Peripheral, Cranial Nerve and Other Nervous System Procedures without Complications/mcc — what U.S. hospitals charge
MS-DRG 042 · Inpatient stay · 6 U.S. hospitals publish a price
Cheapest quarter
under $66,497
Typical charge
$75,117
Dearest quarter
over $93,911
Actually paid
$17,817
The middle U.S. hospital bills $75,117 for Peripheral, Cranial Nerve and Other Nervous System Procedures without Complications/mcc. The dearest hospitals charge about 2.3x what the cheapest do for the same coded work. Medicare actually paid about $17,817 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 Peripheral, Cranial Nerve and Other Nervous System Procedures without Complications/mcc is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Crouse Hospital
Syracuse, NY |
$30,264 | $15,904 |
|
Lancaster General Hospital
Lancaster, PA |
$65,628 | $13,529 |
|
West Virginia University Hospitals, Inc
Morgantown, WV |
$69,106 | $17,116 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$81,128 | $19,833 |
|
Vanderbilt University Medical Center
Nashville, TN |
$98,172 | $17,702 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$119,989 | $22,816 |
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 |
|---|---|---|
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$119,989 | $22,816 |
|
Vanderbilt University Medical Center
Nashville, TN |
$98,172 | $17,702 |
|
Mayo Clinic Hospital Rochester
Rochester, MN |
$81,128 | $19,833 |
|
West Virginia University Hospitals, Inc
Morgantown, WV |
$69,106 | $17,116 |
|
Lancaster General Hospital
Lancaster, PA |
$65,628 | $13,529 |
|
Crouse Hospital
Syracuse, NY |
$30,264 | $15,904 |
Questions people ask
What do U.S. hospitals charge for Peripheral, Cranial Nerve and Other Nervous System Procedures without Complications/mcc?
Across 6 U.S. hospitals, the middle charge for Peripheral, Cranial Nerve and Other Nervous System Procedures without Complications/mcc is $75,117. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $66,497 and the dearest quarter over $93,911.
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 without Complications/mcc, the hospitals in the dearest tenth charge about 2.3x 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. $17,817 is roughly what Medicare actually paid per case, against an average charge of $75,804. 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 042: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/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.