103), from 2024 Medicare claims.
Average charge
$55,031
Hospital list price billed
Average payment
$10,322
Medicare + patient + other payers
Medicare paid
$5,895
Average per stay
Volume
2,179
Medicare hospital stays
Hospitals in the U.S. billed an average of $55,031 for headaches without major complications, about 5.3 times the average total payment of $10,322.
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.
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
| Norton Healthcare PavilionLouisville, KY | $6,313 |
|---|---|
| Sarasota Memorial HospitalSarasota, FL | $6,910 |
| Abington Memorial HospitalAbington, PA | $7,191 |
| Baptist Medical CenterSan Antonio, TX | $7,428 |
| Cjw Medical CenterRichmond, VA | $7,466 |
| Methodist HospitalSan Antonio, TX | $7,548 |
| Miami Valley HospitalDayton, OH | $7,618 |
| Baptist Medical CenterJacksonville, FL | $7,630 |
| Lehigh Valley HospitalAllentown, PA | $7,745 |
| North Florida Regional Medical CenterGainesville, FL | $7,855 |
Highest
| Saint Joseph HospitalChicago, IL | $18,759 |
|---|---|
| Montefiore Medical CenterBronx, NY | $13,516 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $12,769 |
| New York-Presbyterian HospitalNew York, NY | $12,655 |
| University of Kansas HospitalKansas City, KS | $12,080 |
| NYU Hospitals CenterNew York, NY | $11,548 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $11,210 |
| Adventhealth OrlandoOrlando, FL | $9,949 |
| Tampa General HospitalTampa, FL | $9,514 |
| Christiana Care Health Services, INC.Newark, DE | $9,037 |
Headaches 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 |
|---|---|---|---|---|
| Arizona | 3 | $46,312 | $8,170 | $6,878 – $11,049 |
| California | 9 | $98,865 | $14,050 | $8,282 – $35,349 |
| Colorado | 1 | $90,281 | $7,110 | – |
| Delaware | 1 | $32,528 | $9,037 | – |
| Florida | 13 | $58,705 | $8,062 | $5,823 – $9,949 |
| Illinois | 7 | $55,913 | $16,506 | $7,410 – $18,759 |
| Indiana | 1 | $27,105 | $8,043 | – |
| Kansas | 2 | $82,029 | $10,163 | $7,540 – $12,080 |
| Kentucky | 1 | $29,976 | $6,313 | – |
| Louisiana | 1 | $24,438 | $5,794 | – |
| Maryland | 3 | $13,078 | $12,115 | $8,342 – $15,799 |
| Massachusetts | 5 | $23,665 | $8,413 | $7,238 – $11,455 |
| Michigan | 4 | $29,073 | $9,530 | $8,397 – $11,162 |
| Mississippi | 1 | $24,206 | $6,740 | – |
| Missouri | 4 | $38,357 | $9,218 | $8,148 – $11,171 |
| Nevada | 4 | $114,395 | $8,482 | $7,299 – $9,374 |
| New Jersey | 3 | $65,003 | $11,277 | $10,476 – $13,066 |
| New York | 7 | $75,239 | $11,079 | $7,832 – $13,516 |
| North Carolina | 4 | $32,182 | $8,332 | $7,132 – $10,044 |
| North Dakota | 1 | $22,954 | $8,933 | – |
| Ohio | 4 | $34,252 | $8,743 | $7,618 – $10,821 |
| Oklahoma | 1 | $24,520 | $8,155 | – |
| Pennsylvania | 11 | $47,728 | $10,347 | $5,999 – $12,769 |
| South Carolina | 1 | $68,504 | $8,001 | – |
| Tennessee | 2 | $39,804 | $9,310 | $6,601 – $12,018 |
| Texas | 10 | $70,205 | $8,312 | $7,069 – $11,899 |
| Virginia | 5 | $42,542 | $7,096 | $6,307 – $7,466 |
| West Virginia | 1 | $23,413 | $8,533 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Saint Joseph HospitalChicago, IL | 201 | $62,670 | $18,759 |
| Thomas Jefferson University HospitalPhiladelphia, PA | 192 | $45,306 | $12,769 |
| Adventhealth OrlandoOrlando, FL | 64 | $64,910 | $9,949 |
| Lehigh Valley HospitalAllentown, PA | 46 | $54,190 | $7,745 |
| Sarasota Memorial HospitalSarasota, FL | 43 | $43,047 | $6,910 |
| Abington Memorial HospitalAbington, PA | 37 | $25,319 | $7,191 |
| Methodist HospitalSan Antonio, TX | 37 | $72,102 | $7,548 |
| Christiana Care Health Services, INC.Newark, DE | 31 | $32,528 | $9,037 |
| New York-Presbyterian HospitalNew York, NY | 31 | $75,866 | $12,655 |
| Baptist Medical CenterSan Antonio, TX | 29 | $78,696 | $7,428 |
| Tampa General HospitalTampa, FL | 28 | $54,647 | $9,514 |
| University of Kansas HospitalKansas City, KS | 26 | $55,755 | $12,080 |
| North Florida Regional Medical CenterGainesville, FL | 25 | $102,081 | $7,855 |
| Norton Healthcare PavilionLouisville, KY | 25 | $29,976 | $6,313 |
| Miami Valley HospitalDayton, OH | 25 | $32,966 | $7,618 |
Questions
How much does headaches without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for headaches without major complications (DRG 103) at 110 hospitals in the U.S. was billed at $55,031 on average, while the average total payment was $10,322, of which Medicare paid $5,895. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for headaches without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Illinois ($16,506), California ($14,050), Maryland ($12,115) and lowest in Virginia ($7,096), Florida ($8,062), Arizona ($8,170).
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 5.3 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.