DRG 042 Surgical
Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$11,230
National average
Avg Total Costs
$20,062
CMS Inpatient data
Avg Length of Stay
2.3 days
CMS MS-DRG
Est. Commercial Insurance
$16,845 — $28,075
1.5x — 2.5x Medicare
Annual Discharges
107
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
107
Total Discharges
$20,062
Avg Total Costs
$14,503
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for peripheral, cranial nerve and other nervous system procedures without cc/mcc cost?
The average Medicare payment for DRG 042 is $11,230. Average hospital costs are $20,062. Commercial insurance typically pays 150-250% of Medicare rates ($16,845 — $28,075).
How long is the hospital stay for DRG 042?
The average length of stay is 2.3 days. This varies by severity — patients with complications or comorbidities may stay longer.
How much does this hospital stay cost without insurance?
Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.