Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
What 32 hospitals in the U.S. charged and were paid for a Medicare hospital stay for ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit (DRG 061), from 2024 Medicare claims.
Average charge
$181,944
Hospital list price billed
Average payment
$28,896
Medicare + patient + other payers
Medicare paid
$23,511
Average per stay
Volume
426
Medicare hospital stays
Hospitals in the U.S. billed an average of $181,944 for ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit, about 6.3 times the average total payment of $28,896.
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 $28,896Billed $181,944
About 16¢ 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:
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit 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 |
|---|---|---|---|---|
| California | 3 | $334,096 | $33,460 | $28,354 – $39,034 |
| Connecticut | 1 | $115,531 | $38,049 | – |
| Delaware | 1 | $97,769 | $26,800 | – |
| Florida | 5 | $210,138 | $22,310 | $19,456 – $24,323 |
| Hawaii | 1 | $132,977 | $34,622 | – |
| Illinois | 1 | $149,815 | $37,048 | – |
| Maryland | 1 | $44,644 | $39,381 | – |
| Michigan | 1 | $74,776 | $24,137 | – |
| New Jersey | 4 | $163,236 | $31,667 | $24,457 – $39,632 |
| New Mexico | 1 | $77,651 | $32,122 | – |
| New York | 1 | $267,223 | $37,407 | – |
| North Carolina | 1 | $85,887 | $23,353 | – |
| Oklahoma | 1 | $143,436 | $21,217 | – |
| Oregon | 1 | $109,088 | $60,602 | – |
| Rhode Island | 1 | $90,407 | $31,106 | – |
| Tennessee | 2 | $237,446 | $20,824 | $19,999 – $21,724 |
| Texas | 5 | $243,229 | $23,216 | $20,096 – $27,507 |
| Virginia | 1 | $84,642 | $26,017 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 20 | $273,625 | $23,727 |
| New York-Presbyterian HospitalNew York, NY | 19 | $267,223 | $37,407 |
| Christiana Care Health Services, INC.Newark, DE | 18 | $97,769 | $26,800 |
| Hackensack University Medical CenterHackensack, NJ | 17 | $190,288 | $39,632 |
| Ocala Regional Medical CenterOcala, FL | 15 | $278,751 | $22,890 |
| New Hanover Regional Medical CenterWilmington, NC | 15 | $85,887 | $23,353 |
| Inova Fairfax HospitalFalls Church, VA | 15 | $84,642 | $26,017 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 14 | $140,650 | $19,456 |
| The Queens Medical CenterHonolulu, HI | 14 | $132,977 | $34,622 |
| Shady Grove Adventist HospitalRockville, MD | 14 | $44,644 | $39,381 |
| Jersey Shore University Medical CenterNeptune City, NJ | 14 | $152,016 | $30,143 |
| Methodist HospitalSan Antonio, TX | 14 | $207,322 | $20,498 |
| Kingwood Medical CenterKingwood, TX | 14 | $398,757 | $26,830 |
| Eden Medical CenterCastro Valley, CA | 13 | $213,114 | $39,034 |
| Saint Francis Medical CenterPeoria, IL | 13 | $149,815 | $37,048 |
Questions
How much does ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit cost in the U.S.?
In 2024 Medicare data, a hospital stay for ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit (DRG 061) at 32 hospitals in the U.S. was billed at $181,944 on average, while the average total payment was $28,896, of which Medicare paid $23,511. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit?
Among states with at least three hospitals reporting, the average total payment was highest in California ($33,460), New Jersey ($31,667), Texas ($23,216) and lowest in Florida ($22,310), Texas ($23,216), New Jersey ($31,667).
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 6.3 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.