Inpatient stays / DRG 023
MS-DRG 023 · 432 hospitals · 13,507 stays
DRG 023: Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with MCC O
Medicare patients had 13,507 stays in DRG 023 in 2024. Hospitals charged an average of $280,968 per stay and were paid $56,108 — a ratio of 5 to 1 — of which Medicare's own share averaged $47,603. Average charges ran from $61,238 at the least expensive hospital to $1,368,799 at the most; half of hospitals charged between $177,163 and $346,963.
- 1Average charge $280,968
- 2Average paid $56,108
- 3Reporting hospitals 432
- 4Medicare stays 13,507
By state
Average charges for DRG 023 were highest in Nevada ($491,815) and lowest in Maryland ($83,696). Payments vary far less than charges, because Medicare sets them: they range across states from $38,767 to $76,970.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 140 | $491,815 | $49,151 | 10× |
| California | 1,502 | $456,250 | $73,643 | 6.2× |
| Alaska | 39 | $455,367 | $65,110 | 7× |
| Colorado | 189 | $393,454 | $46,428 | 8.5× |
| Texas | 896 | $373,059 | $47,142 | 7.9× |
| District of Columbia | 81 | $349,343 | $76,970 | 4.5× |
| New Jersey | 414 | $341,818 | $58,830 | 5.8× |
| New York | 792 | $326,625 | $72,022 | 4.5× |
| Oklahoma | 163 | $321,636 | $47,265 | 6.8× |
| Florida | 1,039 | $317,482 | $44,323 | 7.2× |
| Pennsylvania | 610 | $311,430 | $54,966 | 5.7× |
| Georgia | 341 | $305,671 | $58,821 | 5.2× |
| Kansas | 143 | $292,414 | $46,011 | 6.4× |
| South Carolina | 229 | $282,508 | $54,208 | 5.2× |
| Hawaii | 62 | $277,443 | $72,101 | 3.8× |
| Arizona | 321 | $276,181 | $48,902 | 5.6× |
| New Hampshire | 60 | $268,978 | $71,358 | 3.8× |
| Kentucky | 204 | $268,369 | $47,081 | 5.7× |
| Illinois | 571 | $245,479 | $64,765 | 3.8× |
| Alabama | 199 | $233,218 | $45,682 | 5.1× |
| South Dakota | 104 | $233,058 | $50,303 | 4.6× |
| Indiana | 246 | $224,567 | $46,128 | 4.9× |
| Washington | 302 | $224,439 | $58,519 | 3.8× |
| Missouri | 284 | $214,666 | $50,380 | 4.3× |
| Connecticut | 164 | $214,551 | $69,141 | 3.1× |
| Wisconsin | 212 | $214,187 | $52,782 | 4.1× |
| Maine | 46 | $211,505 | $54,412 | 3.9× |
| Ohio | 456 | $206,046 | $47,143 | 4.4× |
| Tennessee | 354 | $205,840 | $45,216 | 4.6× |
| Virginia | 410 | $204,294 | $53,155 | 3.8× |
| Mississippi | 86 | $201,757 | $43,210 | 4.7× |
| Louisiana | 205 | $198,775 | $45,776 | 4.3× |
| Idaho | 81 | $195,417 | $45,474 | 4.3× |
| West Virginia | 73 | $191,583 | $45,989 | 4.2× |
| Iowa | 107 | $190,763 | $48,981 | 3.9× |
| North Carolina | 395 | $186,512 | $50,957 | 3.7× |
| Nebraska | 90 | $179,906 | $49,863 | 3.6× |
| Delaware | 75 | $176,970 | $52,341 | 3.4× |
| Utah | 97 | $176,012 | $48,352 | 3.6× |
| Michigan | 336 | $175,961 | $50,665 | 3.5× |
| Oregon | 135 | $173,158 | $59,651 | 2.9× |
| Massachusetts | 339 | $171,551 | $70,225 | 2.4× |
| New Mexico | 64 | $161,644 | $69,382 | 2.3× |
| Minnesota | 244 | $160,195 | $56,801 | 2.8× |
| Arkansas | 136 | $158,973 | $38,767 | 4.1× |
| North Dakota | 45 | $144,461 | $50,243 | 2.9× |
| Montana | 81 | $118,279 | $44,168 | 2.7× |
| Rhode Island | 98 | $107,839 | $53,547 | 2× |
| Maryland | 219 | $83,696 | $75,112 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Good Samaritan Hospital San Jose, CA · 20 stays | $1,368,799 | $96,468 |
| Cedars-Sinai Medical Center Los Angeles, CA · 30 stays | $1,308,731 | $107,463 |
| HCA Houston Healthcare Conroe Conroe, TX · 12 stays | $962,408 | $47,550 |
| Stanford Health Care Stanford, CA · 48 stays | $918,591 | $109,539 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 27 stays | $871,578 | $48,264 |
| Capital Health Regional Medical Center Trenton, NJ · 13 stays | $798,472 | $59,019 |
| Medical City Arlington Arlington, TX · 16 stays | $793,704 | $61,506 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 16 stays | $765,174 | $45,460 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 13 stays | $765,050 | $59,367 |
| Doctors Medical Center Modesto, CA · 64 stays | $762,415 | $67,303 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medstar Franklin Square Medical Center Rosedale, MD · 30 stays | $61,238 | $54,779 |
| Bronson Methodist Hospital Kalamazoo, MI · 11 stays | $66,960 | $38,818 |
| Suburban Hospital Bethesda, MD · 21 stays | $68,523 | $61,211 |
| SSM Health Depaul Hospital St Louis Bridgeton, MO · 14 stays | $73,344 | $39,678 |
| Adventist Healthcare Shady Grove Medical Center Rockville, MD · 16 stays | $74,269 | $65,563 |
| Sinai Hospital of Baltimore Baltimore, MD · 28 stays | $88,365 | $77,554 |
| University of Maryland Medical Center Baltimore, MD · 56 stays | $88,776 | $81,598 |
| Jackson-Madison County General Hospital Jackson, TN · 28 stays | $91,902 | $40,141 |
| Crouse Hospital Syracuse, NY · 19 stays | $94,231 | $53,324 |
| St Patrick Hospital Missoula, MT · 23 stays | $97,817 | $44,395 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.