Other disorders of nervous system with major complications
What 497 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other disorders of nervous system with major complications (DRG 091), from 2024 Medicare claims.
Average charge
$89,350
Hospital list price billed
Average payment
$18,533
Medicare + patient + other payers
Medicare paid
$15,161
Average per stay
Volume
9,790
Medicare hospital stays
Hospitals in the U.S. billed an average of $89,350 for other disorders of nervous system with major complications, about 4.8 times the average total payment of $18,533.
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 $18,533Billed $89,350
About 21¢ 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
| Houston Methodist the Woodlands HospitalThe Woodlands, TX | $11,235 |
|---|---|
| Parkwest Medical CenterKnoxville, TN | $11,251 |
| Memorial Healthcare System, INCChattanooga, TN | $11,384 |
| Baton Rouge General Medical CenterBaton Rouge, LA | $11,546 |
| Forrest General HospitalHattiesburg, MS | $11,810 |
| Mississippi Baptist Medical CenterJackson, MS | $11,869 |
| Norton Healthcare PavilionLouisville, KY | $12,018 |
| Saint Francis Hospital, INCTulsa, OK | $12,149 |
| Huntsville HospitalHuntsville, AL | $12,398 |
| Methodist Sugar Land HospitalSugar Land, TX | $12,415 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $59,100 |
|---|---|
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | $51,715 |
| Stanford HospitalPalo Alto, CA | $40,946 |
| Sinai Hospital of BaltimoreBaltimore, MD | $39,885 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $36,144 |
| UCLA Medical CenterLos Angeles, CA | $35,385 |
| New York-Presbyterian HospitalNew York, NY | $34,145 |
| North Shore University HospitalManhasset, NY | $33,649 |
| UCSF Medical CenterSan Francisco, CA | $32,781 |
| Montefiore Medical CenterBronx, NY | $32,595 |
Other disorders of nervous system 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 | 6 | $82,496 | $15,363 | $10,638 – $27,719 |
| Alaska | 1 | $135,721 | $16,947 | – |
| Arizona | 8 | $80,609 | $17,943 | $11,771 – $26,114 |
| Arkansas | 3 | $44,633 | $11,787 | $10,866 – $12,460 |
| California | 54 | $136,489 | $22,572 | $15,537 – $53,488 |
| Colorado | 4 | $152,746 | $17,837 | $13,002 – $27,545 |
| Connecticut | 6 | $86,108 | $21,936 | $17,234 – $27,062 |
| Delaware | 1 | $48,504 | $17,393 | – |
| Florida | 37 | $103,151 | $14,908 | $9,645 – $20,606 |
| Georgia | 16 | $83,060 | $18,960 | $13,297 – $34,066 |
| Hawaii | 1 | $189,432 | $48,263 | – |
| Idaho | 3 | $66,769 | $14,683 | $11,993 – $17,712 |
| Illinois | 26 | $75,663 | $18,055 | $11,647 – $29,023 |
| Indiana | 13 | $57,585 | $14,588 | $12,084 – $20,669 |
| Iowa | 3 | $69,984 | $14,880 | $12,964 – $18,804 |
| Kansas | 5 | $111,215 | $15,069 | $10,868 – $17,034 |
| Kentucky | 4 | $62,996 | $14,785 | $12,018 – $20,358 |
| Louisiana | 6 | $67,296 | $13,694 | $11,546 – $16,678 |
| Maine | 1 | $42,629 | $15,348 | – |
| Maryland | 12 | $36,560 | $32,453 | $13,673 – $51,715 |
| Massachusetts | 23 | $52,915 | $19,309 | $13,284 – $29,725 |
| Michigan | 17 | $50,785 | $16,430 | $12,807 – $23,234 |
| Minnesota | 11 | $67,276 | $21,593 | $12,976 – $36,144 |
| Mississippi | 7 | $43,591 | $11,971 | $10,067 – $13,504 |
