Complicated peptic ulcer with complications
What 34 hospitals in the U.S. charged and were paid for a Medicare hospital stay for complicated peptic ulcer with complications (DRG 381), from 2024 Medicare claims.
Average charge
$65,324
Hospital list price billed
Average payment
$10,556
Medicare + patient + other payers
Medicare paid
$8,080
Average per stay
Volume
481
Medicare hospital stays
Hospitals in the U.S. billed an average of $65,324 for complicated peptic ulcer with complications, about 6.2 times the average total payment of $10,556.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $10,556Billed $65,324
About 16¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
Complicated peptic ulcer with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| California | 5 | $98,015 | $11,813 | $10,157 – $14,285 |
| Delaware | 1 | $31,012 | $9,994 | – |
| Florida | 6 | $61,474 | $9,346 | $8,013 – $11,682 |
| Illinois | 2 | $32,704 | $7,878 | $7,064 – $8,818 |
| Kentucky | 1 | $34,632 | $7,922 | – |
| Massachusetts | 1 | $29,910 | $9,201 | – |
| Minnesota | 1 | $41,417 | $13,521 | – |
| Mississippi | 1 | $36,329 | $6,772 | – |
| Nevada | 1 | $53,034 | $11,328 | – |
| New Jersey | 2 | $88,199 | $12,717 | $10,935 – $15,241 |
| New Mexico | 1 | $32,176 | $8,541 | – |
| New York | 4 | $110,767 | $14,787 | $11,454 – $17,216 |
| Ohio | 2 | $44,692 | $10,775 | $8,719 – $13,767 |
| Pennsylvania | 1 | $66,936 | $9,754 | – |
| South Carolina | 1 | $43,019 | $8,154 | – |
| Tennessee | 1 | $39,392 | $7,329 | – |
| Texas | 1 | $72,128 | $8,819 | – |
| Virginia | 1 | $22,223 | $8,491 | – |
| Wisconsin | 1 | $45,560 | $11,731 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Methodist HospitalSan Antonio, TX | 23 | $72,128 | $8,819 |
| NYU Hospitals CenterNew York, NY | 19 | $142,817 | $17,216 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | 18 | $49,980 | $10,253 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 18 | $195,452 | $14,285 |
| Adventhealth OrlandoOrlando, FL | 17 | $79,649 | $11,682 |
| Lee Memorial HospitalFort Myers, FL | 17 | $49,454 | $10,278 |
| Boca Raton Regional HospitalBoca Raton, FL | 17 | $61,933 | $8,398 |
| Morristown Memorial HospitalMorristown, NJ | 17 | $88,926 | $10,935 |
| Lexington Medical CenterWest Columbia, SC | 17 | $43,019 | $8,154 |
| Norton Healthcare PavilionLouisville, KY | 16 | $34,632 | $7,922 |
| New York-Presbyterian HospitalNew York, NY | 16 | $140,714 | $16,339 |
| Miami Valley HospitalDayton, OH | 16 | $39,979 | $8,719 |
| Palos Community HospitalPalos Heights, IL | 15 | $36,496 | $7,064 |
| Presbyterian HospitalAlbuquerque, NM | 15 | $32,176 | $8,541 |
| Sarasota Memorial HospitalSarasota, FL | 14 | $62,274 | $8,508 |
Questions
How much does complicated peptic ulcer with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for complicated peptic ulcer with complications (DRG 381) at 34 hospitals in the U.S. was billed at $65,324 on average, while the average total payment was $10,556, of which Medicare paid $8,080. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for complicated peptic ulcer with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($14,787), California ($11,813), Florida ($9,346) and lowest in Florida ($9,346), California ($11,813), New York ($14,787).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 6.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.