Inpatient stays / DRG 085
MS-DRG 085 · 256 hospitals · 8,456 stays
DRG 085: Traumatic Stupor and Coma <1 Hour with MCC
Medicare patients had 8,456 stays in DRG 085 in 2024. Hospitals charged an average of $108,443 per stay and were paid $21,461 — a ratio of 5.1 to 1 — of which Medicare's own share averaged $18,176. Average charges ran from $23,782 at the least expensive hospital to $445,978 at the most; half of hospitals charged between $70,109 and $155,305.
- 1Average charge $108,443
- 2Average paid $21,461
- 3Reporting hospitals 256
- 4Medicare stays 8,456
By state
Average charges for DRG 085 were highest in California ($180,573) and lowest in Maryland ($31,029). Payments vary far less than charges, because Medicare sets them: they range across states from $15,136 to $29,551.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 834 | $180,573 | $28,354 | 6.4× |
| Nevada | 101 | $178,414 | $21,433 | 8.3× |
| New Jersey | 344 | $143,439 | $23,354 | 6.1× |
| Colorado | 138 | $138,186 | $17,100 | 8.1× |
| New York | 479 | $134,782 | $27,580 | 4.9× |
| Florida | 871 | $131,109 | $17,311 | 7.6× |
| Alaska | 16 | $126,004 | $29,551 | 4.3× |
| Kansas | 118 | $122,815 | $17,217 | 7.1× |
| Arizona | 223 | $122,143 | $20,952 | 5.8× |
| Texas | 668 | $120,670 | $19,517 | 6.2× |
| South Dakota | 27 | $116,794 | $27,374 | 4.3× |
| Pennsylvania | 393 | $113,311 | $20,039 | 5.7× |
| Georgia | 229 | $109,466 | $21,594 | 5.1× |
| South Carolina | 125 | $105,130 | $17,829 | 5.9× |
| Oklahoma | 121 | $99,193 | $18,707 | 5.3× |
| Missouri | 161 | $99,029 | $19,995 | 5× |
| Alabama | 108 | $96,097 | $17,042 | 5.6× |
| New Hampshire | 28 | $89,706 | $20,910 | 4.3× |
| Connecticut | 120 | $88,575 | $24,413 | 3.6× |
| Tennessee | 242 | $88,048 | $20,111 | 4.4× |
| Virginia | 264 | $86,838 | $21,755 | 4× |
| Washington | 146 | $84,934 | $21,088 | 4× |
| Illinois | 389 | $83,462 | $23,174 | 3.6× |
| Hawaii | 56 | $83,367 | $26,843 | 3.1× |
| District of Columbia | 16 | $82,722 | $25,255 | 3.3× |
| Kentucky | 89 | $81,230 | $16,314 | 5× |
| Idaho | 37 | $80,541 | $21,794 | 3.7× |
| Louisiana | 86 | $79,413 | $17,430 | 4.6× |
| Ohio | 267 | $74,176 | $18,694 | 4× |
| Minnesota | 139 | $72,659 | $23,050 | 3.2× |
| Wisconsin | 139 | $71,833 | $20,745 | 3.5× |
| Oregon | 50 | $70,492 | $24,589 | 2.9× |
| Nebraska | 76 | $68,704 | $20,315 | 3.4× |
| Utah | 34 | $68,492 | $17,706 | 3.9× |
| Mississippi | 56 | $68,042 | $16,016 | 4.2× |
| Indiana | 159 | $67,780 | $17,387 | 3.9× |
| North Carolina | 186 | $66,183 | $18,897 | 3.5× |
| Massachusetts | 247 | $65,983 | $26,291 | 2.5× |
| Vermont | 16 | $59,684 | $18,798 | 3.2× |
| West Virginia | 37 | $57,936 | $17,386 | 3.3× |
| Delaware | 42 | $57,821 | $19,071 | 3× |
| North Dakota | 21 | $57,146 | $18,242 | 3.1× |
| Michigan | 198 | $55,307 | $18,604 | 3× |
| Maine | 40 | $54,362 | $18,601 | 2.9× |
| Arkansas | 76 | $52,807 | $15,136 | 3.5× |
| Iowa | 37 | $52,114 | $16,222 | 3.2× |
| New Mexico | 14 | $52,032 | $21,511 | 2.4× |
| Rhode Island | 22 | $46,107 | $24,608 | 1.9× |
| Wyoming | 11 | $43,579 | $21,481 | 2× |
| Montana | 18 | $43,515 | $18,014 | 2.4× |
| Maryland | 142 | $31,029 | $27,756 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 13 stays | $445,978 | $32,810 |
| Stanford Health Care Stanford, CA · 14 stays | $436,245 | $49,232 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 11 stays | $351,541 | $22,260 |
| OU Health University of Oklahoma Medical Center Oklahoma City, OK · 18 stays | $332,557 | $35,153 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 14 stays | $330,673 | $16,571 |
| Northbay Medical Center Fairfield, CA · 11 stays | $323,627 | $29,898 |
| Desert Regional Medical Center Palm Springs, CA · 12 stays | $313,984 | $24,036 |
| HCA Florida Kendall Hospital Miami, FL · 13 stays | $311,779 | $21,816 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 16 stays | $309,795 | $28,922 |
| Mercy Medical Center Redding Redding, CA · 15 stays | $290,695 | $32,768 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Suburban Hospital Bethesda, MD · 27 stays | $23,782 | $21,263 |
| Johns Hopkins Bayview Medical Center Baltimore, MD · 17 stays | $27,705 | $24,130 |
| Silver Cross Hospital and Medical Centers New Lenox, IL · 12 stays | $30,859 | $15,785 |
| Cape Cod Hospital Hyannis, MA · 21 stays | $31,229 | $23,449 |
| South Shore Hospital South Weymouth, MA · 13 stays | $31,410 | $16,706 |
| Corewell Health Grand Rapids Hospitals Butterworth Grand Rapids, MI · 17 stays | $40,396 | $18,135 |
| Prisma Health Greenville Memorial Hospital Greenville, SC · 11 stays | $41,207 | $19,068 |
| Ascension St John Medical Center Tulsa, OK · 14 stays | $41,646 | $16,094 |
| Baystate Medical Center Springfield, MA · 23 stays | $41,967 | $23,408 |
| Grand View Health Sellersville, PA · 11 stays | $43,256 | $14,734 |
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.