Traumatic stupor and coma <1 hour with major complications
What 256 hospitals in the U.S. charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085), from 2024 Medicare claims.
Average charge
$118,260
Hospital list price billed
Average payment
$22,150
Medicare + patient + other payers
Medicare paid
$18,599
Average per stay
Volume
4,544
Medicare hospital stays
Hospitals in the U.S. billed an average of $118,260 for traumatic stupor and coma <1 hour with major complications, about 5.3 times the average total payment of $22,150.
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 $22,150Billed $118,260
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
| Washington Regional Med CenterFayetteville, AR | $14,526 |
|---|---|
| Sarasota Memorial HospitalSarasota, FL | $14,548 |
| Adventhealth Daytona BeachDaytona Beach, FL | $14,979 |
| Baptist Health Medical Center-Little RockLittle Rock, AR | $15,131 |
| Baptist Memorial HospitalMemphis, TN | $15,676 |
| Delray Medical CenterDelray Beach, FL | $15,816 |
| Medical Center of PlanoPlano, TX | $15,827 |
| Lexington Medical CenterWest Columbia, SC | $15,900 |
| Texas Health Harris Methodist Fort WorthFort Worth, TX | $15,920 |
| Texas Health Presbyterian Hospital PlanoPlano, TX | $16,232 |
Highest
| New York-Presbyterian HospitalNew York, NY | $42,223 |
|---|---|
| Grady Memorial HospitalAtlanta, GA | $39,834 |
| UCI Health-OrangeOrange, CA | $39,804 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $33,043 |
| Regional One HealthMemphis, TN | $31,013 |
| The Queens Medical CenterHonolulu, HI | $30,459 |
| Massachusetts General HospitalBoston, MA | $29,136 |
| NYU Hospitals CenterNew York, NY | $29,064 |
| Cooper University HospitalCamden, NJ | $29,026 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $28,248 |
Traumatic stupor and coma <1 hour 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 | $99,192 | $17,446 | $14,176 – $20,989 |
| Arizona | 11 | $115,746 | $21,369 | $16,924 – $31,368 |
| Arkansas | 2 | $62,783 | $14,828 | $14,526 – $15,131 |
| California | 23 | $216,689 | $30,419 | $19,949 – $77,740 |
| Colorado | 2 | $177,496 | $15,772 | $15,762 – $15,778 |
| Connecticut | 3 | $85,614 | $24,857 | $23,383 – $26,788 |
| Delaware | 1 | $58,932 | $19,282 | – |
| Florida | 28 | $136,877 | $17,509 | $13,684 – $29,124 |
| Georgia | 5 | $131,843 | $25,509 | $15,340 – $39,834 |
| Hawaii | 1 | $135,056 | $30,459 | – |
| Idaho | 1 | $99,035 | $16,629 | – |
| Illinois | 15 | $83,943 | $20,631 | $14,262 – $32,075 |
| Indiana | 4 | $67,013 | $18,442 | $15,985 – $21,598 |
| Iowa | 1 | $57,544 | $15,499 | – |
| Kansas | 4 | $131,847 | $17,388 | $14,771 – $19,494 |
| Kentucky | 2 | $85,879 | $17,852 | $16,363 – $19,340 |
| Louisiana | 2 | $130,125 | $15,552 | $14,952 – $16,102 |
| Maine | 1 | $58,382 | $18,389 | – |
| Maryland | 4 | $38,383 | $33,697 | $21,263 – $55,823 |
| Massachusetts | 8 | $71,879 | $27,078 | $16,706 – $37,707 |
| Michigan | 4 | $51,132 | $17,415 | $13,581 – $19,701 |
| Minnesota | 6 | $67,797 | $23,730 | $17,625 – $40,289 |
| Mississippi | 1 | $81,648 | $16,039 | – |
| Missouri | 7 | $105,127 | $21,893 | $15,518 – $25,812 |
| Nebraska | 3 | $72,293 | $22,474 | $17,078 – $28,937 |
| Nevada | 3 | $175,457 | $21,999 | $19,474 – $26,575 |
| New Hampshire | 1 | $103,214 | $17,714 | – |
| New Jersey | 11 | $150,951 | $24,451 | $18,170 – $29,026 |
| New York | 16 | $155,988 | $27,892 | $19,364 – $42,223 |
| North Carolina | 6 | $61,369 | $18,738 | $15,256 – $26,511 |
| Ohio | 5 | $83,014 | $20,208 | $18,109 – $27,353 |
| Oklahoma | 5 | $103,998 | $19,388 | $13,414 – $35,153 |
| Oregon | 1 | $85,381 | $31,841 | – |
| Pennsylvania | 15 | $121,436 | $20,599 | $14,734 – $28,922 |
| Rhode Island | 1 | $45,890 | $24,929 | – |
| South Carolina | 5 | $111,603 | $17,541 | $15,388 – $20,651 |
| Tennessee | 8 | $95,624 | $21,780 | $15,676 – $31,013 |
| Texas | 15 | $128,515 | $20,122 | $14,824 – $32,815 |
| Vermont | 1 | $65,136 | $16,862 | – |
| Virginia | 11 | $94,585 | $23,151 | $14,791 – $44,062 |
| Washington | 5 | $89,727 | $20,551 | $18,355 – $23,969 |
| West Virginia | 1 | $61,286 | $21,190 | – |
| Wisconsin | 4 | $85,490 | $23,591 | $15,912 – $33,043 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | 78 | $106,352 | $25,143 |
| Adventhealth OrlandoOrlando, FL | 66 | $131,103 | $16,779 |
| Orlando Regional HealthcareOrlando, FL | 45 | $143,827 | $18,164 |
| Saint Francis Hospital, INCTulsa, OK | 43 | $51,927 | $16,397 |
| Medical Center of PlanoPlano, TX | 39 | $179,770 | $15,827 |
| Inova Fairfax HospitalFalls Church, VA | 39 | $55,676 | $23,363 |
| Abington Memorial HospitalAbington, PA | 38 | $76,800 | $18,584 |
| Univ of Tn Mem HospitalKnoxville, TN | 38 | $46,127 | $18,510 |
| Texas Health Harris Methodist Fort WorthFort Worth, TX | 37 | $85,477 | $15,920 |
| NYU Hospitals CenterNew York, NY | 36 | $182,101 | $29,064 |
| Deaconess Hospital INCEvansville, IN | 34 | $68,845 | $16,634 |
| Adventhealth Daytona BeachDaytona Beach, FL | 32 | $76,456 | $14,979 |
| Sarasota Memorial HospitalSarasota, FL | 32 | $89,230 | $14,548 |
| Massachusetts General HospitalBoston, MA | 32 | $109,287 | $29,136 |
| Christiana Care Health Services, INC.Newark, DE | 31 | $58,932 | $19,282 |
Questions
How much does traumatic stupor and coma <1 hour with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085) at 256 hospitals in the U.S. was billed at $118,260 on average, while the average total payment was $22,150, of which Medicare paid $18,599. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for traumatic stupor and coma <1 hour with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($33,697), California ($30,419), New York ($27,892) and lowest in Kansas ($17,388), Michigan ($17,415), Florida ($17,509).
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 5.3 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.