Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications
What 1,189 hospitals in the U.S. charged and were paid for a Medicare hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391), from 2024 Medicare claims.
Average charge
$62,657
Hospital list price billed
Average payment
$12,772
Medicare + patient + other payers
Medicare paid
$10,203
Average per stay
Volume
30,034
Medicare hospital stays
Hospitals in the U.S. billed an average of $62,657 for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications, about 4.9 times the average total payment of $12,772.
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 $12,772Billed $62,657
About 20¢ 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
| Roper HospitalCharleston, SC | $8,163 |
|---|---|
| Parkwest Medical CenterKnoxville, TN | $8,172 |
| Baptist Health - Fort SmithFort Smith, AR | $8,249 |
| Mississippi Baptist Medical CenterJackson, MS | $8,324 |
| Southwest General Health CenterMiddleburg Heights, OH | $8,373 |
| Missouri Baptist Medical CenterTown and Country, MO | $8,432 |
| Viera HospitalMelbourne, FL | $8,476 |
| Villages Regional Hospital theLady Lake, FL | $8,495 |
| Our Lady of Lourdes Regional Medical Center, INCLafayette, LA | $8,495 |
| Memorial Healthcare System, INCChattanooga, TN | $8,522 |
Highest
| UCLA Medical CenterLos Angeles, CA | $43,264 |
|---|---|
| Saint Anthony Medical CenterRockford, IL | $29,202 |
| UCSF Medical CenterSan Francisco, CA | $27,965 |
| Stanford HospitalPalo Alto, CA | $26,058 |
| University of California San Diego Medical CenterSan Diego, CA | $25,966 |
| The Johns Hopkins HospitalBaltimore, MD | $25,588 |
| Strong Memorial HospitalRochester, NY | $24,593 |
| Mount Sinai HospitalNew York, NY | $24,456 |
| University of Virginia Medical CenterCharlottesville, VA | $23,929 |
| Sinai Hospital of BaltimoreBaltimore, MD | $23,624 |
Esophagitis, gastroenteritis and miscellaneous digestive disorders 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 | 19 | $50,033 | $10,502 | $8,380 – $14,842 |
| Alaska | 1 | $91,012 | $21,139 | – |
| Arizona | 28 | $58,084 | $12,188 | $9,311 – $17,933 |
| Arkansas | 15 | $39,255 | $9,759 | $8,180 – $16,559 |
| California | 122 | $103,129 | $15,946 | $10,822 – $43,264 |
| Colorado | 13 | $91,692 | $12,120 | $9,532 – $17,220 |
| Connecticut | 15 | $51,470 | $15,060 | $11,127 – $19,642 |
| Delaware | 4 | $47,322 | $13,502 | $11,419 – $15,005 |
| Florida | 105 | $74,928 | $10,962 | $7,921 – $18,850 |
| Georgia | 37 | $57,991 | $12,760 | $8,761 – $24,586 |
| Hawaii | 2 | $68,506 | $16,347 | $13,540 – $17,614 |
| Idaho | 4 | $44,636 | $10,842 | $10,378 – $12,234 |
| Illinois | 52 | $49,346 | $12,340 | $9,135 – $29,202 |
| Indiana | 25 | $48,447 | $10,671 | $8,970 – $15,327 |
| Iowa | 11 | $38,620 | $10,093 | $8,406 – $14,301 |
| Kansas | 11 | $67,440 | $11,259 | $8,421 – $13,663 |
| Kentucky | 13 | $43,729 | $9,896 | $8,262 – $13,900 |
| Louisiana | 13 | $44,505 | $9,696 | $8,346 – $12,403 |
| Maine | 4 | $48,603 | $12,350 | $9,939 – $13,496 |
| Maryland | 33 | $19,797 | $17,828 | $11,352 – $41,255 |
| Massachusetts | 41 | $33,941 | $13,535 | $10,269 – $22,828 |
| Michigan | 34 | $39,225 | $12,059 | $8,862 – $19,663 |
