Major small and large bowel procedures with major complications
What 988 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major small and large bowel procedures with major complications (DRG 329), from 2024 Medicare claims.
Average charge
$219,524
Hospital list price billed
Average payment
$43,910
Medicare + patient + other payers
Medicare paid
$36,644
Average per stay
Volume
24,579
Medicare hospital stays
Hospitals in the U.S. billed an average of $219,524 for major small and large bowel procedures with major complications, about 5.0 times the average total payment of $43,910.
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 $43,910Billed $219,524
About 20¢ 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
| Marietta Memorial HospitalMarietta, OH | $17,613 |
|---|---|
| Roper HospitalCharleston, SC | $24,688 |
| Genesis Medical Center-DavenportDavenport, IA | $25,623 |
| Jupiter Medical CenterJupiter, FL | $26,402 |
| Memorial Healthcare System, INCChattanooga, TN | $26,890 |
| St Dominic-Jackson Memorial HospitalJackson, MS | $27,301 |
| Edward HospitalNaperville, IL | $27,837 |
| Mercy Health Center, INCOklahoma City, OK | $28,085 |
| Methodist Stone Oak HospitalSan Antonio, TX | $28,091 |
| CHRISTUS Santa Rosa HospitalSan Antonio, TX | $28,604 |
Highest
| University of California Davis Medical CenterSacramento, CA | $112,642 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $103,993 |
| USC University HospitalLos Angeles, CA | $102,325 |
| Emory University HospitalAtlanta, GA | $92,486 |
| Stanford HospitalPalo Alto, CA | $91,367 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $90,178 |
| Sharp Memorial HospitalSan Diego, CA | $89,505 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $87,652 |
| Medical College of Virginia HospitalsRichmond, VA | $85,665 |
| Robert Wood Johnson University HospitalNew Brunswick, NJ | $83,679 |
Major small and large bowel procedures 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 | 17 | $252,665 | $38,913 | $27,801 – $76,499 |
| Alaska | 4 | $298,401 | $51,691 | $38,947 – $61,842 |
| Arizona | 25 | $228,916 | $42,751 | $32,019 – $67,469 |
| Arkansas | 13 | $121,479 | $32,756 | $28,216 – $45,656 |
| California | 79 | $407,214 | $62,651 | $37,556 – $139,299 |
| Colorado | 17 | $275,579 | $41,963 | $30,250 – $87,221 |
| Connecticut | 10 | $165,805 | $51,381 | $36,951 – $63,716 |
| Delaware | 3 | $119,848 | $39,934 | $35,722 – $42,168 |
| Florida | 84 | $273,603 | $36,307 | $23,745 – $57,395 |
| Georgia | 29 | $215,901 | $43,664 | $28,454 – $92,486 |
| Hawaii | 5 | $201,891 | $53,915 | $43,999 – $66,745 |
| Idaho | 5 | $158,026 | $37,762 | $34,892 – $41,225 |
| Illinois | 38 | $186,002 | $43,673 | $27,837 – $80,187 |
| Indiana | 18 | $177,702 | $36,776 | $28,895 – $52,018 |
| Iowa | 12 | $135,188 | $34,870 | $25,623 – $45,930 |
| Kansas | 11 | $225,624 | $35,243 | $26,579 – $44,541 |
| Kentucky | 15 | $161,765 | $37,610 | $26,534 – $51,516 |
| Louisiana | 12 | $199,743 | $36,401 | $27,731 – $56,300 |
| Maine | 2 | $166,666 | $44,290 | $42,206 – $44,939 |
| Maryland | 24 | $59,217 | $52,968 | $36,045 – $80,852 |
| Massachusetts | 24 | $114,259 | $48,262 | $33,762 – $60,661 |
| Michigan | 24 | $141,063 | $40,910 | $28,857 – $55,088 |
| Minnesota | 14 | $156,332 | $52,806 | $36,546 – $70,636 |
| Mississippi | 12 | $148,902 | $31,907 | $27,301 – $40,735 |
