Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 040 · Inpatient stay · 58 U.S. hospitals publish a price
Cheapest quarter
under $138,802
Typical charge
$187,902
Dearest quarter
over $248,841
Actually paid
$41,109
The middle U.S. hospital bills $187,902 for Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $41,109 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.
Peripheral, Cranial Nerve and Other Nervous System 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 |
|---|---|---|---|
| South Carolina | 3 | $158,137 | $102,811 – $243,804 |
| Pennsylvania | 6 | $176,683 | $104,746 – $295,395 |
| Ohio | 3 | $179,052 | $138,424 – $218,964 |
| Texas | 3 | $194,236 | $114,764 – $436,841 |
| New York | 13 | $210,062 | $165,174 – $359,222 |
| Florida | 6 | $255,923 | $122,749 – $272,930 |
Where Peripheral, Cranial Nerve and Other Nervous System 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 |
|---|---|---|
|
Inova Fairfax Hospital
Falls Church, VA |
$86,223 | $31,821 |
|
Sanford Medical Center Fargo
Fargo, ND |
$93,662 | $29,225 |
|
Saint Francis Hospital, Inc
Tulsa, OK |
$101,825 | $26,105 |
|
Mcleod Regional Medical Center-Pee Dee
Florence, SC |
$102,811 | $28,111 |
|
Lancaster General Hospital
Lancaster, PA |
$104,746 | $33,586 |
|
Ssm Health Saint Louis University Hospital
Saint Louis, MO |
$104,812 | $38,183 |
|
Stormont Vail Hospital
Topeka, KS |
$106,208 | $25,064 |
|
Reading Hospital
West Reading, PA |
$111,755 | $29,658 |
|
Baylor Scott & White Medical Center - Temple
Temple, TX |
$114,764 | $35,556 |
|
Baptist Health Medical Center - Jacksonville
Jacksonville, FL |
$122,749 | $29,001 |
|
Barnes Jewish Hospital
Saint Louis, MO |
$126,603 | $39,118 |
|
Memorial Mission Hospital And Asheville Surgery Ce
Asheville, NC |
$130,740 | $24,663 |
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 |
|---|---|---|
|
Stanford Health Care
Stanford, CA |
$588,837 | $76,380 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$557,603 | $37,588 |
|
Houston Methodist Hospital
Houston, TX |
$436,841 | $54,457 |
|
Ucsf Medical Center
San Francisco, CA |
$417,663 | $69,476 |
|
Nyu Langone Hospitals
New York, NY |
$359,222 | $54,801 |
|
New York-Presbyterian Hospital
New York, NY |
$350,878 | $58,057 |
|
Mountainview Hospital
Las Vegas, NV |
$330,166 | $38,692 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$295,395 | $37,200 |
|
Massachusetts General Hospital
Boston, MA |
$294,596 | $72,663 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$278,491 | $49,065 |
|
North Shore University Hospital
Manhasset, NY |
$273,872 | $41,589 |
|
Hca Florida Lawnwood Hospital
Fort Pierce, FL |
$272,930 | $27,530 |
Questions people ask
What do U.S. hospitals charge for Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications?
Across 58 U.S. hospitals, the middle charge for Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications is $187,902. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $138,802 and the dearest quarter over $248,841.
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 Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications, the hospitals in the dearest tenth charge about 3.2x 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. $41,109 is roughly what Medicare actually paid per case, against an average charge of $216,064. 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 040: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM 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.