Digestive malignancy with complications
What 207 hospitals in the U.S. charged and were paid for a Medicare hospital stay for digestive malignancy with complications (DRG 375), from 2024 Medicare claims.
Average charge
$66,700
Hospital list price billed
Average payment
$13,131
Medicare + patient + other payers
Medicare paid
$9,846
Average per stay
Volume
3,494
Medicare hospital stays
Hospitals in the U.S. billed an average of $66,700 for digestive malignancy with complications, about 5.1 times the average total payment of $13,131.
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.
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
| Hillcrest HospitalCleveland, OH | $8,016 |
|---|---|
| Edward HospitalNaperville, IL | $8,166 |
| Norton Healthcare PavilionLouisville, KY | $8,473 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $8,598 |
| Sarasota Memorial HospitalSarasota, FL | $8,994 |
| Northwest Community HospitalArlington Heights, IL | $9,564 |
| Methodist HospitalSan Antonio, TX | $9,680 |
| South Shore HospitalSouth Weymouth, MA | $10,111 |
| St Francis Hospital, RoslynRoslyn, NY | $10,315 |
| Evanston HospitalEvanston, IL | $10,329 |
Highest
| Stanford HospitalPalo Alto, CA | $25,132 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $19,684 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $18,968 |
| University of Virginia Medical CenterCharlottesville, VA | $18,725 |
| Brigham and Women's HosptialBoston, MA | $17,564 |
| Rush University Medical CenterChicago, IL | $17,556 |
| NYU Hospitals CenterNew York, NY | $17,355 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $17,026 |
| Massachusetts General HospitalBoston, MA | $17,019 |
| The University of Chicago Medical CenterChicago, IL | $16,863 |
Digestive malignancy 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 |
|---|---|---|---|---|
| Alabama | 1 | $44,957 | $17,211 | – |
| Arizona | 3 | $57,636 | $12,343 | $8,356 – $16,167 |
| California | 24 | $116,989 | $16,864 | $11,364 – $27,759 |
| Colorado | 1 | $79,316 | $9,590 | – |
| Connecticut | 2 | $58,545 | $15,097 | $12,443 – $16,425 |
| Delaware | 1 | $41,594 | $10,731 | – |
| Florida | 17 | $68,887 | $10,796 | $7,680 – $18,210 |
| Georgia | 4 | $54,782 | $10,858 | $8,308 – $13,608 |
| Hawaii | 1 | $58,234 | $17,172 | – |
| Illinois | 17 | $51,186 | $11,382 | $8,166 – $17,556 |
| Indiana | 4 | $40,436 | $9,538 | $7,603 – $11,300 |
| Iowa | 1 | $45,067 | $8,874 | – |
| Kansas | 3 | $60,311 | $10,251 | $8,659 – $11,458 |
| Kentucky | 2 | $42,179 | $9,668 | $8,473 – $11,373 |
| Louisiana | 2 | $38,917 | $9,363 | $8,297 – $10,340 |
| Maine | 1 | $28,814 | $11,175 | – |
| Maryland | 10 | $17,869 | $15,981 | $8,645 – $25,278 |
| Massachusetts | 10 | $37,635 | $14,051 | $9,726 – $17,564 |
| Michigan | 5 | $38,961 | $12,541 | $8,677 – $16,430 |
| Minnesota | 2 | $43,624 | $14,331 | $9,846 – $16,229 |
| Mississippi | 1 | $44,502 | $9,067 | – |
| Missouri | 2 | $49,967 | $12,873 | $10,366 – $13,933 |
| Nebraska | 1 | $30,805 | $9,323 | – |
| Nevada | 1 | $157,959 | $11,708 | – |
| New Jersey | 11 | $89,200 | $13,905 | $9,945 – $18,968 |
| New York | 17 | $102,370 | $16,390 | $10,315 – $25,182 |
| North Carolina | 6 | $37,665 | $12,070 | $8,156 – $15,912 |
| North Dakota | 1 | $41,176 | $11,016 | – |
| Ohio | 4 | $45,625 | $9,785 | $7,997 – $13,242 |
| Oklahoma | 2 | $60,783 | $12,828 | $9,242 – $14,877 |
| Oregon | 1 | $56,504 | $16,553 | – |
| Pennsylvania | 10 | $71,241 | $11,299 | $8,315 – $14,904 |
| South Carolina | 3 | $30,730 | $11,918 | $8,997 – $15,288 |
| South Dakota | 1 | $63,061 | $11,197 | – |
| Tennessee | 6 | $47,958 | $11,849 | $9,037 – $15,291 |
| Texas | 11 | $77,121 | $10,577 | $8,735 – $13,034 |
| Utah | 1 | $31,033 | $14,148 | – |
| Virginia | 11 | $53,021 | $12,655 | $8,236 – $22,238 |
| Washington | 4 | $50,379 | $11,651 | $11,105 – $12,381 |
| West Virginia | 1 | $48,550 | $13,643 | – |
| Wisconsin | 1 | $45,498 | $13,905 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 53 | $135,394 | $19,684 |
| NYU Hospitals CenterNew York, NY | 51 | $127,114 | $17,355 |
| Methodist HospitalSan Antonio, TX | 44 | $75,993 | $9,680 |
| Adventhealth OrlandoOrlando, FL | 40 | $87,965 | $11,775 |
| Morristown Memorial HospitalMorristown, NJ | 39 | $84,112 | $13,680 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 38 | $207,830 | $17,026 |
| Massachusetts General HospitalBoston, MA | 36 | $60,773 | $17,019 |
| Stanford HospitalPalo Alto, CA | 35 | $245,226 | $25,132 |
| Evanston HospitalEvanston, IL | 35 | $33,610 | $10,329 |
| Brigham and Women's HosptialBoston, MA | 34 | $49,489 | $17,564 |
| Christiana Care Health Services, INC.Newark, DE | 30 | $41,594 | $10,731 |
| Hackensack University Medical CenterHackensack, NJ | 28 | $86,860 | $16,565 |
| St Francis Hospital, RoslynRoslyn, NY | 28 | $82,879 | $10,315 |
| Northwest Community HospitalArlington Heights, IL | 27 | $33,051 | $9,564 |
| University HospitalStony Brook, NY | 27 | $101,600 | $16,416 |
Questions
How much does digestive malignancy with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for digestive malignancy with complications (DRG 375) at 207 hospitals in the U.S. was billed at $66,700 on average, while the average total payment was $13,131, of which Medicare paid $9,846. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for digestive malignancy with complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($16,864), New York ($16,390), Maryland ($15,981) and lowest in Indiana ($9,538), Ohio ($9,785), Kansas ($10,251).
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 5.1 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.