| Missouri | 27 | $166,744 | $37,034 | $25,383 – $54,403 |
| Montana | 6 | $99,895 | $37,339 | $34,528 – $48,206 |
| Nebraska | 7 | $140,278 | $36,421 | $28,711 – $49,960 |
| Nevada | 15 | $372,040 | $40,215 | $33,800 – $50,679 |
| New Hampshire | 7 | $169,638 | $51,720 | $32,352 – $68,655 |
| New Jersey | 34 | $263,430 | $45,007 | $32,969 – $83,679 |
| New Mexico | 5 | $166,171 | $39,530 | $31,730 – $50,714 |
| New York | 46 | $278,440 | $56,213 | $29,369 – $72,847 |
| North Carolina | 26 | $140,669 | $39,513 | $24,174 – $56,755 |
| North Dakota | 5 | $115,486 | $39,297 | $32,597 – $43,800 |
| Ohio | 35 | $171,871 | $40,577 | $17,613 – $63,388 |
| Oklahoma | 14 | $186,074 | $35,960 | $28,085 – $62,277 |
| Oregon | 11 | $158,657 | $50,481 | $38,600 – $62,014 |
| Pennsylvania | 43 | $252,775 | $42,694 | $28,497 – $75,907 |
| Rhode Island | 3 | $86,583 | $40,031 | $32,692 – $48,799 |
| South Carolina | 19 | $262,431 | $47,715 | $24,688 – $323,776 |
| South Dakota | 4 | $153,345 | $37,411 | $29,950 – $45,462 |
| Tennessee | 21 | $171,750 | $37,669 | $25,153 – $53,878 |
| Texas | 73 | $241,678 | $37,485 | $28,091 – $86,865 |
| Utah | 5 | $119,084 | $41,157 | $29,674 – $48,927 |
| Vermont | 1 | $156,571 | $39,366 | – |
| Virginia | 32 | $187,661 | $41,734 | $29,026 – $85,665 |
| Washington | 24 | $194,534 | $47,080 | $34,257 – $60,693 |
| West Virginia | 7 | $160,962 | $38,562 | $28,764 – $48,506 |
| Wisconsin | 15 | $164,059 | $45,561 | $30,126 – $61,897 |
| Wyoming | 2 | $124,663 | $48,710 | $43,697 – $58,737 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 176 | $446,386 | $71,179 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 148 | $175,272 | $70,636 |
| Adventhealth OrlandoOrlando, FL | 147 | $313,521 | $37,479 |
| New York-Presbyterian HospitalNew York, NY | 131 | $413,382 | $71,791 |
| Cleveland Clinic - Main CampusCleveland, OH | 131 | $187,256 | $57,572 |
| Methodist HospitalSan Antonio, TX | 109 | $230,202 | $32,957 |
| Massachusetts General HospitalBoston, MA | 108 | $196,810 | $58,827 |
| Lahey Clinic HospitalBurlington, MA | 91 | $68,924 | $47,509 |
| Mount Sinai HospitalNew York, NY | 91 | $242,643 | $66,377 |
| Lehigh Valley HospitalAllentown, PA | 88 | $294,185 | $41,435 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 83 | $996,471 | $90,178 |
| Baptist Medical CenterJacksonville, FL | 82 | $203,986 | $35,971 |
| North Shore University HospitalManhasset, NY | 80 | $316,010 | $59,751 |
| Sarasota Memorial HospitalSarasota, FL | 77 | $186,046 | $33,618 |
| New Hanover Regional Medical CenterWilmington, NC | 77 | $152,250 | $41,658 |
Questions
How much does major small and large bowel procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for major small and large bowel procedures with major complications (DRG 329) at 988 hospitals in the U.S. was billed at $219,524 on average, while the average total payment was $43,910, of which Medicare paid $36,644. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for major small and large bowel procedures with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($62,651), New York ($56,213), Hawaii ($53,915) and lowest in Mississippi ($31,907), Arkansas ($32,756), Iowa ($34,870).
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 5.0 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.