CostGrade

Degenerative Nervous System Disorders with Major Complications — what U.S. hospitals charge

MS-DRG 056 · Inpatient stay · 408 U.S. hospitals publish a price

Cheapest quarter

under $56,409

Typical charge

$86,139

Dearest quarter

over $122,245

Actually paid

$23,112

The middle U.S. hospital bills $86,139 for Degenerative Nervous System Disorders with Major Complications. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $23,112 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.

Degenerative Nervous System Disorders 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
Massachusetts 19 $36,013 $16,877 – $128,797
Maryland 19 $39,952 $16,178 – $96,144
Arkansas 3 $44,736 $26,633 – $56,583
Nebraska 3 $49,706 $43,480 – $109,959
Oklahoma 3 $52,319 $51,303 – $58,361
Indiana 6 $54,594 $44,544 – $120,529
Michigan 11 $55,393 $27,319 – $72,989
North Carolina 13 $56,620 $41,540 – $217,997
Tennessee 9 $62,471 $34,052 – $117,123
Mississippi 6 $63,255 $44,520 – $103,389
Missouri 8 $63,437 $30,492 – $140,206
Oregon 4 $69,159 $44,147 – $95,777
Illinois 18 $70,505 $29,098 – $115,606
Ohio 13 $70,820 $35,034 – $130,970
Alabama 3 $70,957 $65,932 – $88,260
Kentucky 3 $81,024 $47,148 – $96,339
Virginia 15 $81,833 $35,561 – $161,080
South Carolina 8 $83,860 $35,601 – $194,597
Pennsylvania 21 $87,867 $40,728 – $357,639
Wisconsin 3 $91,758 $84,829 – $177,884
Louisiana 3 $93,443 $68,629 – $127,708
Minnesota 8 $93,772 $49,631 – $147,350
Iowa 3 $94,269 $52,262 – $95,164
Washington 9 $94,281 $43,663 – $157,468
Florida 46 $99,168 $42,113 – $207,047
Arizona 3 $99,683 $70,515 – $126,759
Colorado 3 $99,743 $94,627 – $121,221
Texas 23 $105,948 $45,423 – $271,752
Connecticut 5 $108,386 $58,283 – $134,691
Georgia 8 $109,590 $40,772 – $125,458
New York 33 $117,504 $32,262 – $299,543
Kansas 4 $125,897 $32,758 – $177,518
New Jersey 20 $132,724 $71,018 – $172,217
California 33 $148,270 $39,941 – $343,620

Where Degenerative Nervous System Disorders 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
Johns Hopkins Howard County Medical Center

Columbia, MD

$16,178 $14,650
Beth Israel Deaconess Hospital - Milton

Milton, MA

$16,877 $16,208
University Of Md St Joseph Medical Center

Towson, MD

$19,380 $17,213
Greater Baltimore Medical Center

Baltimore, MD

$20,056 $15,279
Umd Upper Chesapeake Medical Center

Bel Air, MD

$21,153 $19,343
Beth Israel Deaconess Hospital Plymouth

Plymouth, MA

$23,581 $17,104
Boston Medical Center-Brighton

Brighton, MA

$24,397 $25,553
Emerson Hospital -

W Concord, MA

$24,528 $16,535
Luminis Health Anne Arundel Medical Center, Inc

Annapolis, MD

$24,925 $22,893
University Of Md Baltimore Washington Medical Center

Glen Burnie, MD

$26,145 $24,409
Chi St. Vincent Hospital Hot Springs

Hot Springs, AR

$26,633 $14,115
Ascension Providence Rochester Hospital

Rochester, MI

$27,319 $14,908

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
Upmc Presbyterian Shadyside

Pittsburgh, PA

$357,639 $34,286
Stanford Health Care

Stanford, CA

$343,620 $44,220
Cedars-Sinai Medical Center

Los Angeles, CA

$336,069 $34,882
Good Samaritan Hospital

San Jose, CA

$330,240 $27,122
Westchester Medical Center

Valhalla, NY

$299,543 $32,827
Ut Health East Texas Tyler Regional Hospital

Tyler, TX

$271,752 $24,713
Ucsf Medical Center

San Francisco, CA

$257,978 $47,730
Houston Methodist Hospital

Houston, TX

$256,907 $38,210
Long Island Community Hospital

Patchogue, NY

$248,527 $21,315
St Lukes Hospital

Bethlehem, PA

$237,916 $26,182
Nyu Langone Hospitals

New York, NY

$237,760 $35,481
New York-Presbyterian Hospital

New York, NY

$236,410 $33,974

Questions people ask

What do U.S. hospitals charge for Degenerative Nervous System Disorders with Major Complications?

Across 408 U.S. hospitals, the middle charge for Degenerative Nervous System Disorders with Major Complications is $86,139. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $56,409 and the dearest quarter over $122,245.

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 Degenerative Nervous System Disorders with Major Complications, the hospitals in the dearest tenth charge about 3.8x 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. $23,112 is roughly what Medicare actually paid per case, against an average charge of $105,221. 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 056: “DEGENERATIVE NERVOUS SYSTEM DISORDERS 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.