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Peripheral, Cranial Nerve and Other Nervous System Procedures with major complications
Medicare DRG 040. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$212,655
Avg total payment
$41,109
Avg Medicare pays
$33,274
Hospitals reporting
58
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.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 2 | $503,250 | $56,989 |
| Nevada | 2 | $443,885 | $36,301 |
| Massachusetts | 2 | $263,517 | $51,421 |
| Georgia | 1 | $249,628 | $27,998 |
| Texas | 3 | $248,614 | $33,315 |
| Florida | 6 | $234,996 | $26,167 |
| New Jersey | 1 | $233,968 | $35,137 |
| New York | 13 | $232,866 | $37,796 |
| Minnesota | 1 | $188,489 | $48,501 |
| Kentucky | 1 | $186,670 | $23,372 |
| Pennsylvania | 6 | $182,296 | $31,824 |
| Ohio | 3 | $178,813 | $26,958 |
| South Carolina | 3 | $168,251 | $25,567 |
| District of Columbia | 1 | $149,216 | $35,017 |
| Arizona | 1 | $146,004 | $30,068 |
| Connecticut | 1 | $141,096 | $41,936 |
| Mississippi | 1 | $140,187 | $23,276 |
| Tennessee | 1 | $139,935 | $23,857 |
| Nebraska | 1 | $133,429 | $31,417 |
| North Carolina | 2 | $133,349 | $26,366 |
| Missouri | 2 | $115,708 | $33,354 |
| Kansas | 1 | $106,208 | $23,506 |
| Oklahoma | 1 | $101,825 | $24,576 |
| North Dakota | 1 | $93,662 | $27,462 |
| Virginia | 1 | $86,223 | $28,103 |
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.