Nervous system neoplasms with major complications
What 288 hospitals in the U.S. charged and were paid for a Medicare hospital stay for nervous system neoplasms with major complications (DRG 054), from 2024 Medicare claims.
Average charge
$86,201
Hospital list price billed
Average payment
$16,778
Medicare + patient + other payers
Medicare paid
$12,396
Average per stay
Volume
5,366
Medicare hospital stays
Hospitals in the U.S. billed an average of $86,201 for nervous system neoplasms with major complications, about 5.1 times the average total payment of $16,778.
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 $16,778Billed $86,201
About 19¢ 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:
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
| St Vincent Medical Center/NorthSherwood, AR | $9,080 |
|---|---|
| Forrest General HospitalHattiesburg, MS | $9,186 |
| Huntsville HospitalHuntsville, AL | $10,037 |
| McLeod Regional Medical CenterFlorence, SC | $10,165 |
| Norton Healthcare PavilionLouisville, KY | $10,499 |
| Holmes Regional Medical CenterMelbourne, FL | $10,647 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $11,369 |
| Baptist Medical CenterJacksonville, FL | $11,400 |
| St Joseph's HospitalTampa, FL | $11,440 |
| Morton Plant HospitalClearwater, FL | $11,549 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $39,198 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $37,374 |
| Stanford HospitalPalo Alto, CA | $34,790 |
| University of California San Diego Medical CenterSan Diego, CA | $32,385 |
| New York-Presbyterian HospitalNew York, NY | $30,732 |
| NYU Hospitals CenterNew York, NY | $29,183 |
| UCSF Medical CenterSan Francisco, CA | $28,055 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $27,966 |
| Hospital of the Univ of PaPhiladelphia, PA | $27,515 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $26,310 |
Nervous system neoplasms with 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 | 2 | $70,690 | $14,684 | $10,037 – $18,795 |
| Alaska | 1 | $95,956 | $16,207 | – |
| Arizona | 8 | $60,558 | $14,473 | $11,031 – $18,175 |
| Arkansas | 2 | $37,116 | $9,942 | $9,080 – $11,904 |
| California | 28 | $159,022 | $21,048 | $12,564 – $34,790 |
| Colorado | 3 | $177,201 | $15,139 | $10,508 – $19,604 |
| Connecticut | 3 | $69,447 | $19,968 | $15,567 – $22,316 |
| Delaware | 2 | $59,754 | $15,693 | $14,056 – $16,347 |
| Florida | 21 | $76,669 | $12,472 | $7,169 – $19,006 |
| Georgia | 8 | $70,214 | $16,721 | $12,643 – $26,590 |
| Illinois | 13 | $71,227 | $16,129 | $9,622 – $25,168 |
| Indiana | 6 | $51,857 | $12,467 | $10,404 – $14,800 |
| Iowa | 2 | $92,884 | $16,678 | $11,967 – $18,349 |
| Kansas | 4 | $96,141 | $13,945 | $10,012 – $15,661 |
| Kentucky | 5 | $61,435 | $12,559 | $9,276 – $18,129 |
| Louisiana | 1 | $64,160 | $13,516 | – |
| Maine | 1 | $61,779 | $16,203 | – |
| Maryland | 5 | $36,739 | $32,224 | $18,521 – $48,744 |
| Massachusetts | 8 | $62,303 | $20,835 | $12,893 – $25,490 |
| Michigan | 6 | $55,343 | $15,754 | $10,430 – $20,678 |
| Minnesota | 5 | $50,781 | $16,428 | $10,332 – $25,956 |
| Mississippi | 3 | $38,629 | $10,097 | $9,186 – $10,917 |
| Missouri | 7 | $75,137 | $22,086 | $10,594 – $39,198 |
| Nebraska | 1 | $51,342 | $17,939 | – |
| Nevada | 2 | $123,573 | $20,556 | $13,043 – $25,783 |
| New Hampshire | 1 | $48,883 | $18,707 | – |
| New Jersey | 15 | $109,070 | $15,549 | $9,688 – $20,790 |
| New Mexico | 1 | $31,739 | $11,850 | – |
| New York | 20 | $146,359 | $22,543 | $14,438 – $31,494 |
| North Carolina | 9 | $44,484 | $15,169 | $10,185 – $19,520 |
| North Dakota | 1 | $45,161 | $11,256 | – |
| Ohio | 9 | $66,703 | $14,498 | $11,821 – $20,003 |
| Oklahoma | 4 | $71,998 | $13,288 | $10,874 – $17,891 |
| Oregon | 2 | $50,567 | $15,432 | $14,493 – $16,370 |
| Pennsylvania | 16 | $107,499 | $16,539 | $11,125 – $27,515 |
| Rhode Island | 1 | $45,250 | $16,200 | – |
| South Carolina | 6 | $60,459 | $14,725 | $10,165 – $23,624 |
| South Dakota | 3 | $51,906 | $13,703 | $11,869 – $17,418 |
| Tennessee | 9 | $74,707 | $14,280 | $9,447 – $21,298 |
| Texas | 18 | $78,149 | $13,303 | $8,443 – $17,787 |
| Utah | 1 | $56,890 | $16,706 | – |
| Vermont | 1 | $51,807 | $10,817 | – |
| Virginia | 12 | $52,081 | $14,341 | $9,802 – $24,056 |
| Washington | 4 | $67,300 | $17,776 | $14,159 – $21,373 |
| West Virginia | 2 | $54,601 | $13,837 | $12,680 – $14,633 |
| Wisconsin | 4 | $88,680 | $19,336 | $11,054 – $27,966 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 61 | $247,664 | $30,732 |
| University of Kansas HospitalKansas City, KS | 50 | $82,387 | $14,899 |
| UPMC Presbyterian ShadysidePittsburgh, PA | 49 | $156,528 | $17,298 |
| Brigham and Women's HosptialBoston, MA | 46 | $113,787 | $25,490 |
| NYU Hospitals CenterNew York, NY | 45 | $231,223 | $29,183 |
| Massachusetts General HospitalBoston, MA | 43 | $68,890 | $20,258 |
| Barnes Jewish HospitalSt Louis, MO | 43 | $113,220 | $39,198 |
| UT Southwestern University HospitalDallas, TX | 42 | $48,744 | $16,085 |
| Riverside Methodist HospitalColumbus, OH | 41 | $50,780 | $13,228 |
| Christiana Care Health Services, INC.Newark, DE | 40 | $63,478 | $16,347 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 37 | $41,193 | $11,554 |
| Inova Fairfax HospitalFalls Church, VA | 37 | $39,645 | $15,648 |
| Adventhealth OrlandoOrlando, FL | 36 | $138,549 | $19,006 |
| Duke University Medical CenterDurham, NC | 36 | $51,522 | $18,560 |
| The Johns Hopkins HospitalBaltimore, MD | 35 | $43,969 | $37,374 |
Questions
How much does nervous system neoplasms with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for nervous system neoplasms with major complications (DRG 054) at 288 hospitals in the U.S. was billed at $86,201 on average, while the average total payment was $16,778, of which Medicare paid $12,396. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for nervous system neoplasms with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($32,224), New York ($22,543), Missouri ($22,086) and lowest in Mississippi ($10,097), Indiana ($12,467), Florida ($12,472).
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 5.1 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.