| Missouri | 7 | $59,229 | $16,267 | $11,977 – $19,421 |
| Montana | 2 | $38,510 | $14,097 | $13,634 – $14,630 |
| Nebraska | 3 | $63,857 | $16,470 | $12,722 – $21,886 |
| Nevada | 7 | $120,378 | $15,657 | $12,450 – $19,548 |
| New Hampshire | 4 | $62,521 | $16,252 | $11,854 – $21,829 |
| New Jersey | 17 | $116,070 | $17,862 | $13,069 – $30,958 |
| New Mexico | 1 | $58,502 | $14,257 | – |
| New York | 30 | $135,404 | $24,611 | $14,366 – $34,145 |
| North Carolina | 15 | $59,081 | $18,505 | $12,568 – $28,600 |
| North Dakota | 1 | $49,363 | $16,444 | – |
| Ohio | 10 | $60,591 | $16,031 | $11,286 – $26,085 |
| Oklahoma | 6 | $65,588 | $14,535 | $12,055 – $20,392 |
| Oregon | 7 | $60,641 | $18,303 | $15,624 – $23,533 |
| Pennsylvania | 19 | $130,222 | $20,830 | $12,760 – $59,100 |
| Rhode Island | 2 | $56,925 | $17,067 | $15,600 – $19,023 |
| South Carolina | 10 | $84,168 | $16,883 | $10,552 – $27,831 |
| South Dakota | 3 | $74,358 | $15,483 | $14,164 – $17,936 |
| Tennessee | 14 | $62,118 | $15,353 | $11,251 – $29,835 |
| Texas | 31 | $100,192 | $15,006 | $11,235 – $25,179 |
| Utah | 4 | $58,848 | $17,535 | $13,960 – $21,021 |
| Vermont | 1 | $80,765 | $19,614 | – |
| Virginia | 17 | $56,704 | $16,632 | $10,467 – $32,230 |
| Washington | 9 | $79,177 | $19,713 | $14,024 – $28,884 |
| West Virginia | 1 | $49,684 | $13,278 | – |
| Wisconsin | 5 | $71,967 | $19,018 | $13,420 – $22,236 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 120 | $105,176 | $15,398 |
| New York-Presbyterian HospitalNew York, NY | 89 | $219,742 | $34,145 |
| NYU Hospitals CenterNew York, NY | 79 | $190,784 | $28,071 |
| Christiana Care Health Services, INC.Newark, DE | 66 | $48,504 | $17,393 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | 63 | $76,684 | $22,236 |
| Methodist Hospital,TheHouston, TX | 60 | $97,875 | $18,283 |
| Northwestern Memorial HospitalChicago, IL | 59 | $93,421 | $23,997 |
| Lehigh Valley HospitalAllentown, PA | 59 | $99,179 | $15,361 |
| Umd Rehabilitation & Orthopaedic InstituteBaltimore, MD | 55 | $58,630 | $51,715 |
| University of Kansas HospitalKansas City, KS | 53 | $98,365 | $17,034 |
| Methodist Sugar Land HospitalSugar Land, TX | 53 | $83,656 | $12,415 |
| Orlando Regional HealthcareOrlando, FL | 52 | $106,446 | $14,701 |
| Shands Hospital at the University of FloridaGainesville, FL | 52 | $90,568 | $20,606 |
| Centinela Hospital Medical CenterInglewood, CA | 51 | $68,405 | $18,866 |
| Massachusetts General HospitalBoston, MA | 49 | $114,291 | $27,602 |
Questions
How much does other disorders of nervous system with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other disorders of nervous system with major complications (DRG 091) at 497 hospitals in the U.S. was billed at $89,350 on average, while the average total payment was $18,533, of which Medicare paid $15,161. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other disorders of nervous system with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($32,453), New York ($24,611), California ($22,572) and lowest in Arkansas ($11,787), Mississippi ($11,971), Louisiana ($13,694).
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 4.8 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.