Inpatient stays / DRG 056
MS-DRG 056 · 408 hospitals · 15,060 stays
DRG 056: Degenerative Nervous System Disorders with MCC
Medicare patients had 15,060 stays in DRG 056 in 2024. Hospitals charged an average of $96,021 per stay and were paid $22,853 — a ratio of 4.2 to 1 — of which Medicare's own share averaged $19,195. Average charges ran from $16,178 at the least expensive hospital to $357,639 at the most; half of hospitals charged between $56,061 and $122,636.
- 1Average charge $96,021
- 2Average paid $22,853
- 3Reporting hospitals 408
- 4Medicare stays 15,060
By state
Average charges for DRG 056 were highest in California ($160,290) and lowest in Maryland ($43,134). Payments vary far less than charges, because Medicare sets them: they range across states from $16,383 to $38,978.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 1,286 | $160,290 | $28,932 | 5.5× |
| Nevada | 112 | $155,817 | $19,955 | 7.8× |
| New York | 1,354 | $145,555 | $30,851 | 4.7× |
| New Jersey | 633 | $133,843 | $22,358 | 6× |
| District of Columbia | 45 | $131,759 | $29,855 | 4.4× |
| Texas | 846 | $118,729 | $20,968 | 5.7× |
| Kansas | 128 | $110,878 | $19,411 | 5.7× |
| Connecticut | 184 | $110,241 | $30,080 | 3.7× |
| Colorado | 161 | $109,208 | $18,628 | 5.9× |
| Hawaii | 36 | $105,831 | $28,918 | 3.7× |
| Pennsylvania | 696 | $105,731 | $21,042 | 5× |
| Florida | 1,446 | $101,747 | $17,467 | 5.8× |
| Arizona | 178 | $100,238 | $22,046 | 4.5× |
| Washington | 290 | $96,877 | $21,965 | 4.4× |
| South Dakota | 53 | $93,621 | $22,866 | 4.1× |
| Vermont | 28 | $91,183 | $24,368 | 3.7× |
| Georgia | 405 | $88,850 | $21,526 | 4.1× |
| Minnesota | 210 | $88,162 | $27,011 | 3.3× |
| Maine | 48 | $84,798 | $21,083 | 4× |
| Alabama | 170 | $84,600 | $18,316 | 4.6× |
| South Carolina | 290 | $79,725 | $19,055 | 4.2× |
| Oregon | 147 | $78,069 | $25,773 | 3× |
| Louisiana | 128 | $76,366 | $17,517 | 4.4× |
| New Hampshire | 95 | $74,807 | $21,892 | 3.4× |
| Wisconsin | 183 | $73,072 | $22,459 | 3.3× |
| Tennessee | 309 | $72,238 | $18,748 | 3.9× |
| Missouri | 319 | $70,890 | $21,279 | 3.3× |
| Virginia | 459 | $70,367 | $20,964 | 3.4× |
| Illinois | 785 | $69,828 | $21,279 | 3.3× |
| Mississippi | 141 | $68,936 | $17,058 | 4× |
| Idaho | 47 | $68,764 | $18,659 | 3.7× |
| North Carolina | 387 | $68,547 | $21,536 | 3.2× |
| Montana | 31 | $67,683 | $20,052 | 3.4× |
| Kentucky | 166 | $67,412 | $17,229 | 3.9× |
| Utah | 61 | $65,937 | $20,998 | 3.1× |
| Nebraska | 95 | $63,025 | $19,692 | 3.2× |
| Ohio | 566 | $62,792 | $18,263 | 3.4× |
| North Dakota | 21 | $61,539 | $20,551 | 3× |
| Oklahoma | 177 | $61,083 | $16,383 | 3.7× |
| Indiana | 301 | $60,678 | $18,433 | 3.3× |
| Delaware | 57 | $60,291 | $21,708 | 2.8× |
| West Virginia | 75 | $57,739 | $19,043 | 3× |
| Arkansas | 125 | $57,336 | $16,876 | 3.4× |
| Iowa | 91 | $54,516 | $17,659 | 3.1× |
| Rhode Island | 53 | $54,264 | $21,620 | 2.5× |
| Massachusetts | 638 | $54,114 | $23,561 | 2.3× |
| Michigan | 397 | $52,233 | $19,605 | 2.7× |
| New Mexico | 43 | $50,220 | $21,377 | 2.3× |
| Maryland | 535 | $43,134 | $38,978 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| UPMC Presbyterian Shadyside Pittsburgh, PA · 22 stays | $357,639 | $34,286 |
| Stanford Health Care Stanford, CA · 67 stays | $343,620 | $44,220 |
| Cedars-Sinai Medical Center Los Angeles, CA · 38 stays | $336,069 | $34,882 |
| Good Samaritan Hospital San Jose, CA · 22 stays | $330,240 | $27,122 |
| Westchester Medical Center Valhalla, NY · 17 stays | $299,543 | $32,827 |
| UT Health East Texas Tyler Regional Hospital Tyler, TX · 18 stays | $271,752 | $24,713 |
| UCSF Medical Center San Francisco, CA · 40 stays | $257,978 | $47,730 |
| Houston Methodist Hospital Houston, TX · 51 stays | $256,907 | $38,210 |
| Long Island Community Hospital Patchogue, NY · 13 stays | $248,527 | $21,315 |
| St Luke's Hospital Bethlehem Bethlehem, PA · 19 stays | $237,916 | $26,182 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Howard County Medical Center Columbia, MD · 19 stays | $16,178 | $14,650 |
| Beth Israel Deaconess Hospital-Milton Inc Milton, MA · 13 stays | $16,877 | $16,208 |
| University of MD St Joseph Medical Center Towson, MD · 11 stays | $19,380 | $17,213 |
| Greater Baltimore Medical Center Baltimore, MD · 13 stays | $20,056 | $15,279 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 13 stays | $21,153 | $19,343 |
| Beth Israel Deaconess Hospital - Plymouth Plymouth, MA · 28 stays | $23,581 | $17,104 |
| St Elizabeth's Medical Center Brighton, MA · 16 stays | $24,397 | $25,553 |
| Emerson Hospital - W Concord, MA · 12 stays | $24,528 | $16,535 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 12 stays | $24,925 | $22,893 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 15 stays | $26,145 | $24,409 |
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.