Esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications
What 1,962 hospitals in the U.S. charged and were paid for a Medicare hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications (DRG 392), from 2024 Medicare claims.
Average charge
$40,642
Hospital list price billed
Average payment
$7,791
Medicare + patient + other payers
Medicare paid
$5,662
Average per stay
Volume
85,970
Medicare hospital stays
Hospitals in the U.S. billed an average of $40,642 for esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications, about 5.2 times the average total payment of $7,791.
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 $7,791Billed $40,642
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
| Rutland Regional Medical CenterRutland, VT | $4,241 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $4,741 |
| Delray Medical CenterDelray Beach, FL | $4,891 |
| Boone Hospital CenterColumbia, MO | $4,968 |
| Adventhealth Palm Coast ParkwayPalm Coast, FL | $4,974 |
| Novant Health Ballantyne Medical CenterCharlotte, NC | $4,991 |
| Kearney Regional Medical CenterKearney, NE | $5,012 |
| Pelham Medical CenterGreer, SC | $5,016 |
| Roper HospitalCharleston, SC | $5,017 |
| Mount Pleasant HospitalMount Pleasant, SC | $5,111 |
Highest
| University Health SystemSan Antonio, TX | $21,382 |
|---|---|
| Los Angeles General Medical CenterLos Angeles, CA | $21,239 |
| Lac/Harbor-UCLA Med CenterTorrance, CA | $21,093 |
| Jacobi Medical CenterBronx, NY | $19,847 |
| University of Maryland Medical CenterBaltimore, MD | $19,815 |
| UCLA Medical CenterLos Angeles, CA | $17,922 |
| San Francisco General HospitalSan Francisco, CA | $17,917 |
| St Joseph's Hospital and Medical CenterPhoenix, AZ | $17,901 |
| Stanford HospitalPalo Alto, CA | $17,745 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $17,508 |
Esophagitis, gastroenteritis and miscellaneous digestive disorders without 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 | 40 | $35,424 | $6,871 | $5,231 – $12,456 |
| Alaska | 5 | $56,487 | $11,079 | $9,721 – $13,064 |
| Arizona | 44 | $44,821 | $7,617 | $5,535 – $17,901 |
| Arkansas | 26 | $25,588 | $6,068 | $5,218 – $8,812 |
| California | 188 | $66,799 | $9,888 | $7,123 – $30,568 |
| Colorado | 22 | $63,763 | $7,887 | $5,618 – $17,508 |
| Connecticut | 21 | $33,353 | $9,045 | $7,373 – $12,355 |
| Delaware | 5 | $26,899 | $7,555 | $6,589 – $8,411 |
| Florida | 156 | $53,450 | $7,083 | $4,891 – $15,705 |
| Georgia | 66 | $36,266 | $8,113 | $4,804 – $21,988 |
| Hawaii | 6 | $36,666 | $10,455 | $8,222 – $13,062 |
| Idaho | 7 | $27,588 | $6,919 | $6,519 – $7,747 |
| Illinois | 82 | $32,945 | $7,686 | $5,655 – $16,548 |
| Indiana | 47 | $30,793 | $6,772 | $5,457 – $14,918 |
| Iowa | 18 | $25,516 | $6,096 | $5,246 – $8,930 |
| Kansas | 19 | $45,897 | $6,681 | $4,892 – $8,879 |
| Kentucky | 27 | $29,836 | $6,232 | $5,385 – $9,162 |
| Louisiana | 29 | $28,810 | $6,119 | $5,221 – $10,210 |
| Maine | 11 | $26,134 | $7,426 | $5,331 – $9,183 |
| Maryland | 39 | $12,051 | $10,859 | $7,362 – $19,815 |
| Massachusetts | 49 | $19,748 | $7,929 | $6,271 – $16,288 |
| Michigan | 56 | $25,673 | $7,363 | $5,474 – $11,615 |
