Inflammatory bowel disease with complications
What 67 hospitals in the U.S. charged and were paid for a Medicare hospital stay for inflammatory bowel disease with complications (DRG 386), from 2024 Medicare claims.
Average charge
$56,502
Hospital list price billed
Average payment
$10,265
Medicare + patient + other payers
Medicare paid
$7,088
Average per stay
Volume
1,018
Medicare hospital stays
Hospitals in the U.S. billed an average of $56,502 for inflammatory bowel disease with complications, about 5.5 times the average total payment of $10,265.
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 $10,265Billed $56,502
About 18¢ 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
| Norton Healthcare PavilionLouisville, KY | $7,412 |
|---|---|
| St Joseph's HospitalTampa, FL | $9,378 |
| Lehigh Valley HospitalAllentown, PA | $9,810 |
| Adventhealth OrlandoOrlando, FL | $10,311 |
| Beth Israel Deaconess Medical CenterBoston, MA | $13,636 |
| New York-Presbyterian HospitalNew York, NY | $14,177 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $14,290 |
| Mayo Clinic HospitalPhoenix, AZ | $14,365 |
| Mayo ClinicJacksonville, FL | $14,496 |
| NYU Hospitals CenterNew York, NY | $14,948 |
Highest
| NYU Hospitals CenterNew York, NY | $14,948 |
|---|---|
| Mayo ClinicJacksonville, FL | $14,496 |
| Mayo Clinic HospitalPhoenix, AZ | $14,365 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $14,290 |
| New York-Presbyterian HospitalNew York, NY | $14,177 |
| Beth Israel Deaconess Medical CenterBoston, MA | $13,636 |
| Adventhealth OrlandoOrlando, FL | $10,311 |
| Lehigh Valley HospitalAllentown, PA | $9,810 |
| St Joseph's HospitalTampa, FL | $9,378 |
| Norton Healthcare PavilionLouisville, KY | $7,412 |
Inflammatory bowel disease 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 | $29,815 | $7,474 | – |
| Arizona | 1 | $36,486 | $14,365 | – |
| California | 3 | $145,935 | $12,789 | $9,482 – $14,290 |
| Florida | 13 | $62,099 | $9,337 | $6,511 – $14,496 |
| Illinois | 3 | $27,270 | $8,135 | $7,103 – $10,062 |
| Indiana | 1 | $22,009 | $8,935 | – |
| Kentucky | 1 | $29,149 | $7,412 | – |
| Maryland | 2 | $10,670 | $9,458 | $8,957 – $9,960 |
| Massachusetts | 8 | $29,675 | $11,642 | $7,981 – $13,908 |
| Michigan | 4 | $31,837 | $10,200 | $7,571 – $13,325 |
| Minnesota | 1 | $33,515 | $8,000 | – |
| Missouri | 2 | $28,839 | $7,236 | $7,194 – $7,299 |
| Nevada | 1 | $118,881 | $8,807 | – |
| New Jersey | 4 | $96,796 | $10,041 | $8,474 – $12,553 |
| New York | 4 | $93,426 | $13,802 | $12,416 – $14,948 |
| North Carolina | 2 | $38,046 | $8,328 | $8,066 – $8,568 |
| Ohio | 5 | $37,431 | $9,424 | $6,283 – $12,863 |
| Pennsylvania | 2 | $70,631 | $10,233 | $9,810 – $10,882 |
| South Carolina | 1 | $28,032 | $13,865 | – |
| Texas | 4 | $52,025 | $9,428 | $8,373 – $10,173 |
| Virginia | 2 | $51,003 | $8,168 | $6,844 – $9,612 |
| Wisconsin | 2 | $37,635 | $10,967 | $10,282 – $11,595 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Cedars-Sinai Medical CenterLos Angeles, CA | 32 | $201,352 | $14,290 |
| Adventhealth OrlandoOrlando, FL | 32 | $86,904 | $10,311 |
| Mayo ClinicJacksonville, FL | 29 | $47,591 | $14,496 |
| New York-Presbyterian HospitalNew York, NY | 28 | $103,059 | $14,177 |
| Beth Israel Deaconess Medical CenterBoston, MA | 27 | $30,757 | $13,636 |
| Mayo Clinic HospitalPhoenix, AZ | 26 | $36,486 | $14,365 |
| St Joseph's HospitalTampa, FL | 23 | $39,961 | $9,378 |
| Norton Healthcare PavilionLouisville, KY | 20 | $29,149 | $7,412 |
| NYU Hospitals CenterNew York, NY | 20 | $110,202 | $14,948 |
| Lehigh Valley HospitalAllentown, PA | 20 | $62,630 | $9,810 |
| Virtua West Jersey HospitalVoorhees, NJ | 19 | $147,093 | $10,102 |
| Faulkner HospitalBoston, MA | 18 | $39,679 | $9,938 |
| Cleveland Clinic - Main CampusCleveland, OH | 18 | $37,767 | $12,863 |
| Lahey Clinic HospitalBurlington, MA | 17 | $16,211 | $12,089 |
| William Beaumont Hospital-TroyTroy, MI | 17 | $19,118 | $7,571 |
Questions
How much does inflammatory bowel disease with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for inflammatory bowel disease with complications (DRG 386) at 67 hospitals in the U.S. was billed at $56,502 on average, while the average total payment was $10,265, of which Medicare paid $7,088. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for inflammatory bowel disease with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($13,802), California ($12,789), Massachusetts ($11,642) and lowest in Illinois ($8,135), Florida ($9,337), Ohio ($9,424).
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 5.5 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.