DRG 086 Medical
Traumatic Stupor and Coma <1 Hour with CC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$8,468
National average
Avg Total Costs
$12,232
CMS Inpatient data
Avg Length of Stay
2.9 days
CMS MS-DRG
Est. Commercial Insurance
$12,701 — $21,169
1.5x — 2.5x Medicare
Annual Discharges
8,229
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
8,229
Total Discharges
$12,232
Avg Total Costs
$9,685
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for traumatic stupor and coma <1 hour with cc cost?
The average Medicare payment for DRG 086 is $8,468. Average hospital costs are $12,232. Commercial insurance typically pays 150-250% of Medicare rates ($12,701 — $21,169).
How long is the hospital stay for DRG 086?
The average length of stay is 2.9 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.