Nervous System Neoplasms without Major Complications — what U.S. hospitals charge
MS-DRG 055 · Inpatient stay · 11 U.S. hospitals publish a price
Cheapest quarter
under $48,827
Typical charge
$60,555
Dearest quarter
over $100,709
Actually paid
$13,943
The middle U.S. hospital bills $60,555 for Nervous System Neoplasms without Major Complications. The dearest hospitals charge about 3.1x what the cheapest do for the same coded work. Medicare actually paid about $13,943 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 Nervous System Neoplasms without 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 |
|---|---|---|
|
Baptist Memorial Hospital
Memphis, TN |
$38,772 | $9,758 |
|
Promedica Toledo Hospital
Toledo, OH |
$40,892 | $9,955 |
|
Gulf Coast Medical Center Lee Health
Fort Myers, FL |
$46,687 | $7,817 |
|
Brigham And Women's Hospital
Boston, MA |
$50,967 | $14,969 |
|
Lehigh Valley Hospital
Allentown, PA |
$53,512 | $10,335 |
|
Duke University Hospital
Durham, NC |
$60,555 | $19,053 |
|
O U Medical Center
Oklahoma City, OK |
$69,530 | $12,192 |
|
Barnes Jewish Hospital
Saint Louis, MO |
$76,268 | $19,971 |
|
New York-Presbyterian Hospital
New York, NY |
$125,149 | $15,977 |
|
Nyu Langone Hospitals
New York, NY |
$127,422 | $15,347 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$151,697 | $17,997 |
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 |
|---|---|---|
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$151,697 | $17,997 |
|
Nyu Langone Hospitals
New York, NY |
$127,422 | $15,347 |
|
New York-Presbyterian Hospital
New York, NY |
$125,149 | $15,977 |
|
Barnes Jewish Hospital
Saint Louis, MO |
$76,268 | $19,971 |
|
O U Medical Center
Oklahoma City, OK |
$69,530 | $12,192 |
|
Duke University Hospital
Durham, NC |
$60,555 | $19,053 |
|
Lehigh Valley Hospital
Allentown, PA |
$53,512 | $10,335 |
|
Brigham And Women's Hospital
Boston, MA |
$50,967 | $14,969 |
|
Gulf Coast Medical Center Lee Health
Fort Myers, FL |
$46,687 | $7,817 |
|
Promedica Toledo Hospital
Toledo, OH |
$40,892 | $9,955 |
|
Baptist Memorial Hospital
Memphis, TN |
$38,772 | $9,758 |
Questions people ask
What do U.S. hospitals charge for Nervous System Neoplasms without Major Complications?
Across 11 U.S. hospitals, the middle charge for Nervous System Neoplasms without Major Complications is $60,555. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $48,827 and the dearest quarter over $100,709.
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 Nervous System Neoplasms without Major Complications, the hospitals in the dearest tenth charge about 3.1x 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. $13,943 is roughly what Medicare actually paid per case, against an average charge of $77,323. 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 055: “NERVOUS SYSTEM NEOPLASMS WITHOUT 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.