Inpatient stays / DRG 103
MS-DRG 103 · 110 hospitals · 6,956 stays
DRG 103: Headaches without MCC
Medicare patients had 6,956 stays in DRG 103 in 2024. Hospitals charged an average of $48,935 per stay and were paid $9,063 — a ratio of 5.4 to 1 — of which Medicare's own share averaged $5,913. Average charges ran from $9,111 at the least expensive hospital to $205,143 at the most; half of hospitals charged between $32,583 and $68,643.
- 1Average charge $48,935
- 2Average paid $9,063
- 3Reporting hospitals 110
- 4Medicare stays 6,956
By state
Average charges for DRG 103 were highest in Nevada ($106,918) and lowest in Maryland ($12,124). Payments vary far less than charges, because Medicare sets them: they range across states from $6,547 to $13,210.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 111 | $106,918 | $9,090 | 11.8× |
| California | 540 | $78,462 | $11,501 | 6.8× |
| Colorado | 68 | $77,091 | $8,767 | 8.8× |
| Texas | 517 | $64,204 | $8,465 | 7.6× |
| Kansas | 85 | $63,490 | $8,514 | 7.5× |
| New Jersey | 193 | $63,450 | $9,340 | 6.8× |
| Florida | 775 | $63,356 | $7,959 | 8× |
| New York | 362 | $59,150 | $10,246 | 5.8× |
| Arizona | 122 | $49,221 | $7,884 | 6.2× |
| Illinois | 498 | $48,545 | $13,210 | 3.7× |
| Pennsylvania | 603 | $45,683 | $9,281 | 4.9× |
| Georgia | 163 | $45,146 | $9,120 | 5× |
| New Mexico | 24 | $43,298 | $7,136 | 6.1× |
| Tennessee | 118 | $42,194 | $7,479 | 5.6× |
| South Carolina | 100 | $41,305 | $8,009 | 5.2× |
| South Dakota | 13 | $40,558 | $7,417 | 5.5× |
| Washington | 68 | $40,441 | $8,895 | 4.5× |
| Oklahoma | 92 | $40,228 | $7,658 | 5.3× |
| Missouri | 166 | $39,825 | $7,586 | 5.2× |
| Virginia | 226 | $37,724 | $7,509 | 5× |
| District of Columbia | 18 | $36,989 | $11,418 | 3.2× |
| Oregon | 41 | $36,770 | $9,338 | 3.9× |
| New Hampshire | 44 | $35,298 | $7,935 | 4.4× |
| North Carolina | 183 | $34,816 | $8,367 | 4.2× |
| Iowa | 39 | $34,647 | $7,027 | 4.9× |
| Connecticut | 55 | $34,144 | $10,004 | 3.4× |
| Wisconsin | 85 | $33,664 | $7,915 | 4.3× |
| Alabama | 99 | $32,820 | $7,243 | 4.5× |
| Mississippi | 51 | $32,406 | $6,547 | 4.9× |
| Minnesota | 58 | $32,162 | $7,815 | 4.1× |
| Delaware | 45 | $32,085 | $8,563 | 3.7× |
| Kentucky | 88 | $32,025 | $6,702 | 4.8× |
| Indiana | 112 | $31,522 | $7,114 | 4.4× |
| Ohio | 277 | $30,933 | $7,952 | 3.9× |
| Michigan | 244 | $29,941 | $8,813 | 3.4× |
| Utah | 27 | $29,476 | $7,910 | 3.7× |
| Idaho | 12 | $29,377 | $7,206 | 4.1× |
| Louisiana | 43 | $28,351 | $6,707 | 4.2× |
| Nebraska | 30 | $27,249 | $8,059 | 3.4× |
| Rhode Island | 20 | $26,887 | $7,693 | 3.5× |
| Arkansas | 43 | $26,692 | $6,883 | 3.9× |
| Maine | 16 | $26,504 | $7,847 | 3.4× |
| Massachusetts | 209 | $24,912 | $8,795 | 2.8× |
| West Virginia | 48 | $23,983 | $7,400 | 3.2× |
| North Dakota | 20 | $23,190 | $9,039 | 2.6× |
| Maryland | 168 | $12,124 | $11,054 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Stanford Health Care Stanford, CA · 12 stays | $205,143 | $35,349 |
| Riverside Community Hospital Riverside, CA · 11 stays | $146,898 | $11,294 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 17 stays | $131,073 | $8,244 |
| Cedars-Sinai Medical Center Los Angeles, CA · 21 stays | $129,927 | $11,210 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 14 stays | $123,650 | $10,031 |
| Henderson Hospital Henderson, NV · 18 stays | $121,380 | $9,374 |
| Wesley Medical Center Wichita, KS · 19 stays | $117,983 | $7,540 |
| Centennial Hills Hospital Medical Center Las Vegas, NV · 18 stays | $114,650 | $7,299 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 15 stays | $109,982 | $8,136 |
| Mountainview Hospital Las Vegas, NV · 14 stays | $109,813 | $9,226 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Meritus Medical Center Hagerstown, MD · 13 stays | $9,111 | $8,342 |
| Winchester Hospital Winchester, MA · 12 stays | $10,647 | $9,038 |
| Medstar Franklin Square Medical Center Rosedale, MD · 13 stays | $13,675 | $12,204 |
| South Shore Hospital South Weymouth, MA · 19 stays | $15,913 | $7,315 |
| Johns Hopkins Hospital, the Baltimore, MD · 13 stays | $16,448 | $15,799 |
| Chesapeake General Hospital Chesapeake, VA · 11 stays | $17,941 | $6,307 |
| Duke University Hospital Durham, NC · 13 stays | $20,810 | $10,044 |
| Corewell Health Grand Rapids Hospitals Butterworth Grand Rapids, MI · 17 stays | $20,871 | $10,247 |
| Beverly Hospital Corporation Beverly, MA · 16 stays | $21,080 | $7,238 |
| Riverside Methodist Hospital Columbus, OH · 16 stays | $21,903 | $7,865 |
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.