Peripheral, cranial nerve and other nervous system procedures with major complications
What 58 hospitals in the U.S. charged and were paid for a Medicare hospital stay for peripheral, cranial nerve and other nervous system procedures with major complications (DRG 040), from 2024 Medicare claims.
Average charge
$216,064
Hospital list price billed
Average payment
$41,616
Medicare + patient + other payers
Medicare paid
$33,805
Average per stay
Volume
879
Medicare hospital stays
Hospitals in the U.S. billed an average of $216,064 for peripheral, cranial nerve and other nervous system procedures with major complications, about 5.2 times the average total payment of $41,616.
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 $41,616Billed $216,064
About 19¢ 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
| White Plains Hospital CtrWhite Plains, NY | $33,365 |
|---|---|
| Scott & White Memorial HospitalTemple, TX | $35,556 |
| Yale-New Haven HospitalNew Haven, CT | $46,750 |
| NYU Hospitals CenterNew York, NY | $54,801 |
| New York-Presbyterian HospitalNew York, NY | $58,057 |
Highest
| New York-Presbyterian HospitalNew York, NY | $58,057 |
|---|---|
| NYU Hospitals CenterNew York, NY | $54,801 |
| Yale-New Haven HospitalNew Haven, CT | $46,750 |
| Scott & White Memorial HospitalTemple, TX | $35,556 |
| White Plains Hospital CtrWhite Plains, NY | $33,365 |
Peripheral, cranial nerve and other nervous system procedures 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 |
|---|---|---|---|---|
| Arizona | 1 | $146,004 | $42,490 | – |
| California | 2 | $520,367 | $73,618 | $69,476 – $76,380 |
| Connecticut | 1 | $141,096 | $46,750 | – |
| Florida | 6 | $231,427 | $30,439 | $24,045 – $38,212 |
| Georgia | 1 | $249,628 | $85,005 | – |
| Kansas | 1 | $106,208 | $25,064 | – |
| Kentucky | 1 | $186,670 | $28,596 | – |
| Massachusetts | 2 | $264,588 | $63,176 | $53,012 – $72,663 |
| Minnesota | 1 | $188,489 | $67,960 | – |
| Mississippi | 1 | $140,187 | $24,549 | – |
| Missouri | 2 | $115,708 | $38,650 | $38,183 – $39,118 |
| Nebraska | 1 | $133,429 | $37,377 | – |
| Nevada | 2 | $448,829 | $38,116 | $37,588 – $38,692 |
| New Jersey | 1 | $233,968 | $43,216 | – |
| New York | 13 | $249,764 | $47,010 | $32,462 – $60,479 |
| North Carolina | 2 | $133,908 | $38,906 | $24,663 – $48,122 |
| North Dakota | 1 | $93,662 | $29,225 | – |
| Ohio | 3 | $184,199 | $35,123 | $27,446 – $39,288 |
| Oklahoma | 1 | $101,825 | $26,105 | – |
| Pennsylvania | 6 | $181,779 | $37,444 | $29,658 – $45,349 |
| South Carolina | 3 | $169,170 | $29,113 | $26,430 – $34,027 |
| Tennessee | 1 | $139,935 | $26,482 | – |
| Texas | 3 | $207,606 | $41,129 | $35,556 – $54,457 |
| Virginia | 1 | $86,223 | $31,821 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 37 | $359,222 | $54,801 |
| New York-Presbyterian HospitalNew York, NY | 26 | $350,878 | $58,057 |
| Scott & White Memorial HospitalTemple, TX | 25 | $114,764 | $35,556 |
| Yale-New Haven HospitalNew Haven, CT | 22 | $141,096 | $46,750 |
| White Plains Hospital CtrWhite Plains, NY | 21 | $165,174 | $33,365 |
| Jersey Shore University Medical CenterNeptune City, NJ | 19 | $233,968 | $43,216 |
| North Shore University HospitalManhasset, NY | 19 | $273,872 | $41,589 |
| Sanford Medical Center FargoFargo, ND | 19 | $93,662 | $29,225 |
| Stanford HospitalPalo Alto, CA | 18 | $588,837 | $76,380 |
| Adventhealth OrlandoOrlando, FL | 18 | $246,479 | $34,568 |
| Baptist Medical CenterJacksonville, FL | 17 | $122,749 | $29,001 |
| Mississippi Baptist Medical CenterJackson, MS | 17 | $140,187 | $24,549 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 17 | $243,779 | $56,226 |
| Good Samaritan Hospital Medical CenterWest Islip, NY | 17 | $211,782 | $34,071 |
| ECU Health Medical CenterGreenville, NC | 17 | $135,957 | $48,122 |
Questions
How much does peripheral, cranial nerve and other nervous system procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for peripheral, cranial nerve and other nervous system procedures with major complications (DRG 040) at 58 hospitals in the U.S. was billed at $216,064 on average, while the average total payment was $41,616, of which Medicare paid $33,805. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for peripheral, cranial nerve and other nervous system procedures with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($47,010), Texas ($41,129), Pennsylvania ($37,444) and lowest in South Carolina ($29,113), Florida ($30,439), Ohio ($35,123).
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 5.2 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.