Inpatient stays / DRG 086
MS-DRG 086 · 406 hospitals · 12,049 stays
DRG 086: Traumatic Stupor and Coma <1 Hour with CC
Medicare patients had 12,049 stays in DRG 086 in 2024. Hospitals charged an average of $68,314 per stay and were paid $12,685 — a ratio of 5.4 to 1 — of which Medicare's own share averaged $10,217. Average charges ran from $10,704 at the least expensive hospital to $438,264 at the most; half of hospitals charged between $41,756 and $87,600.
- 1Average charge $68,314
- 2Average paid $12,685
- 3Reporting hospitals 406
- 4Medicare stays 12,049
By state
Average charges for DRG 086 were highest in Alaska ($119,448) and lowest in Maryland ($15,876). Payments vary far less than charges, because Medicare sets them: they range across states from $9,886 to $18,071.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 15 | $119,448 | $16,831 | 7.1× |
| California | 1,245 | $117,658 | $16,076 | 7.3× |
| New Jersey | 436 | $99,758 | $14,360 | 6.9× |
| Nevada | 120 | $95,721 | $12,798 | 7.5× |
| Florida | 1,236 | $91,114 | $11,296 | 8.1× |
| Colorado | 192 | $90,551 | $10,955 | 8.3× |
| Kansas | 195 | $81,569 | $10,718 | 7.6× |
| Texas | 907 | $81,000 | $12,893 | 6.3× |
| Arizona | 257 | $73,272 | $11,869 | 6.2× |
| New York | 572 | $72,832 | $15,918 | 4.6× |
| Georgia | 320 | $71,460 | $14,417 | 5× |
| District of Columbia | 26 | $70,526 | $15,769 | 4.5× |
| South Carolina | 193 | $70,333 | $11,352 | 6.2× |
| Pennsylvania | 608 | $65,918 | $11,781 | 5.6× |
| New Hampshire | 59 | $64,460 | $11,821 | 5.5× |
| Missouri | 263 | $59,239 | $11,925 | 5× |
| Hawaii | 54 | $58,232 | $18,071 | 3.2× |
| Louisiana | 193 | $56,791 | $10,995 | 5.2× |
| Vermont | 25 | $56,618 | $10,333 | 5.5× |
| Tennessee | 371 | $56,168 | $12,527 | 4.5× |
| Oklahoma | 144 | $54,083 | $10,407 | 5.2× |
| Oregon | 80 | $53,074 | $14,553 | 3.6× |
| Washington | 146 | $53,036 | $12,238 | 4.3× |
| Connecticut | 127 | $51,866 | $14,449 | 3.6× |
| Virginia | 364 | $51,721 | $11,207 | 4.6× |
| Illinois | 559 | $50,924 | $12,603 | 4× |
| North Carolina | 322 | $49,557 | $11,874 | 4.2× |
| New Mexico | 19 | $49,270 | $12,636 | 3.9× |
| Alabama | 179 | $49,180 | $10,472 | 4.7× |
| Idaho | 48 | $48,337 | $11,647 | 4.2× |
| South Dakota | 37 | $48,167 | $11,423 | 4.2× |
| Utah | 81 | $47,127 | $11,426 | 4.1× |
| Kentucky | 120 | $44,168 | $10,354 | 4.3× |
| Ohio | 473 | $43,615 | $11,255 | 3.9× |
| Wisconsin | 181 | $43,224 | $11,252 | 3.8× |
| Mississippi | 88 | $41,525 | $9,925 | 4.2× |
| Indiana | 227 | $40,987 | $11,039 | 3.7× |
| Michigan | 314 | $40,514 | $11,510 | 3.5× |
| North Dakota | 47 | $39,571 | $12,239 | 3.2× |
| West Virginia | 69 | $39,183 | $10,796 | 3.6× |
| Arkansas | 98 | $38,882 | $10,124 | 3.8× |
| Minnesota | 172 | $37,652 | $11,765 | 3.2× |
| Iowa | 75 | $37,217 | $9,886 | 3.8× |
| Nebraska | 109 | $35,850 | $11,666 | 3.1× |
| Maine | 38 | $35,268 | $11,304 | 3.1× |
| Delaware | 72 | $35,225 | $13,077 | 2.7× |
| Rhode Island | 26 | $31,305 | $13,968 | 2.2× |
| Massachusetts | 292 | $29,192 | $14,023 | 2.1× |
| Wyoming | 11 | $26,173 | $13,955 | 1.9× |
| Montana | 27 | $25,657 | $10,140 | 2.5× |
| Maryland | 217 | $15,876 | $14,274 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 21 stays | $438,264 | $15,383 |
| Regional Medical Center of San Jose San Jose, CA · 11 stays | $327,891 | $16,443 |
| Good Samaritan Hospital San Jose, CA · 11 stays | $284,714 | $14,627 |
| HCA Florida Kendall Hospital Miami, FL · 18 stays | $228,123 | $15,385 |
| Palomar Health Downtown Campus Escondido, CA · 17 stays | $216,593 | $11,297 |
| HCA Healthone Sky Ridge Lone Tree, CO · 16 stays | $206,416 | $11,310 |
| Cedars-Sinai Medical Center Los Angeles, CA · 28 stays | $200,667 | $17,588 |
| HCA Florida Osceola Hospital Kissimmee, FL · 13 stays | $199,075 | $13,492 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 19 stays | $197,525 | $13,765 |
| Doctors Medical Center Modesto, CA · 11 stays | $197,063 | $14,104 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Meritus Medical Center Hagerstown, MD · 16 stays | $10,704 | $9,897 |
| Suburban Hospital Bethesda, MD · 32 stays | $10,904 | $9,748 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 14 stays | $11,572 | $10,709 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 12 stays | $13,662 | $12,242 |
| Frederick Health Hospital Frederick, MD · 13 stays | $13,940 | $12,617 |
| Baystate Medical Center Springfield, MA · 45 stays | $16,352 | $13,999 |
| Adventist Healthcare Shady Grove Medical Center Rockville, MD · 14 stays | $16,837 | $14,783 |
| Methodist Hospital Omaha, NE · 13 stays | $16,927 | $9,671 |
| Tufts Medical Center Boston, MA · 14 stays | $22,328 | $15,704 |
| Benefis Hospitals Inc Great Falls, MT · 11 stays | $22,376 | $9,944 |
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.