facebook tracking Gastrointestinal obstruction with major complications cost: hospital prices by state (DRG 388)

Gastrointestinal obstruction with major complications

What 505 hospitals in the U.S. charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with major complications (DRG 388), from 2024 Medicare claims.

DRG 388 Inpatient 2024 Medicare data
Average charge $73,423 Hospital list price billed
Average payment $14,417 Medicare + patient + other payers
Medicare paid $11,514 Average per stay
Volume 8,832 Medicare hospital stays

Hospitals in the U.S. billed an average of $73,423 for gastrointestinal obstruction with major complications, about 5.1 times the average total payment of $14,417.

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 $14,417Billed $73,423

About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.

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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

Highest

Stanford HospitalPalo Alto, CA$48,895
The University of Chicago Medical CenterChicago, IL$36,224
University of California San Diego Medical CenterSan Diego, CA$31,325
Mount Sinai HospitalNew York, NY$30,011
Methodist Hospital,TheHouston, TX$26,459
University HospitalStony Brook, NY$25,964
Northwestern Memorial HospitalChicago, IL$25,317
UCI Health-OrangeOrange, CA$25,306
Hospital of the Univ of PaPhiladelphia, PA$24,759
NYU Hospitals CenterNew York, NY$24,253

Gastrointestinal obstruction 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 5 $59,188 $13,037 $10,676 – $22,982
Arizona 11 $63,639 $14,181 $10,491 – $20,492
Arkansas 6 $43,083 $11,008 $9,576 – $14,885
California 58 $119,810 $18,454 $12,300 – $48,895
Colorado 4 $84,536 $13,459 $11,130 – $17,679
Connecticut 2 $56,629 $17,679 $16,486 – $18,560
Delaware 3 $45,785 $14,700 $11,441 – $17,506
Florida 45 $79,167 $12,081 $9,327 – $25,519
Georgia 13 $61,713 $12,872 $9,792 – $20,954
Hawaii 1 $71,490 $16,322 –
Idaho 1 $64,451 $12,804 –
Illinois 27 $57,186 $15,323 $10,269 – $36,224
Indiana 8 $43,609 $12,330 $9,239 – $16,353
Iowa 7 $52,356 $11,995 $9,913 – $17,624
Kansas 5 $103,870 $14,972 $9,777 – $24,211
Kentucky 4 $49,830 $10,744 $9,581 – $11,293
Louisiana 8 $41,279 $10,446 $9,296 – $11,911
Maine 2 $39,232 $13,573 $11,369 – $15,594
Maryland 11 $19,033 $17,222 $10,256 – $23,161
Massachusetts 21 $45,224 $15,534 $11,023 – $23,235
Michigan 9 $41,529 $13,183 $10,836 – $17,525
Minnesota 12 $47,979 $14,201 $10,511 – $20,190
Mississippi 7 $49,307 $10,260 $9,818 – $11,035
Missouri 11 $47,752 $11,577 $8,641 – $18,514
Montana 2 $26,887 $12,667 $11,056 – $14,144
Nebraska 4 $43,223 $12,949 $11,148 – $16,944
Nevada 6 $93,028 $13,208 $11,416 – $15,198
New Hampshire 1 $42,497 $10,215 –
New Jersey 22 $104,673 $13,937 $10,255 – $19,620
New Mexico 2 $28,842 $13,585 $10,632 – $16,992
New York 27 $117,227 $19,584 $11,662 – $30,011
North Carolina 12 $38,901 $13,682 $10,410 – $22,210
North Dakota 1 $26,651 $12,264 –
Ohio 22 $49,219 $12,461 $8,939 – $16,969
Oklahoma 9 $59,765 $12,038 $9,900 – $17,045
Oregon 4 $48,416 $13,865 $12,535 – $14,954
Pennsylvania 23 $91,477 $15,003 $10,298 – $24,759
Rhode Island 1 $33,214 $13,907 –
South Carolina 8 $43,627 $11,904 $9,388 – $16,163
South Dakota 2 $74,641 $13,849 $12,408 – $15,427
Tennessee 10 $55,811 $12,566 $9,326 – $20,315
Texas 34 $85,461 $13,182 $9,802 – $26,459
Utah 2 $41,214 $14,446 $11,721 – $16,944
Vermont 1 $55,251 $8,857 –
Virginia 13 $53,092 $13,117 $9,942 – $21,333
Washington 9 $64,082 $15,182 $12,249 – $22,071
West Virginia 1 $19,550 $10,515 –
Wisconsin 6 $55,293 $14,114 $9,990 – $20,378

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Adventhealth OrlandoOrlando, FL102$94,313$12,644
Methodist HospitalSan Antonio, TX65$100,911$11,138
New York-Presbyterian HospitalNew York, NY64$143,356$22,540
NYU Hospitals CenterNew York, NY60$164,739$24,253
Brigham and Women's HosptialBoston, MA53$106,783$21,889
Stanford HospitalPalo Alto, CA48$347,636$48,895
Hollywood Community Hospital of HollywoodLos Angeles, CA46$88,703$15,222
Inova Fairfax HospitalFalls Church, VA46$40,590$15,523
Baptist Memorial HospitalMemphis, TN42$58,512$11,203
Baptist Medical CenterJacksonville, FL39$67,772$11,945
Norton Healthcare PavilionLouisville, KY38$57,918$11,255
Mem Hermann Southwest HospHouston, TX38$53,801$13,803
Methodist Hospital,TheHouston, TX38$202,165$26,459
Massachusetts General HospitalBoston, MA37$91,330$20,432
South Shore HospitalSouth Weymouth, MA37$23,789$11,023

Questions

How much does gastrointestinal obstruction with major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with major complications (DRG 388) at 505 hospitals in the U.S. was billed at $73,423 on average, while the average total payment was $14,417, of which Medicare paid $11,514. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for gastrointestinal obstruction with major complications?

Among states with at least three hospitals reporting, the average total payment was highest in New York ($19,584), California ($18,454), Maryland ($17,222) and lowest in Mississippi ($10,260), Louisiana ($10,446), Kentucky ($10,744).

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.