CostGrade

Bacterial and Tuberculous Infections of Nervous System with Major Complications — what U.S. hospitals charge

MS-DRG 094 · Inpatient stay · 1 U.S. hospitals publish a price

Cheapest quarter

under $349,402

Typical charge

$349,402

Dearest quarter

over $349,402

Actually paid

$60,937

The middle U.S. hospital bills $349,402 for Bacterial and Tuberculous Infections of Nervous System with Major Complications. The dearest hospitals charge about 1.0x what the cheapest do for the same coded work. Medicare actually paid about $60,937 per case.

These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.

Where Bacterial and Tuberculous Infections of Nervous System with Major Complications is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
New York-Presbyterian Hospital

New York, NY

$349,402 $60,937

Where it is charged most

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
New York-Presbyterian Hospital

New York, NY

$349,402 $60,937

Questions people ask

What do U.S. hospitals charge for Bacterial and Tuberculous Infections of Nervous System with Major Complications?

Across 1 U.S. hospitals, the middle charge for Bacterial and Tuberculous Infections of Nervous System with Major Complications is $349,402. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $349,402 and the dearest quarter over $349,402.

Why do hospitals charge such different amounts for the same procedure?

Because a hospital charge is a list price it sets itself, not a regulated rate. For Bacterial and Tuberculous Infections of Nervous System with Major Complications, the hospitals in the dearest tenth charge about 1.0x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.

Is that what I would actually pay?

No. $60,937 is roughly what Medicare actually paid per case, against an average charge of $349,402. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.

What this code covers

CMS records this work as MS-DRG 094: “BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.