| Minnesota | 31 | $25,844 | $7,461 | $5,502 – $11,908 |
| Mississippi | 24 | $30,643 | $6,172 | $5,309 – $9,993 |
| Missouri | 48 | $32,574 | $6,837 | $4,968 – $10,794 |
| Montana | 7 | $18,118 | $6,518 | $6,190 – $7,028 |
| Nebraska | 15 | $27,274 | $7,203 | $5,012 – $11,761 |
| Nevada | 16 | $84,904 | $8,191 | $7,172 – $11,714 |
| New Hampshire | 12 | $32,279 | $7,395 | $6,187 – $9,772 |
| New Jersey | 50 | $58,791 | $7,873 | $6,216 – $12,004 |
| New Mexico | 12 | $33,360 | $7,111 | $4,996 – $10,461 |
| New York | 96 | $50,770 | $9,838 | $6,565 – $28,622 |
| North Carolina | 53 | $28,232 | $7,837 | $4,991 – $13,037 |
| North Dakota | 6 | $20,862 | $6,689 | $6,178 – $7,070 |
| Ohio | 79 | $27,340 | $6,928 | $4,741 – $10,377 |
| Oklahoma | 29 | $35,105 | $7,111 | $5,392 – $11,748 |
| Oregon | 17 | $27,786 | $8,278 | $6,913 – $11,108 |
| Pennsylvania | 100 | $40,682 | $7,144 | $5,083 – $10,939 |
| Rhode Island | 8 | $25,677 | $8,037 | $6,089 – $10,806 |
| South Carolina | 39 | $35,454 | $7,009 | $5,016 – $11,206 |
| South Dakota | 8 | $26,953 | $6,887 | $5,520 – $7,715 |
| Tennessee | 45 | $34,569 | $6,921 | $4,999 – $12,496 |
| Texas | 142 | $48,079 | $7,739 | $5,134 – $49,072 |
| Utah | 8 | $28,449 | $8,380 | $6,287 – $10,129 |
| Vermont | 4 | $27,861 | $6,346 | $3,257 – $9,003 |
| Virginia | 53 | $34,068 | $7,127 | $5,389 – $13,532 |
| Washington | 35 | $36,707 | $7,887 | $6,581 – $10,994 |
| West Virginia | 16 | $26,086 | $6,512 | $5,253 – $8,493 |
| Wisconsin | 36 | $29,240 | $6,942 | $5,294 – $10,316 |
| Wyoming | 6 | $25,529 | $8,686 | $7,277 – $10,366 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 548 | $58,712 | $7,995 |
| South Shore HospitalSouth Weymouth, MA | 406 | $15,111 | $6,834 |
| Sarasota Memorial HospitalSarasota, FL | 351 | $39,412 | $6,352 |
| NYU Hospitals CenterNew York, NY | 320 | $80,495 | $11,898 |
| New York-Presbyterian HospitalNew York, NY | 308 | $76,033 | $11,714 |
| William Beaumont Hospital-TroyTroy, MI | 280 | $27,484 | $5,782 |
| Lehigh Valley HospitalAllentown, PA | 271 | $48,630 | $7,527 |
| Methodist HospitalSan Antonio, TX | 261 | $57,200 | $7,409 |
| Christiana Care Health Services, INC.Newark, DE | 255 | $26,373 | $8,095 |
| Baptist Medical CenterJacksonville, FL | 247 | $45,528 | $6,915 |
| Naples Community HospitalNaples, FL | 245 | $38,262 | $6,267 |
| Martin Memorial Health SystemsStuart, FL | 244 | $31,338 | $5,384 |
| Virtua West Jersey HospitalVoorhees, NJ | 232 | $72,974 | $6,838 |
| Evanston HospitalEvanston, IL | 231 | $26,023 | $7,370 |
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | 214 | $35,961 | $5,282 |
Questions
How much does esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications (DRG 392) at 1,962 hospitals in the U.S. was billed at $40,642 on average, while the average total payment was $7,791, of which Medicare paid $5,662. 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 without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Alaska ($11,079), Maryland ($10,859), Hawaii ($10,455) and lowest in Arkansas ($6,068), Iowa ($6,096), Louisiana ($6,119).
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 5.2 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.