Precerebral occlusion without infarction without major complications
What 38 hospitals in the U.S. charged and were paid for a Medicare hospital stay for precerebral occlusion without infarction without major complications (DRG 068), from 2024 Medicare claims.
Average charge
$60,333
Hospital list price billed
Average payment
$8,821
Medicare + patient + other payers
Medicare paid
$6,398
Average per stay
Volume
549
Medicare hospital stays
Hospitals in the U.S. billed an average of $60,333 for precerebral occlusion without infarction without major complications, about 6.8 times the average total payment of $8,821.
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 $8,821Billed $60,333
About 15¢ was paid for every $1 hospitals in the U.S. billed for this stay.
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
| Baptist Memorial HospitalMemphis, TN | $6,635 |
|---|---|
| Methodist HospitalSan Antonio, TX | $7,347 |
| Adventhealth OrlandoOrlando, FL | $7,692 |
| Jefferson Stratford HospitalCherry Hill, NJ | $8,596 |
| Mercy St Vincent Medical CenterToledo, OH | $8,868 |
| Good Samaritan Hospital Medical CenterWest Islip, NY | $10,874 |
| South Brooklyn HealthBrooklyn, NY | $15,956 |
Highest
| South Brooklyn HealthBrooklyn, NY | $15,956 |
|---|---|
| Good Samaritan Hospital Medical CenterWest Islip, NY | $10,874 |
| Mercy St Vincent Medical CenterToledo, OH | $8,868 |
| Jefferson Stratford HospitalCherry Hill, NJ | $8,596 |
| Adventhealth OrlandoOrlando, FL | $7,692 |
| Methodist HospitalSan Antonio, TX | $7,347 |
| Baptist Memorial HospitalMemphis, TN | $6,635 |
Precerebral occlusion without infarction without 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 | 1 | $49,966 | $7,113 | – |
| California | 1 | $153,349 | $11,716 | – |
| Florida | 5 | $80,293 | $7,704 | $7,012 – $8,380 |
| Georgia | 1 | $21,669 | $8,232 | – |
| Kentucky | 1 | $34,117 | $6,666 | – |
| Maryland | 1 | $10,387 | $9,284 | – |
| Massachusetts | 2 | $40,608 | $10,477 | $9,870 – $11,041 |
| Michigan | 1 | $32,769 | $7,957 | – |
| New Jersey | 1 | $69,700 | $8,596 | – |
| New York | 7 | $59,531 | $11,625 | $9,674 – $15,956 |
| North Carolina | 1 | $25,988 | $7,358 | – |
| Ohio | 2 | $53,821 | $8,121 | $7,335 – $8,868 |
| Oklahoma | 1 | $31,295 | $7,929 | – |
| Pennsylvania | 3 | $56,196 | $9,533 | $7,561 – $10,976 |
| South Carolina | 1 | $38,136 | $7,319 | – |
| Tennessee | 1 | $46,157 | $6,635 | – |
| Texas | 5 | $84,401 | $7,601 | $6,565 – $8,536 |
| Virginia | 2 | $35,275 | $6,743 | $6,742 – $6,744 |
| Washington | 1 | $46,417 | $9,250 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Good Samaritan Hospital Medical CenterWest Islip, NY | 27 | $67,887 | $10,874 |
| Methodist HospitalSan Antonio, TX | 26 | $82,533 | $7,347 |
| Baptist Memorial HospitalMemphis, TN | 22 | $46,157 | $6,635 |
| Adventhealth OrlandoOrlando, FL | 20 | $94,912 | $7,692 |
| Jefferson Stratford HospitalCherry Hill, NJ | 20 | $69,700 | $8,596 |
| South Brooklyn HealthBrooklyn, NY | 20 | $42,521 | $15,956 |
| Mercy St Vincent Medical CenterToledo, OH | 20 | $60,302 | $8,868 |
| Toledo Hospital theToledo, OH | 19 | $46,999 | $7,335 |
| York HospitalYork, PA | 19 | $47,578 | $10,976 |
| Ocala Regional Medical CenterOcala, FL | 18 | $96,602 | $7,649 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 17 | $50,336 | $7,012 |
| North Florida Regional Medical CenterGainesville, FL | 14 | $90,324 | $8,100 |
| Brigham and Women's HosptialBoston, MA | 14 | $62,772 | $11,041 |
| Plaza Medical Center of Fort WorthFort Worth, TX | 14 | $70,990 | $8,225 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 13 | $153,349 | $11,716 |
Questions
How much does precerebral occlusion without infarction without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for precerebral occlusion without infarction without major complications (DRG 068) at 38 hospitals in the U.S. was billed at $60,333 on average, while the average total payment was $8,821, of which Medicare paid $6,398. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for precerebral occlusion without infarction without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($11,625), Pennsylvania ($9,533), Florida ($7,704) and lowest in Texas ($7,601), Florida ($7,704), Pennsylvania ($9,533).
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 6.8 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.