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Peripheral, Cranial Nerve and Other Nervous System Procedures without with Complications/with major complications
Medicare DRG 042. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$77,381
Avg total payment
$17,817
Avg Medicare pays
$13,866
Hospitals reporting
6
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 |
|---|---|---|---|
| Tennessee | 1 | $98,172 | $13,857 |
| Minnesota | 1 | $81,128 | $17,393 |
| New York | 2 | $75,126 | $14,574 |
| West Virginia | 1 | $69,106 | $10,869 |
| Pennsylvania | 1 | $65,628 | $11,929 |
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.