Complicated peptic ulcer with major complications
What 48 hospitals in the U.S. charged and were paid for a Medicare hospital stay for complicated peptic ulcer with major complications (DRG 380), from 2024 Medicare claims.
Average charge
$113,850
Hospital list price billed
Average payment
$21,522
Medicare + patient + other payers
Medicare paid
$17,272
Average per stay
Volume
678
Medicare hospital stays
Hospitals in the U.S. billed an average of $113,850 for complicated peptic ulcer with major complications, about 5.3 times the average total payment of $21,522.
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 $21,522Billed $113,850
About 19¢ 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:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Los Angeles Community HospitalLos Angeles, CA | $19,390 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $22,981 |
| New York-Presbyterian HospitalNew York, NY | $27,326 |
| NYU Hospitals CenterNew York, NY | $30,685 |
| Stanford HospitalPalo Alto, CA | $33,941 |
Highest
| Stanford HospitalPalo Alto, CA | $33,941 |
|---|---|
| NYU Hospitals CenterNew York, NY | $30,685 |
| New York-Presbyterian HospitalNew York, NY | $27,326 |
| Adventhealth OrlandoOrlando, FL | $22,981 |
| Los Angeles Community HospitalLos Angeles, CA | $19,390 |
Complicated peptic ulcer with major 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 |
|---|---|---|---|---|
| Arizona | 1 | $49,564 | $20,813 | – |
| Arkansas | 1 | $71,156 | $13,431 | – |
| California | 10 | $167,666 | $25,918 | $17,746 – $36,817 |
| Delaware | 1 | $48,214 | $17,627 | – |
| Florida | 1 | $161,564 | $22,981 | – |
| Idaho | 1 | $82,386 | $14,297 | – |
| Illinois | 2 | $85,342 | $21,265 | $14,918 – $26,342 |
| Indiana | 1 | $66,483 | $13,860 | – |
| Iowa | 1 | $61,541 | $20,341 | – |
| Kansas | 1 | $126,257 | $17,936 | – |
| Kentucky | 1 | $59,825 | $13,212 | – |
| Maryland | 1 | $27,697 | $24,738 | – |
| Massachusetts | 2 | $86,324 | $24,825 | $21,662 – $27,763 |
| Minnesota | 1 | $78,101 | $35,731 | – |
| Missouri | 1 | $111,592 | $25,232 | – |
| Nevada | 1 | $89,798 | $16,447 | – |
| New Jersey | 2 | $184,524 | $22,616 | $20,559 – $24,502 |
| New Mexico | 1 | $37,100 | $15,680 | – |
| New York | 3 | $182,322 | $27,647 | $21,198 – $30,685 |
| North Carolina | 1 | $51,058 | $19,335 | – |
| Oklahoma | 1 | $62,931 | $12,664 | – |
| Oregon | 2 | $81,076 | $22,578 | $19,452 – $25,443 |
| Pennsylvania | 1 | $67,858 | $18,427 | – |
| South Carolina | 1 | $46,262 | $16,710 | – |
| Texas | 6 | $111,020 | $15,336 | $13,641 – $17,921 |
| Virginia | 2 | $55,024 | $18,253 | $17,987 – $18,567 |
| Wisconsin | 1 | $72,632 | $22,996 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 28 | $246,776 | $30,685 |
| New York-Presbyterian HospitalNew York, NY | 24 | $146,123 | $27,326 |
| Stanford HospitalPalo Alto, CA | 22 | $298,731 | $33,941 |
| Los Angeles Community HospitalLos Angeles, CA | 22 | $74,577 | $19,390 |
| Adventhealth OrlandoOrlando, FL | 21 | $161,564 | $22,981 |
| Mem Hermann Southwest HospHouston, TX | 18 | $71,450 | $17,921 |
| Methodist HospitalSan Antonio, TX | 18 | $83,875 | $14,197 |
| Deaconess Hospital INCEvansville, IN | 17 | $66,483 | $13,860 |
| Presbyterian HospitalAlbuquerque, NM | 17 | $37,100 | $15,680 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 16 | $282,306 | $26,259 |
| Mayo Clinic HospitalPhoenix, AZ | 15 | $49,564 | $20,813 |
| Memorial Medical CenterModesto, CA | 15 | $84,104 | $17,746 |
| Northwestern Memorial HospitalChicago, IL | 15 | $102,729 | $26,342 |
| Trinity Mother Frances SystTyler, TX | 15 | $100,131 | $13,641 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | 15 | $72,632 | $22,996 |
Questions
How much does complicated peptic ulcer with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for complicated peptic ulcer with major complications (DRG 380) at 48 hospitals in the U.S. was billed at $113,850 on average, while the average total payment was $21,522, of which Medicare paid $17,272. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for complicated peptic ulcer with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($27,647), California ($25,918), Texas ($15,336) and lowest in Texas ($15,336), California ($25,918), New York ($27,647).
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 5.3 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.