Concussion with Complications — what U.S. hospitals charge
MS-DRG 089 · Inpatient stay · 4 U.S. hospitals publish a price
Cheapest quarter
under $62,317
Typical charge
$88,768
Dearest quarter
over $144,127
Actually paid
$11,033
The middle U.S. hospital bills $88,768 for Concussion with Complications. The dearest hospitals charge about 3.5x what the cheapest do for the same coded work. Medicare actually paid about $11,033 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 Concussion with Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Lehigh Valley Hospital
Allentown, PA |
$54,900 | $11,163 |
|
Orange County Global Medical Center
Santa Ana, CA |
$64,790 | $12,540 |
|
St Joseph's Hospital
Tucson, AZ |
$112,745 | $8,803 |
|
Hca Florida Kendall Hospital
Miami, FL |
$238,271 | $11,625 |
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 |
|---|---|---|
|
Hca Florida Kendall Hospital
Miami, FL |
$238,271 | $11,625 |
|
St Joseph's Hospital
Tucson, AZ |
$112,745 | $8,803 |
|
Orange County Global Medical Center
Santa Ana, CA |
$64,790 | $12,540 |
|
Lehigh Valley Hospital
Allentown, PA |
$54,900 | $11,163 |
Questions people ask
What do U.S. hospitals charge for Concussion with Complications?
Across 4 U.S. hospitals, the middle charge for Concussion with Complications is $88,768. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $62,317 and the dearest quarter over $144,127.
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 Concussion with Complications, the hospitals in the dearest tenth charge about 3.5x 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. $11,033 is roughly what Medicare actually paid per case, against an average charge of $112,157. 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 089: “CONCUSSION WITH CC”. 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.