HealthCareAtlasUSA

This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.

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Ventricular Shunt Procedures with major complications

Medicare DRG 031. What hospitals charge and what Medicare pays, 2024.

Avg hospital charge
$251,963
Avg total payment
$55,878
Avg Medicare pays
$46,368
Hospitals reporting
7

The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.

StateHospitalsAvg chargeAvg Medicare payment
New York2$354,906$47,197
California2$315,234$58,112
Massachusetts2$161,460$38,621
Connecticut1$100,543$36,717

Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.