Inpatient stays / DRG 091
MS-DRG 091 · 497 hospitals · 16,666 stays
DRG 091: Other Disorders of Nervous System with MCC
Medicare patients had 16,666 stays in DRG 091 in 2024. Hospitals charged an average of $82,750 per stay and were paid $17,445 — a ratio of 4.7 to 1 — of which Medicare's own share averaged $14,574. Average charges ran from $15,300 at the least expensive hospital to $431,371 at the most; half of hospitals charged between $48,606 and $105,490.
- 1Average charge $82,750
- 2Average paid $17,445
- 3Reporting hospitals 497
- 4Medicare stays 16,666
By state
Average charges for DRG 091 were highest in Alaska ($143,754) and lowest in Maryland ($31,330). Payments vary far less than charges, because Medicare sets them: they range across states from $11,986 to $31,518.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 34 | $143,754 | $24,639 | 5.8× |
| California | 1,785 | $134,089 | $22,186 | 6× |
| Nevada | 166 | $132,782 | $16,095 | 8.2× |
| New Jersey | 452 | $119,825 | $17,725 | 6.8× |
| Colorado | 187 | $115,750 | $15,970 | 7.2× |
| Hawaii | 34 | $114,787 | $31,518 | 3.6× |
| New York | 1,085 | $114,393 | $23,479 | 4.9× |
| Pennsylvania | 779 | $102,267 | $17,753 | 5.8× |
| Florida | 1,396 | $98,617 | $14,345 | 6.9× |
| Kansas | 212 | $94,952 | $14,570 | 6.5× |
| Texas | 1,184 | $93,408 | $14,870 | 6.3× |
| District of Columbia | 61 | $91,493 | $21,657 | 4.2× |
| Arizona | 294 | $81,864 | $16,768 | 4.9× |
| Connecticut | 163 | $79,847 | $21,208 | 3.8× |
| Georgia | 508 | $77,754 | $17,102 | 4.5× |
| Washington | 304 | $77,551 | $18,035 | 4.3× |
| South Dakota | 70 | $71,340 | $15,312 | 4.7× |
| Illinois | 706 | $70,954 | $17,668 | 4× |
| South Carolina | 288 | $70,888 | $15,403 | 4.6× |
| Alabama | 229 | $68,949 | $14,648 | 4.7× |
| Louisiana | 168 | $65,977 | $13,811 | 4.8× |
| Vermont | 39 | $63,347 | $15,617 | 4.1× |
| Minnesota | 246 | $62,735 | $19,921 | 3.1× |
| Tennessee | 455 | $61,852 | $14,590 | 4.2× |
| Oklahoma | 228 | $61,612 | $13,869 | 4.4× |
| Wisconsin | 281 | $61,454 | $16,803 | 3.7× |
| New Hampshire | 105 | $60,714 | $15,113 | 4× |
| Kentucky | 220 | $59,771 | $14,003 | 4.3× |
| Missouri | 287 | $59,695 | $15,327 | 3.9× |
| New Mexico | 71 | $59,113 | $15,684 | 3.8× |
| Oregon | 175 | $58,167 | $18,209 | 3.2× |
| Ohio | 471 | $56,993 | $15,041 | 3.8× |
| Nebraska | 104 | $56,830 | $15,667 | 3.6× |
| West Virginia | 71 | $56,730 | $13,747 | 4.1× |
| Idaho | 78 | $56,218 | $14,303 | 3.9× |
| Indiana | 354 | $55,879 | $14,244 | 3.9× |
| Virginia | 422 | $55,049 | $15,620 | 3.5× |
| Utah | 128 | $53,134 | $15,757 | 3.4× |
| Iowa | 152 | $52,133 | $13,677 | 3.8× |
| North Carolina | 498 | $51,713 | $16,392 | 3.2× |
| Arkansas | 120 | $50,701 | $12,349 | 4.1× |
| Rhode Island | 52 | $50,447 | $15,974 | 3.2× |
| Massachusetts | 648 | $50,051 | $19,181 | 2.6× |
| Michigan | 513 | $49,333 | $15,945 | 3.1× |
| Delaware | 95 | $48,387 | $16,573 | 2.9× |
| Mississippi | 204 | $46,833 | $11,986 | 3.9× |
| North Dakota | 50 | $45,670 | $17,422 | 2.6× |
| Maine | 62 | $45,318 | $15,228 | 3× |
| Wyoming | 14 | $43,331 | $18,994 | 2.3× |
| Montana | 58 | $37,903 | $13,838 | 2.7× |
| Maryland | 360 | $31,330 | $28,007 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Hospital of Univ of Pennsylvania Philadelphia, PA · 20 stays | $431,371 | $59,100 |
| Doctors Medical Center Modesto, CA · 13 stays | $422,373 | $23,752 |
| Stanford Health Care Stanford, CA · 33 stays | $390,184 | $40,946 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 15 stays | $338,012 | $24,695 |
| Cedars-Sinai Medical Center Los Angeles, CA · 39 stays | $306,851 | $27,726 |
| Robert Wood Johnson University Hospital New Brunswick, NJ · 17 stays | $299,302 | $30,958 |
| University of California Davis Medical Center Sacramento, CA · 18 stays | $267,372 | $40,313 |
| Geisinger Medical Center Danville, PA · 18 stays | $264,251 | $37,160 |
| Westchester Medical Center Valhalla, NY · 14 stays | $258,305 | $22,199 |
| Santa Clara Valley Medical Center San Jose, CA · 13 stays | $250,451 | $53,488 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medstar Franklin Square Medical Center Rosedale, MD · 12 stays | $15,300 | $13,673 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 11 stays | $17,365 | $15,988 |
| Mary Washington Hospital, Inc Fredericksburg, VA · 12 stays | $19,191 | $12,506 |
| Umass Memorial Health-Milford Regional Medical Ctr Milford, MA · 11 stays | $21,682 | $13,790 |
| Frederick Health Hospital Frederick, MD · 11 stays | $21,737 | $19,637 |
| U P M C Western Maryland Cumberland, MD · 22 stays | $22,182 | $19,669 |
| Good Samaritan Medical Center Brockton, MA · 12 stays | $22,265 | $14,011 |
| Bethesda North Cincinnati, OH · 15 stays | $22,304 | $12,733 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 13 stays | $22,819 | $20,902 |
| Silver Cross Hospital and Medical Centers New Lenox, IL · 14 stays | $24,084 | $12,526 |
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.