| Minnesota | 15 | $44,827 | $13,077 | $9,745 – $18,949 |
| Mississippi | 9 | $40,507 | $9,402 | $8,324 – $15,128 |
| Missouri | 27 | $51,939 | $11,195 | $8,234 – $17,837 |
| Montana | 5 | $29,499 | $10,414 | $9,754 – $11,185 |
| Nebraska | 7 | $42,527 | $11,920 | $8,631 – $16,876 |
| Nevada | 15 | $110,162 | $12,944 | $10,848 – $17,606 |
| New Hampshire | 8 | $45,297 | $11,577 | $9,756 – $15,360 |
| New Jersey | 42 | $93,140 | $12,980 | $8,996 – $20,772 |
| New Mexico | 5 | $52,454 | $11,249 | $9,585 – $15,641 |
| New York | 62 | $90,632 | $16,719 | $9,855 – $45,162 |
| North Carolina | 31 | $42,075 | $12,425 | $8,573 – $18,597 |
| North Dakota | 3 | $34,387 | $10,843 | $10,035 – $12,407 |
| Ohio | 46 | $47,551 | $11,428 | $7,200 – $18,204 |
| Oklahoma | 14 | $52,389 | $10,614 | $8,914 – $14,926 |
| Oregon | 10 | $36,722 | $13,358 | $11,902 – $17,520 |
| Pennsylvania | 58 | $70,994 | $12,267 | $8,414 – $22,124 |
| Rhode Island | 5 | $42,445 | $14,693 | $11,636 – $17,470 |
| South Carolina | 22 | $53,440 | $11,313 | $8,163 – $18,009 |
| South Dakota | 3 | $47,091 | $11,630 | $10,171 – $12,893 |
| Tennessee | 23 | $48,868 | $11,270 | $8,172 – $18,177 |
| Texas | 83 | $69,664 | $11,794 | $8,478 – $50,812 |
| Utah | 5 | $40,316 | $12,632 | $10,239 – $15,241 |
| Vermont | 2 | $50,286 | $10,031 | $6,956 – $11,261 |
| Virginia | 31 | $45,728 | $11,470 | $8,829 – $23,929 |
| Washington | 25 | $57,249 | $12,713 | $10,445 – $19,361 |
| West Virginia | 12 | $37,652 | $10,086 | $8,299 – $13,372 |
| Wisconsin | 13 | $47,825 | $12,595 | $8,916 – $17,999 |
| Wyoming | 2 | $31,604 | $12,920 | $11,852 – $13,987 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 270 | $85,728 | $12,619 |
| New York-Presbyterian HospitalNew York, NY | 172 | $129,330 | $19,816 |
| NYU Hospitals CenterNew York, NY | 164 | $149,926 | $21,769 |
| South Shore HospitalSouth Weymouth, MA | 137 | $19,944 | $10,557 |
| Stanford HospitalPalo Alto, CA | 116 | $246,452 | $26,058 |
| Sarasota Memorial HospitalSarasota, FL | 110 | $50,404 | $10,144 |
| Baptist Medical CenterJacksonville, FL | 106 | $63,809 | $10,842 |
| Mayo Clinic HospitalPhoenix, AZ | 105 | $43,314 | $16,995 |
| Brigham and Women's HosptialBoston, MA | 103 | $72,854 | $16,784 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 101 | $229,621 | $20,383 |
| North Shore University HospitalManhasset, NY | 101 | $123,371 | $16,139 |
| Massachusetts General HospitalBoston, MA | 92 | $66,559 | $17,038 |
| Southcoast Hospital Group, INCFall River, MA | 91 | $29,466 | $11,196 |
| Christiana Care Health Services, INC.Newark, DE | 88 | $43,674 | $15,005 |
| William Beaumont Hospital-TroyTroy, MI | 86 | $43,970 | $9,133 |
Questions
How much does esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391) at 1,189 hospitals in the U.S. was billed at $62,657 on average, while the average total payment was $12,772, of which Medicare paid $10,203. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($17,828), New York ($16,719), California ($15,946) and lowest in Mississippi ($9,402), Louisiana ($9,696), Arkansas ($9,759).
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 4.9 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.