Major gastrointestinal disorders and peritoneal infections with complications
What 489 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.
Average charge
$48,514
Hospital list price billed
Average payment
$10,109
Medicare + patient + other payers
Medicare paid
$7,767
Average per stay
Volume
9,250
Medicare hospital stays
Hospitals in the U.S. billed an average of $48,514 for major gastrointestinal disorders and peritoneal infections with complications, about 4.8 times the average total payment of $10,109.
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 $10,109Billed $48,514
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 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
| Baptist Hospital EastLouisville, KY | $6,711 |
|---|---|
| Mississippi Baptist Medical CenterJackson, MS | $6,820 |
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $6,915 |
| Jupiter Medical CenterJupiter, FL | $6,955 |
| Edward HospitalNaperville, IL | $7,125 |
| Genesis Medical Center-DavenportDavenport, IA | $7,127 |
| Martin Memorial Health SystemsStuart, FL | $7,131 |
| Hillcrest HospitalCleveland, OH | $7,178 |
| William Beaumont Hospital-TroyTroy, MI | $7,275 |
| Mercy Hospital Northwest ArkansasRogers, AR | $7,287 |
Highest
| Montefiore Medical CenterBronx, NY | $20,040 |
|---|---|
| The University of Chicago Medical CenterChicago, IL | $19,646 |
| Mayo Clinic HospitalPhoenix, AZ | $19,221 |
| Santa Clara Valley Medical CenterSan Jose, CA | $18,762 |
| New York-Presbyterian HospitalNew York, NY | $17,167 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $16,715 |
| Peninsula Regional Medical CenterSalisbury, MD | $15,839 |
| Vanderbilt University HospitalNashville, TN | $15,808 |
| NYU Hospitals CenterNew York, NY | $15,793 |
| University HospitalStony Brook, NY | $14,544 |
Major gastrointestinal disorders and peritoneal infections 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 | 2 | $30,153 | $8,398 | $8,201 – $8,863 |
| Alaska | 1 | $45,068 | $10,227 | – |
| Arizona | 10 | $48,383 | $12,012 | $7,883 – $19,221 |
| Arkansas | 7 | $26,965 | $7,958 | $7,287 – $9,058 |
| California | 40 | $82,768 | $12,776 | $9,359 – $22,756 |
| Colorado | 4 | $76,002 | $9,780 | $7,512 – $12,446 |
| Connecticut | 6 | $39,799 | $11,758 | $9,247 – $15,803 |
| Delaware | 4 | $36,569 | $9,374 | $8,672 – $10,108 |
| Florida | 42 | $55,127 | $8,718 | $5,312 – $15,264 |
| Georgia | 17 | $45,630 | $10,193 | $7,938 – $14,002 |
| Hawaii | 1 | $42,139 | $11,558 | – |
| Idaho | 1 | $33,411 | $8,631 | – |
| Illinois | 22 | $42,135 | $10,359 | $7,125 – $19,646 |
| Indiana | 9 | $37,538 | $8,750 | $6,915 – $13,694 |
| Iowa | 5 | $30,332 | $8,065 | $7,127 – $10,911 |
| Kansas | 6 | $48,814 | $8,778 | $6,792 – $10,436 |
| Kentucky | 8 | $35,977 | $7,502 | $6,668 – $10,111 |
| Louisiana | 7 | $36,152 | $7,880 | $6,976 – $10,467 |
| Maine | 1 | $37,284 | $13,456 | – |
| Maryland | 12 | $13,687 | $12,344 | $9,762 – $20,260 |
| Massachusetts | 22 | $26,027 | $10,495 | $8,087 – $14,416 |
| Michigan | 10 | $30,072 | $9,570 | $7,275 – $12,639 |
| Minnesota | 9 | $34,748 | $10,202 | $7,652 – $20,101 |
| Mississippi | 9 | $33,834 | $8,013 | $6,820 – $11,908 |
| Missouri | 14 | $36,997 | $8,572 | $6,497 – $12,880 |
| Nebraska | 4 | $29,364 | $9,060 | $7,004 – $11,082 |
| Nevada | 6 | $107,896 | $10,494 | $7,938 – $13,206 |
| New Hampshire | 2 | $32,135 | $10,621 | $8,299 – $12,612 |
| New Jersey | 26 | $74,109 | $9,988 | $7,409 – $13,760 |
| New Mexico | 1 | $31,304 | $8,405 | – |
| New York | 28 | $75,126 | $13,277 | $7,941 – $20,040 |
| North Carolina | 18 | $34,272 | $9,934 | $7,650 – $15,596 |
| North Dakota | 2 | $22,442 | $8,540 | $8,135 – $8,792 |
| Ohio | 13 | $32,690 | $9,621 | $7,014 – $14,154 |
| Oklahoma | 9 | $35,892 | $8,635 | $7,577 – $12,598 |
| Oregon | 1 | $35,114 | $10,747 | – |
| Pennsylvania | 23 | $56,105 | $9,745 | $7,403 – $13,972 |
| Rhode Island | 1 | $32,173 | $12,623 | – |
| South Carolina | 9 | $36,257 | $9,727 | $7,247 – $13,617 |
| South Dakota | 2 | $36,963 | $8,948 | $8,429 – $9,468 |
| Tennessee | 8 | $37,296 | $10,122 | $6,790 – $15,808 |
| Texas | 32 | $47,517 | $9,260 | $7,271 – $13,835 |
| Utah | 1 | $24,473 | $13,007 | – |
| Vermont | 1 | $40,859 | $8,391 | – |
| Virginia | 18 | $34,695 | $9,564 | $7,325 – $17,059 |
| Washington | 5 | $41,549 | $10,300 | $8,776 – $12,260 |
| West Virginia | 2 | $26,669 | $8,956 | $8,220 – $9,741 |
| Wisconsin | 7 | $38,286 | $9,972 | $6,678 – $13,810 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 89 | $94,084 | $15,793 |
| New York-Presbyterian HospitalNew York, NY | 63 | $77,066 | $17,167 |
| University HospitalStony Brook, NY | 61 | $100,011 | $14,544 |
| Mayo Clinic HospitalPhoenix, AZ | 55 | $46,960 | $19,221 |
| Lakeland Regional Medical CenterLakeland, FL | 55 | $41,634 | $8,712 |
| Adventhealth OrlandoOrlando, FL | 52 | $78,836 | $9,197 |
| Evanston HospitalEvanston, IL | 52 | $35,610 | $9,477 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | 51 | $51,605 | $10,344 |
| Sarasota Memorial HospitalSarasota, FL | 51 | $47,109 | $8,160 |
| Methodist HospitalSan Antonio, TX | 50 | $74,315 | $8,859 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | 48 | $36,565 | $7,778 |
| Virtua West Jersey HospitalVoorhees, NJ | 47 | $84,628 | $8,409 |
| Saint Francis Hospital, INCTulsa, OK | 44 | $29,497 | $8,344 |
| Martin Memorial Health SystemsStuart, FL | 43 | $38,066 | $7,131 |
| Deaconess Hospital INCEvansville, IN | 43 | $23,856 | $7,383 |
Questions
How much does major gastrointestinal disorders and peritoneal infections with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 489 hospitals in the U.S. was billed at $48,514 on average, while the average total payment was $10,109, of which Medicare paid $7,767. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for major gastrointestinal disorders and peritoneal infections with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($13,277), California ($12,776), Maryland ($12,344) and lowest in Kentucky ($7,502), Louisiana ($7,880), Arkansas ($7,958).
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 4.8 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.