facebook tracking Ventricular shunt procedures with complications cost: hospital prices by state (DRG 032)

Ventricular shunt procedures with complications

What 27 hospitals in the U.S. charged and were paid for a Medicare hospital stay for ventricular shunt procedures with complications (DRG 032), from 2024 Medicare claims.

DRG 032 Inpatient 2024 Medicare data
Average charge $107,483 Hospital list price billed
Average payment $25,462 Medicare + patient + other payers
Medicare paid $20,195 Average per stay
Volume 487 Medicare hospital stays

Hospitals in the U.S. billed an average of $107,483 for ventricular shunt procedures with complications, about 4.2 times the average total payment of $25,462.

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.

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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

Methodist Hospital,TheHouston, TX$18,312
Adventhealth OrlandoOrlando, FL$21,989
St Joseph's Hospital and Medical CenterPhoenix, AZ$22,469
Massachusetts General HospitalBoston, MA$25,347
Mayo Clinic - Saint Marys HospitalRochester, MN$25,638
Cedars-Sinai Medical CenterLos Angeles, CA$26,525

Highest

Cedars-Sinai Medical CenterLos Angeles, CA$26,525
Mayo Clinic - Saint Marys HospitalRochester, MN$25,638
Massachusetts General HospitalBoston, MA$25,347
St Joseph's Hospital and Medical CenterPhoenix, AZ$22,469
Adventhealth OrlandoOrlando, FL$21,989
Methodist Hospital,TheHouston, TX$18,312

Ventricular shunt procedures with 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 $100,950 $23,320 –
Arizona 1 $95,060 $22,469 –
California 4 $202,300 $30,006 $26,525 – $33,908
Connecticut 1 $76,931 $30,638 –
Florida 2 $117,417 $22,071 $21,989 – $22,243
Illinois 1 $105,539 $18,506 –
Maryland 2 $37,579 $33,214 $24,388 – $40,779
Massachusetts 2 $83,821 $25,243 $24,988 – $25,347
Minnesota 1 $49,690 $25,638 –
Missouri 1 $102,436 $22,786 –
New York 3 $159,831 $29,788 $26,584 – $32,039
North Carolina 1 $93,996 $24,127 –
Ohio 2 $68,346 $20,088 $19,520 – $20,586
Pennsylvania 1 $101,144 $29,163 –
Tennessee 1 $130,754 $30,146 –
Texas 2 $84,772 $17,645 $16,908 – $18,312
Virginia 1 $83,125 $22,837 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Massachusetts General HospitalBoston, MA44$80,392$25,347
Mayo Clinic - Saint Marys HospitalRochester, MN39$49,690$25,638
St Joseph's Hospital and Medical CenterPhoenix, AZ32$95,060$22,469
Adventhealth OrlandoOrlando, FL23$146,608$21,989
Cedars-Sinai Medical CenterLos Angeles, CA22$247,469$26,525
Methodist Hospital,TheHouston, TX21$118,957$18,312
UT Southwestern University HospitalDallas, TX19$46,990$16,908
Brigham and Women's HosptialBoston, MA18$92,201$24,988
Barnes Jewish HospitalSt Louis, MO18$102,436$22,786
NYU Hospitals CenterNew York, NY18$185,590$30,154
Thomas Jefferson University HospitalPhiladelphia, PA18$101,144$29,163
New York-Presbyterian HospitalNew York, NY17$163,404$32,039
Ohio State University HospitalsColumbus, OH16$70,598$20,586
Vanderbilt University HospitalNashville, TN16$130,754$30,146
Stanford HospitalPalo Alto, CA15$213,998$32,798

Questions

How much does ventricular shunt procedures with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for ventricular shunt procedures with complications (DRG 032) at 27 hospitals in the U.S. was billed at $107,483 on average, while the average total payment was $25,462, of which Medicare paid $20,195. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for ventricular shunt procedures with complications?

Among states with at least three hospitals reporting, the average total payment was highest in California ($30,006), New York ($29,788) and lowest in New York ($29,788), California ($30,006).

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 4.2 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.