Craniotomy and Endovascular Intracranial Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 025 · Inpatient stay · 600 U.S. hospitals publish a price
Cheapest quarter
under $138,958
Typical charge
$192,462
Dearest quarter
over $281,625
Actually paid
$42,514
The middle U.S. hospital bills $192,462 for Craniotomy and Endovascular Intracranial Procedures with Major Complications. The dearest hospitals charge about 4.2x what the cheapest do for the same coded work. Medicare actually paid about $42,514 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.
Craniotomy and Endovascular Intracranial Procedures with Major Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 10 | $55,629 | $32,492 – $106,453 |
| Montana | 5 | $92,402 | $59,302 – $105,294 |
| Arkansas | 6 | $101,729 | $74,426 – $146,069 |
| Massachusetts | 13 | $104,081 | $59,376 – $271,797 |
| North Dakota | 4 | $110,399 | $83,025 – $169,922 |
| Nebraska | 5 | $116,070 | $79,966 – $222,331 |
| Utah | 6 | $128,105 | $94,802 – $366,297 |
| Mississippi | 6 | $128,902 | $101,735 – $380,567 |
| Wisconsin | 11 | $132,782 | $75,154 – $209,754 |
| Missouri | 11 | $136,508 | $79,760 – $210,809 |
| Michigan | 16 | $137,090 | $73,846 – $223,902 |
| North Carolina | 14 | $139,326 | $94,064 – $208,465 |
| Minnesota | 12 | $140,758 | $89,835 – $226,827 |
| Iowa | 6 | $142,739 | $74,715 – $186,244 |
| Kentucky | 8 | $153,041 | $108,324 – $305,776 |
| Idaho | 4 | $159,863 | $116,453 – $205,552 |
| West Virginia | 3 | $161,661 | $116,504 – $184,622 |
| Oklahoma | 8 | $163,398 | $87,469 – $455,148 |
| South Carolina | 9 | $163,761 | $125,435 – $443,667 |
| Virginia | 19 | $166,090 | $72,760 – $518,814 |
| Louisiana | 11 | $166,565 | $99,385 – $358,313 |
| Oregon | 8 | $169,070 | $93,967 – $208,376 |
| Indiana | 10 | $170,036 | $84,614 – $356,410 |
| Kansas | 6 | $170,500 | $110,211 – $450,247 |
| Tennessee | 15 | $172,654 | $70,376 – $436,228 |
| Connecticut | 8 | $174,237 | $127,266 – $282,311 |
| Ohio | 19 | $182,780 | $117,577 – $426,759 |
| Alabama | 9 | $182,831 | $103,772 – $426,125 |
| Washington | 16 | $193,330 | $110,365 – $288,354 |
| Illinois | 27 | $195,614 | $100,821 – $367,883 |
| Arizona | 12 | $196,029 | $110,203 – $1,113,440 |
| South Dakota | 3 | $206,803 | $124,873 – $209,924 |
| Georgia | 17 | $218,632 | $152,904 – $531,325 |
| Colorado | 12 | $225,634 | $144,500 – $616,182 |
| Pennsylvania | 24 | $229,278 | $127,332 – $463,879 |
| Texas | 54 | $234,885 | $101,029 – $792,580 |
| Florida | 45 | $237,249 | $110,727 – $700,882 |
| New Jersey | 14 | $254,740 | $147,326 – $799,186 |
| District of Columbia | 3 | $263,110 | $218,782 – $477,881 |
| New York | 28 | $269,811 | $82,592 – $534,169 |
| California | 65 | $342,944 | $145,182 – $782,170 |
| Nevada | 5 | $548,347 | $160,887 – $757,949 |
Where Craniotomy and Endovascular Intracranial Procedures 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 |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$32,492 | $31,805 |
|
Western Maryland Regional Medical Center
Cumberland, MD |
$43,741 | $38,658 |
|
Holy Cross Hospital
Silver Spring, MD |
$45,780 | $41,425 |
|
Suburban Hospital
Bethesda, MD |
$45,781 | $43,332 |
|
Adventist Healthcare Shady Grove Medical Center
Rockville, MD |
$53,754 | $47,281 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$57,504 | $52,134 |
|
St. Patrick Hospital
Missoula, MT |
$59,302 | $33,469 |
|
South Shore Hospital
South Weymouth, MA |
$59,376 | $37,835 |
|
Cape Cod Hospital
Hyannis, MA |
$65,255 | $45,519 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$67,658 | $59,772 |
|
Lowell General Hospital
Lowell, MA |
$68,859 | $32,410 |
|
Boston Medical Center-Brighton
Brighton, MA |
$68,937 | $50,993 |
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 |
|---|---|---|
|
St Joseph's Hospital
Tucson, AZ |
$1,113,440 | $64,829 |
|
Capital Health Regional Medical Center
Trenton, NJ |
$799,186 | $43,654 |
|
Hca Houston Healthcare Northwest
Houston, TX |
$792,580 | $48,155 |
|
Good Samaritan Hospital
San Jose, CA |
$782,170 | $50,569 |
|
Medical City Arlington
Arlington, TX |
$771,026 | $46,856 |
|
Riverside Community Hospital
Riverside, CA |
$759,494 | $58,913 |
|
Spring Valley Hospital Medical Center
Las Vegas, NV |
$757,949 | $43,334 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$724,830 | $67,322 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$703,290 | $39,419 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$700,882 | $39,309 |
|
Hca Houston Healthcare Conroe
Conroe, TX |
$696,393 | $38,259 |
|
Desert Regional Medical Center
Palm Springs, CA |
$659,254 | $50,582 |
Questions people ask
What do U.S. hospitals charge for Craniotomy and Endovascular Intracranial Procedures with Major Complications?
Across 600 U.S. hospitals, the middle charge for Craniotomy and Endovascular Intracranial Procedures with Major Complications is $192,462. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $138,958 and the dearest quarter over $281,625.
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 Craniotomy and Endovascular Intracranial Procedures with Major Complications, the hospitals in the dearest tenth charge about 4.2x 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. $42,514 is roughly what Medicare actually paid per case, against an average charge of $231,167. 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 025: “CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES 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.