Inflammatory bowel disease with major complications
What 8 hospitals in the U.S. charged and were paid for a Medicare hospital stay for inflammatory bowel disease with major complications (DRG 385), from 2024 Medicare claims.
Average charge
$88,624
Hospital list price billed
Average payment
$22,195
Medicare + patient + other payers
Medicare paid
$13,908
Average per stay
Volume
111
Medicare hospital stays
Hospitals in the U.S. billed an average of $88,624 for inflammatory bowel disease with major complications, about 4.0 times the average total payment of $22,195.
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 $22,195Billed $88,624
About 25¢ 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:
Inflammatory bowel disease with major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Barnes Jewish HospitalSt Louis, MO | 19 | $68,752 | $21,414 |
| Cleveland Clinic - Main CampusCleveland, OH | 18 | $61,713 | $17,307 |
| Adventhealth OrlandoOrlando, FL | 15 | $89,922 | $11,443 |
| Medstar Georgetown University HospitalWashington, DC | 13 | $92,877 | $27,733 |
| Mayo Clinic HospitalPhoenix, AZ | 12 | $77,618 | $27,881 |
| NYU Hospitals CenterNew York, NY | 12 | $190,153 | $25,229 |
| Beth Israel Deaconess Medical CenterBoston, MA | 11 | $52,565 | $27,382 |
| Vanderbilt University HospitalNashville, TN | 11 | $97,490 | $24,964 |
Questions
How much does inflammatory bowel disease with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for inflammatory bowel disease with major complications (DRG 385) at 8 hospitals in the U.S. was billed at $88,624 on average, while the average total payment was $22,195, of which Medicare paid $13,908. Your own cost depends on your insurance, deductible and the hospital.
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 4.0 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.