Digestive malignancy with major complications
What 288 hospitals in the U.S. charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.
Average charge
$115,406
Hospital list price billed
Average payment
$23,203
Medicare + patient + other payers
Medicare paid
$18,359
Average per stay
Volume
5,486
Medicare hospital stays
Hospitals in the U.S. billed an average of $115,406 for digestive malignancy with major complications, about 5.0 times the average total payment of $23,203.
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
| Deaconess Hospital INCEvansville, IN | $13,914 |
|---|---|
| Norton Healthcare PavilionLouisville, KY | $14,227 |
| Methodist HospitalSan Antonio, TX | $14,257 |
| Presbyterian HospitalAlbuquerque, NM | $14,335 |
| Northwest Community HospitalArlington Heights, IL | $14,460 |
| Lexington Medical CenterWest Columbia, SC | $14,698 |
| Huntington HospitalHuntington, NY | $14,802 |
| South Shore HospitalSouth Weymouth, MA | $15,333 |
| Northwestern Medicine McHenryMcHenry, IL | $15,703 |
| Riverside Methodist HospitalColumbus, OH | $15,979 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $57,310 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $51,804 |
| Hospital of the Univ of PaPhiladelphia, PA | $50,943 |
| Stanford HospitalPalo Alto, CA | $43,372 |
| University of California San Diego Medical CenterSan Diego, CA | $40,474 |
| Mount Sinai HospitalNew York, NY | $39,614 |
| Montefiore Medical CenterBronx, NY | $39,125 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $34,983 |
| New York-Presbyterian HospitalNew York, NY | $34,035 |
| Beth Israel Deaconess Medical CenterBoston, MA | $33,907 |
Digestive malignancy 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 |
|---|---|---|---|---|
| Alabama | 1 | $57,941 | $21,086 | – |
| Alaska | 1 | $116,757 | $24,651 | – |
| Arizona | 3 | $70,446 | $26,844 | $16,458 – $29,609 |
| Arkansas | 1 | $73,790 | $14,493 | – |
| California | 35 | $213,550 | $30,386 | $15,427 – $52,377 |
| Connecticut | 4 | $97,270 | $29,559 | $21,981 – $34,686 |
| Delaware | 1 | $73,880 | $20,549 | – |
| Florida | 17 | $101,316 | $19,175 | $12,920 – $29,681 |
| Georgia | 5 | $107,898 | $17,802 | $15,949 – $20,567 |
| Hawaii | 1 | $135,378 | $25,663 | – |
| Idaho | 1 | $60,950 | $16,101 | – |
| Illinois | 21 | $79,320 | $19,787 | $13,989 – $29,390 |
| Indiana | 4 | $66,723 | $16,486 | $13,914 – $24,091 |
| Iowa | 2 | $78,708 | $16,661 | $13,346 – $19,975 |
| Kansas | 3 | $122,986 | $17,052 | $13,613 – $18,204 |
| Kentucky | 2 | $63,787 | $17,575 | $14,227 – $21,560 |
| Louisiana | 1 | $29,018 | $15,971 | – |
| Maryland | 7 | $37,463 | $33,918 | $14,897 – $57,310 |
| Massachusetts | 14 | $65,504 | $24,006 | $15,333 – $33,907 |
| Michigan | 10 | $63,603 | $20,052 | $15,054 – $25,579 |
| Minnesota | 6 | $73,897 | $22,833 | $15,545 – $30,129 |
| Missouri | 6 | $84,457 | $21,391 | $15,815 – $27,077 |
| Nebraska | 3 | $61,002 | $18,119 | $15,504 – $22,106 |
| Nevada | 3 | $150,960 | $19,392 | $18,546 – $21,159 |
| New Hampshire | 1 | $111,738 | $30,755 | – |
| New Jersey | 15 | $147,401 | $22,450 | $16,400 – $38,916 |
| New Mexico | 1 | $39,475 | $14,335 | – |
| New York | 22 | $185,869 | $29,206 | $14,802 – $39,614 |
| North Carolina | 10 | $67,534 | $22,396 | $13,862 – $34,132 |
| North Dakota | 1 | $34,671 | $14,172 | – |
| Ohio | 8 | $77,650 | $19,662 | $14,397 – $28,819 |
| Oklahoma | 4 | $80,177 | $18,073 | $13,984 – $25,023 |
| Oregon | 3 | $82,824 | $26,607 | $21,104 – $39,017 |
| Pennsylvania | 14 | $129,251 | $22,767 | $13,858 – $50,943 |
| South Carolina | 4 | $82,489 | $16,401 | $14,698 – $17,457 |
| South Dakota | 2 | $95,522 | $18,298 | $18,051 – $18,545 |
| Tennessee | 7 | $74,473 | $17,794 | $11,784 – $26,228 |
| Texas | 18 | $116,188 | $17,790 | $12,795 – $27,737 |
| Utah | 1 | $53,221 | $22,222 | – |
| Virginia | 11 | $61,808 | $18,835 | $13,372 – $26,580 |
| Washington | 8 | $83,315 | $22,172 | $18,721 – $29,908 |
| Wisconsin | 3 | $87,366 | $25,621 | $15,639 – $31,211 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| New York-Presbyterian HospitalNew York, NY | 103 | $246,387 | $34,035 |
| NYU Hospitals CenterNew York, NY | 84 | $228,942 | $31,093 |
| Adventhealth OrlandoOrlando, FL | 63 | $151,268 | $26,525 |
| Stanford HospitalPalo Alto, CA | 62 | $366,844 | $43,372 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 57 | $438,425 | $34,983 |
| Brigham and Women's HosptialBoston, MA | 49 | $103,586 | $26,622 |
| Inova Fairfax HospitalFalls Church, VA | 49 | $50,396 | $20,542 |
| Mayo Clinic HospitalPhoenix, AZ | 47 | $65,555 | $29,609 |
| Yale-New Haven HospitalNew Haven, CT | 47 | $102,709 | $32,467 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 46 | $72,111 | $30,129 |
| Beth Israel Deaconess Medical CenterBoston, MA | 43 | $73,005 | $33,907 |
| Hackensack University Medical CenterHackensack, NJ | 43 | $146,072 | $26,879 |
| North Shore University HospitalManhasset, NY | 42 | $178,179 | $26,829 |
| Evanston HospitalEvanston, IL | 41 | $63,119 | $16,856 |
| Massachusetts General HospitalBoston, MA | 40 | $114,668 | $29,187 |
Questions
How much does digestive malignancy with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 288 hospitals in the U.S. was billed at $115,406 on average, while the average total payment was $23,203, of which Medicare paid $18,359. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for digestive malignancy with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($33,918), California ($30,386), Connecticut ($29,559) and lowest in South Carolina ($16,401), Indiana ($16,486), Kansas ($17,052).
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 5.0 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.