Major gastrointestinal disorders and peritoneal infections with major complications
What 313 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with major complications (DRG 371), from 2024 Medicare claims.
Average charge
$82,174
Hospital list price billed
Average payment
$17,357
Medicare + patient + other payers
Medicare paid
$13,887
Average per stay
Volume
5,401
Medicare hospital stays
Hospitals in the U.S. billed an average of $82,174 for major gastrointestinal disorders and peritoneal infections with major complications, about 4.7 times the average total payment of $17,357.
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 $17,357Billed $82,174
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
| Forrest General HospitalHattiesburg, MS | $9,636 |
|---|---|
| Palos Community HospitalPalos Heights, IL | $11,506 |
| Martin Memorial Health SystemsStuart, FL | $11,545 |
| Bsa HospitalAmarillo, TX | $11,591 |
| Norton Healthcare PavilionLouisville, KY | $11,654 |
| Mercy Health Center, INCOklahoma City, OK | $11,848 |
| Naples Community HospitalNaples, FL | $11,888 |
| Mercy Hospital SouthSt Louis, MO | $11,978 |
| Huntsville HospitalHuntsville, AL | $12,069 |
| Silver Cross HospitalJoliet, IL | $12,280 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $46,790 |
|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | $46,462 |
| Loyola University Medical CenterMaywood, IL | $35,212 |
| UNC HospitalsChapel Hill, NC | $30,063 |
| Vanderbilt University HospitalNashville, TN | $29,853 |
| Yale-New Haven HospitalNew Haven, CT | $28,469 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $28,259 |
| University HospitalStony Brook, NY | $28,060 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $26,902 |
| New York-Presbyterian HospitalNew York, NY | $26,885 |
Major gastrointestinal disorders and peritoneal infections 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 | 1 | $48,715 | $12,069 | – |
| Arizona | 6 | $71,593 | $17,775 | $11,852 – $25,538 |
| Arkansas | 5 | $33,256 | $11,896 | $10,390 – $13,541 |
| California | 33 | $131,313 | $19,909 | $14,542 – $33,929 |
| Colorado | 1 | $124,581 | $19,354 | – |
| Connecticut | 4 | $69,164 | $22,092 | $15,820 – $28,469 |
| Delaware | 2 | $66,951 | $16,001 | $14,020 – $17,292 |
| Florida | 22 | $76,484 | $14,834 | $11,176 – $22,926 |
| Georgia | 7 | $73,857 | $16,174 | $12,716 – $21,833 |
| Hawaii | 1 | $107,933 | $19,498 | – |
| Illinois | 19 | $63,996 | $17,506 | $9,630 – $35,212 |
| Indiana | 7 | $57,752 | $13,669 | $11,589 – $21,766 |
| Iowa | 4 | $52,579 | $13,858 | $12,129 – $18,559 |
| Kansas | 3 | $128,167 | $15,490 | $12,602 – $17,362 |
| Kentucky | 4 | $63,479 | $14,088 | $10,558 – $23,343 |
| Louisiana | 4 | $76,949 | $13,805 | $11,797 – $15,301 |
| Maryland | 6 | $26,185 | $23,512 | $15,875 – $46,790 |
| Massachusetts | 16 | $47,918 | $18,066 | $13,068 – $24,709 |
| Michigan | 5 | $63,746 | $19,639 | $11,252 – $27,331 |
| Minnesota | 3 | $55,158 | $23,105 | $13,182 – $28,259 |
| Mississippi | 8 | $47,477 | $12,426 | $9,636 – $20,058 |
| Missouri | 12 | $57,238 | $14,684 | $10,898 – $22,366 |
| Nebraska | 3 | $47,505 | $15,482 | $12,762 – $20,089 |
| Nevada | 8 | $171,913 | $15,333 | $13,669 – $17,613 |
| New Hampshire | 1 | $63,822 | $22,958 | – |
| New Jersey | 12 | $117,372 | $17,930 | $13,240 – $22,004 |
| New Mexico | 3 | $69,486 | $13,270 | $11,957 – $14,292 |
| New York | 17 | $140,556 | $22,547 | $14,016 – $32,992 |
| North Carolina | 12 | $56,074 | $17,611 | $11,730 – $30,063 |
| North Dakota | 2 | $47,589 | $16,698 | $13,875 – $20,227 |
| Ohio | 11 | $65,125 | $18,752 | $8,687 – $46,462 |
| Oklahoma | 6 | $75,554 | $15,049 | $11,848 – $24,364 |
| Oregon | 2 | $47,155 | $19,769 | $19,198 – $20,253 |
| Pennsylvania | 9 | $96,917 | $17,457 | $12,716 – $26,857 |
| Rhode Island | 1 | $49,177 | $15,665 | – |
| South Carolina | 3 | $61,760 | $15,283 | $12,969 – $19,937 |
| South Dakota | 3 | $68,553 | $15,050 | $13,347 – $16,985 |
| Tennessee | 5 | $77,528 | $19,935 | $11,405 – $29,853 |
| Texas | 20 | $93,076 | $15,196 | $11,587 – $20,473 |
| Utah | 2 | $50,242 | $17,206 | $12,923 – $21,160 |
| Virginia | 8 | $61,380 | $16,156 | $11,748 – $28,805 |
| Washington | 4 | $73,198 | $17,450 | $15,611 – $19,602 |
| West Virginia | 1 | $71,642 | $14,951 | – |
| Wisconsin | 6 | $69,954 | $18,713 | $13,474 – $26,902 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 83 | $182,483 | $25,861 |
| Mayo Clinic HospitalPhoenix, AZ | 46 | $65,554 | $25,538 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 46 | $65,252 | $28,259 |
| New York-Presbyterian HospitalNew York, NY | 43 | $160,984 | $26,885 |
| Adventhealth OrlandoOrlando, FL | 40 | $120,349 | $16,684 |
| Baptist Medical CenterJacksonville, FL | 40 | $95,739 | $15,323 |
| Mayo ClinicJacksonville, FL | 40 | $69,238 | $22,926 |
| St John's Mercy Medical CenterSt Louis, MO | 40 | $40,948 | $13,238 |
| Brigham and Women's HosptialBoston, MA | 39 | $91,478 | $24,709 |
| Mercy Hospital SpringfieldSpringfield, MO | 39 | $63,644 | $15,334 |
| Morristown Memorial HospitalMorristown, NJ | 39 | $124,899 | $18,028 |
| University HospitalStony Brook, NY | 39 | $172,481 | $28,060 |
| Lakeland Regional Medical CenterLakeland, FL | 36 | $63,076 | $13,633 |
| South Shore HospitalSouth Weymouth, MA | 36 | $25,518 | $13,758 |
| Saint Francis Hospital, INCTulsa, OK | 36 | $46,605 | $13,358 |
Questions
How much does major gastrointestinal disorders and peritoneal infections with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with major complications (DRG 371) at 313 hospitals in the U.S. was billed at $82,174 on average, while the average total payment was $17,357, of which Medicare paid $13,887. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($23,512), Minnesota ($23,105), New York ($22,547) and lowest in Arkansas ($11,896), Mississippi ($12,426), New Mexico ($13,270).
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 4.7 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.