facebook tracking Major head and neck procedures with complications cost: hospital prices by state (DRG 141)

Major head and neck procedures with complications

What 66 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major head and neck procedures with complications (DRG 141), from 2024 Medicare claims.

DRG 141 Inpatient 2024 Medicare data
Average charge $136,690 Hospital list price billed
Average payment $27,206 Medicare + patient + other payers
Medicare paid $19,833 Average per stay
Volume 1,174 Medicare hospital stays

Hospitals in the U.S. billed an average of $136,690 for major head and neck procedures with complications, about 5.0 times the average total payment of $27,206.

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 $27,206Billed $136,690

About 20¢ 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:

Advertisement

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

The Nebraska Methodist HospitalOmaha, NE$16,188
University of Kansas HospitalKansas City, KS$18,189
Trident Medical CenterCharleston, SC$19,113
University of Alabama HospitalBirmingham, AL$20,055
Baylor University Medical CenterDallas, TX$20,064
Sherman Oaks HospitalSherman Oaks, CA$21,508
Barnes Jewish HospitalSt Louis, MO$25,139
Cleveland Clinic - Main CampusCleveland, OH$26,168
Mayo ClinicJacksonville, FL$26,681
University of Washington Medical CtrSeattle, WA$26,715

Highest

University of Maryland Medical CenterBaltimore, MD$45,947
Stanford HospitalPalo Alto, CA$44,674
UCLA Medical CenterLos Angeles, CA$39,150
Univ of Michigan HospitalsAnn Arbor, MI$33,604
Adventhealth OrlandoOrlando, FL$33,141
Mayo Clinic - Saint Marys HospitalRochester, MN$32,230
University of California Davis Medical CenterSacramento, CA$31,874
OHSU Hospital and ClinicsPortland, OR$31,709
Emory University Hospital MidtownAtlanta, GA$30,996
Massachusetts Eye and Ear InfirmaryBoston, MA$30,436

Major head and neck 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 1 $104,634 $20,055 –
Arizona 1 $123,126 $28,295 –
Arkansas 2 $66,460 $17,292 $16,381 – $18,008
California 7 $239,515 $34,316 $21,508 – $44,674
Colorado 1 $126,434 $15,261 –
Connecticut 1 $85,151 $29,018 –
Florida 5 $168,714 $26,213 $15,363 – $33,141
Georgia 1 $139,996 $30,996 –
Illinois 4 $129,603 $34,917 $24,416 – $47,774
Indiana 1 $87,421 $16,732 –
Iowa 1 $120,269 $20,425 –
Kansas 1 $79,860 $18,189 –
Kentucky 2 $113,639 $17,999 $17,275 – $18,779
Maryland 2 $46,684 $42,451 $35,776 – $45,947
Massachusetts 3 $74,367 $31,048 $29,320 – $34,661
Michigan 1 $123,601 $33,604 –
Minnesota 1 $79,428 $32,230 –
Missouri 1 $83,612 $25,139 –
Nebraska 1 $52,150 $16,188 –
New Jersey 2 $106,389 $24,132 $22,176 – $26,088
New York 4 $154,884 $28,481 $18,353 – $32,455
North Carolina 3 $80,615 $24,480 $17,953 – $26,721
Ohio 1 $187,069 $26,168 –
Oklahoma 2 $186,052 $21,417 $18,565 – $24,529
Oregon 1 $148,428 $31,709 –
Pennsylvania 3 $190,231 $24,897 $20,531 – $26,882
South Carolina 2 $255,459 $21,870 $19,113 – $26,881
Tennessee 1 $136,559 $26,090 –
Texas 3 $112,044 $22,122 $20,064 – $28,002
Utah 1 $84,618 $25,343 –
Virginia 2 $105,080 $23,149 $17,601 – $26,963
Washington 2 $183,922 $28,022 $26,715 – $29,888
Wisconsin 2 $103,399 $26,976 $23,827 – $30,368

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Mayo Clinic - Saint Marys HospitalRochester, MN47$79,428$32,230
Massachusetts Eye and Ear InfirmaryBoston, MA37$71,316$30,436
Mayo Clinic HospitalPhoenix, AZ35$123,126$28,295
Barnes Jewish HospitalSt Louis, MO35$83,612$25,139
Thomas Jefferson University HospitalPhiladelphia, PA33$159,720$26,882
Mayo ClinicJacksonville, FL29$97,677$26,681
Adventhealth OrlandoOrlando, FL27$234,816$33,141
Baylor University Medical CenterDallas, TX27$66,925$20,064
University of Alabama HospitalBirmingham, AL24$104,634$20,055
Stanford HospitalPalo Alto, CA24$396,407$44,674
University of Kansas HospitalKansas City, KS24$79,860$18,189
The Nebraska Methodist HospitalOmaha, NE24$52,150$16,188
OHSU Hospital and ClinicsPortland, OR24$148,428$31,709
UCLA Medical CenterLos Angeles, CA22$182,503$39,150
Emory University Hospital MidtownAtlanta, GA22$139,996$30,996

Questions

How much does major head and neck procedures with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for major head and neck procedures with complications (DRG 141) at 66 hospitals in the U.S. was billed at $136,690 on average, while the average total payment was $27,206, of which Medicare paid $19,833. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for major head and neck procedures with complications?

Among states with at least three hospitals reporting, the average total payment was highest in Illinois ($34,917), California ($34,316), Massachusetts ($31,048) and lowest in Texas ($22,122), North Carolina ($24,480), Pennsylvania ($24,897).

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 5.0 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.