Inpatient stays / DRG 040
MS-DRG 040 · 58 hospitals · 3,663 stays
DRG 040: Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
Medicare patients had 3,663 stays in DRG 040 in 2024. Hospitals charged an average of $187,848 per stay and were paid $38,178 — a ratio of 4.9 to 1 — of which Medicare's own share averaged $31,840. Average charges ran from $86,223 at the least expensive hospital to $588,837 at the most; half of hospitals charged between $137,807 and $253,563.
- 1Average charge $187,848
- 2Average paid $38,178
- 3Reporting hospitals 58
- 4Medicare stays 3,663
By state
Average charges for DRG 040 were highest in Nevada ($384,227) and lowest in Maryland ($66,657). Payments vary far less than charges, because Medicare sets them: they range across states from $26,674 to $60,233.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 50 | $384,227 | $37,463 | 10.3× |
| California | 274 | $307,872 | $50,962 | 6× |
| New Jersey | 120 | $269,114 | $44,229 | 6.1× |
| Hawaii | 14 | $259,699 | $57,938 | 4.5× |
| New York | 387 | $222,384 | $47,822 | 4.7× |
| Pennsylvania | 176 | $211,517 | $36,296 | 5.8× |
| Texas | 268 | $206,914 | $33,494 | 6.2× |
| Colorado | 38 | $205,136 | $29,307 | 7× |
| Florida | 340 | $205,134 | $29,885 | 6.9× |
| District of Columbia | 27 | $202,035 | $46,510 | 4.3× |
| Arizona | 76 | $182,848 | $36,655 | 5× |
| South Dakota | 14 | $178,775 | $37,281 | 4.8× |
| Georgia | 92 | $177,386 | $45,076 | 3.9× |
| Alabama | 51 | $175,496 | $30,743 | 5.7× |
| Kansas | 64 | $169,225 | $27,650 | 6.1× |
| Illinois | 94 | $165,147 | $38,791 | 4.3× |
| Kentucky | 45 | $159,615 | $31,323 | 5.1× |
| South Carolina | 84 | $159,564 | $33,953 | 4.7× |
| Massachusetts | 81 | $157,516 | $52,481 | 3× |
| Wisconsin | 51 | $153,037 | $43,596 | 3.5× |
| Tennessee | 81 | $151,940 | $30,390 | 5× |
| North Carolina | 106 | $151,157 | $35,755 | 4.2× |
| Virginia | 95 | $146,464 | $34,335 | 4.3× |
| Mississippi | 50 | $144,296 | $29,243 | 4.9× |
| Oklahoma | 58 | $143,168 | $28,483 | 5× |
| Iowa | 26 | $143,156 | $33,819 | 4.2× |
| Indiana | 59 | $142,935 | $30,062 | 4.8× |
| Ohio | 121 | $137,861 | $32,710 | 4.2× |
| Missouri | 102 | $136,858 | $30,669 | 4.5× |
| Louisiana | 63 | $136,791 | $31,067 | 4.4× |
| Minnesota | 63 | $134,077 | $45,270 | 3× |
| Michigan | 113 | $131,306 | $35,411 | 3.7× |
| Nebraska | 26 | $129,603 | $33,082 | 3.9× |
| West Virginia | 29 | $125,829 | $30,339 | 4.1× |
| Utah | 20 | $125,208 | $34,350 | 3.6× |
| Connecticut | 68 | $122,660 | $39,481 | 3.1× |
| Washington | 49 | $121,886 | $36,296 | 3.4× |
| Oregon | 33 | $116,617 | $41,174 | 2.8× |
| Arkansas | 25 | $116,114 | $26,674 | 4.4× |
| North Dakota | 23 | $101,136 | $29,094 | 3.5× |
| Maryland | 52 | $66,657 | $60,233 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 18 stays | $588,837 | $76,380 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 12 stays | $557,603 | $37,588 |
| Houston Methodist Hospital Houston, TX · 11 stays | $436,841 | $54,457 |
| UCSF Medical Center San Francisco, CA · 12 stays | $417,662 | $69,476 |
| NYU Langone Hospitals New York, NY · 37 stays | $359,222 | $54,801 |
| New York-Presbyterian Hospital New York, NY · 26 stays | $350,878 | $58,057 |
| Mountainview Hospital Las Vegas, NV · 11 stays | $330,166 | $38,692 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 13 stays | $295,395 | $37,200 |
| Massachusetts General Hospital Boston, MA · 15 stays | $294,596 | $72,663 |
| Stony Brook University Hospital Stony Brook, NY · 13 stays | $278,491 | $49,065 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Inova Fairfax Hospital Falls Church, VA · 14 stays | $86,223 | $31,821 |
| Sanford Fargo, ND · 19 stays | $93,662 | $29,225 |
| Saint Francis Hospital, Inc Tulsa, OK · 12 stays | $101,825 | $26,105 |
| Mcleod Regional Medical Center-Pee Dee Florence, SC · 16 stays | $102,811 | $28,111 |
| Lancaster General Hospital Lancaster, PA · 15 stays | $104,746 | $33,586 |
| SSM Health Saint Louis University Hospital Saint Louis, MO · 12 stays | $104,812 | $38,183 |
| Stormont Vail Hospital Topeka, KS · 14 stays | $106,208 | $25,064 |
| Reading Hospital West Reading, PA · 11 stays | $111,755 | $29,658 |
| Baylor Scott & White Medical Center - Temple Temple, TX · 25 stays | $114,764 | $35,556 |
| Baptist Medical Center Jacksonville Jacksonville, FL · 17 stays | $122,749 | $29,001 |
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.