Major small and large bowel procedures without complications
What 553 hospitals in the U.S. charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.
Average charge
$84,764
Hospital list price billed
Average payment
$16,035
Medicare + patient + other payers
Medicare paid
$12,053
Average per stay
Volume
11,649
Medicare hospital stays
Hospitals in the U.S. billed an average of $84,764 for major small and large bowel procedures without complications, about 5.3 times the average total payment of $16,035.
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 $16,035Billed $84,764
About 19¢ 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
| Boone Hospital CenterColumbia, MO | $10,407 |
|---|---|
| Roper HospitalCharleston, SC | $10,597 |
| St Vincent's BirminghamBirmingham, AL | $10,958 |
| Memorial Healthcare System, INCChattanooga, TN | $10,971 |
| Mississippi Baptist Medical CenterJackson, MS | $10,988 |
| Hardin Memorial HospitalElizabethtown, KY | $11,042 |
| Singing River HospitalPascagoula, MS | $11,147 |
| Franklin Woods Community HospitalJohnson City, TN | $11,191 |
| Oklahoma Surgical Hospital, LLCTulsa, OK | $11,203 |
| MUSC Health Columbia Medical Center DowntownColumbia, SC | $11,211 |
Highest
| Johns Hopkins Bayview Medical CenterBaltimore, MD | $31,058 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $30,907 |
| Franklin Square Hospital CenterRosedale, MD | $29,580 |
| St Joseph Medical CenterTacoma, WA | $26,764 |
| Mount Sinai HospitalNew York, NY | $26,559 |
| Stanford HospitalPalo Alto, CA | $26,485 |
| UCI Health-OrangeOrange, CA | $26,429 |
| Baltimore Washington Medical CenterGlen Burnie, MD | $26,228 |
| Lenox Hill HospitalNew York, NY | $25,396 |
| University of California Davis Medical CenterSacramento, CA | $25,381 |
Major small and large bowel procedures without 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 | 10 | $105,261 | $13,204 | $10,453 – $17,231 |
| Alaska | 3 | $127,341 | $18,933 | $14,735 – $23,717 |
| Arizona | 14 | $100,821 | $15,258 | $12,808 – $23,215 |
| Arkansas | 9 | $51,780 | $12,204 | $10,622 – $15,360 |
| California | 40 | $132,746 | $20,062 | $15,767 – $30,907 |
| Colorado | 9 | $116,630 | $15,292 | $13,043 – $19,067 |
| Connecticut | 5 | $60,943 | $20,090 | $17,257 – $23,860 |
| Delaware | 3 | $47,211 | $15,986 | $12,719 – $22,787 |
| Florida | 35 | $126,091 | $14,437 | $11,153 – $22,544 |
| Georgia | 14 | $85,270 | $15,588 | $10,211 – $19,228 |
| Hawaii | 1 | $73,394 | $20,692 | – |
| Idaho | 3 | $82,676 | $15,944 | $13,849 – $18,264 |
| Illinois | 21 | $76,143 | $16,766 | $11,649 – $25,196 |
| Indiana | 13 | $74,403 | $14,297 | $11,336 – $17,521 |
| Iowa | 7 | $50,336 | $12,524 | $10,947 – $16,245 |
| Kansas | 7 | $102,265 | $13,957 | $11,446 – $17,508 |
| Kentucky | 12 | $77,552 | $13,395 | $11,042 – $16,717 |
| Louisiana | 11 | $83,652 | $12,981 | $10,987 – $15,859 |
| Maine | 1 | $52,997 | $15,788 | – |
| Maryland | 20 | $26,780 | $24,350 | $17,279 – $42,495 |
| Massachusetts | 14 | $48,393 | $18,249 | $13,736 – $22,367 |
| Michigan | 13 | $56,932 | $15,491 | $11,727 – $19,965 |
| Minnesota | 6 | $57,884 | $17,662 | $12,287 – $23,484 |
| Mississippi | 9 | $53,844 | $12,204 | $10,988 – $17,028 |
| Missouri | 13 | $61,707 | $13,802 | $10,407 – $21,034 |
| Montana | 7 | $57,099 | $14,443 | $12,423 – $20,119 |
| Nebraska | 4 | $51,213 | $13,140 | $12,311 – $14,185 |
| Nevada | 5 | $106,518 | $15,816 | $14,360 – $17,458 |
| New Hampshire | 2 | $96,426 | $17,988 | $15,864 – $19,155 |
| New Jersey | 18 | $105,738 | $17,303 | $11,976 – $22,935 |
| New Mexico | 2 | $54,498 | $15,367 | $12,617 – $17,602 |
| New York | 26 | $81,626 | $19,952 | $13,707 – $27,772 |
| North Carolina | 22 | $67,075 | $15,214 | $11,962 – $21,553 |
| North Dakota | 2 | $42,797 | $14,168 | $12,282 – $15,112 |
| Ohio | 17 | $67,674 | $14,205 | $7,380 – $17,663 |
| Oklahoma | 7 | $71,381 | $13,016 | $11,203 – $17,304 |
| Oregon | 7 | $66,220 | $18,239 | $13,852 – $24,482 |
| Pennsylvania | 23 | $97,872 | $16,084 | $11,343 – $20,415 |
| Rhode Island | 1 | $36,307 | $18,302 | – |
| South Carolina | 12 | $95,313 | $15,977 | $10,597 – $24,998 |
| South Dakota | 5 | $58,126 | $14,397 | $11,682 – $17,550 |
| Tennessee | 15 | $64,104 | $13,522 | $10,647 – $19,362 |
| Texas | 34 | $98,570 | $14,431 | $11,887 – $18,538 |
| Utah | 3 | $59,551 | $15,507 | $13,425 – $17,729 |
| Vermont | 1 | $39,653 | $12,577 | – |
| Virginia | 16 | $110,484 | $15,325 | $10,814 – $22,628 |
| Washington | 15 | $97,402 | $19,579 | $14,176 – $33,358 |
| West Virginia | 5 | $86,007 | $16,448 | $11,780 – $22,380 |
| Wisconsin | 7 | $66,369 | $15,123 | $12,056 – $18,398 |
| Wyoming | 1 | $85,085 | $17,998 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | 62 | $60,653 | $17,663 |
| Christiana Care Health Services, INC.Newark, DE | 60 | $40,323 | $15,478 |
| Virginia Mason Medical CenterSeattle, WA | 59 | $70,056 | $16,573 |
| New York-Presbyterian HospitalNew York, NY | 58 | $95,550 | $21,852 |
| Huntsville HospitalHuntsville, AL | 56 | $90,758 | $12,476 |
| Bryan Medical CenterLincoln, NE | 54 | $52,961 | $12,886 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 53 | $59,833 | $23,484 |
| Integris Baptist Medical CenterOklahoma City, OK | 53 | $104,103 | $13,710 |
| University of Alabama HospitalBirmingham, AL | 52 | $78,187 | $17,231 |
| Adventhealth OrlandoOrlando, FL | 51 | $155,700 | $18,553 |
| Anne Arundel Medical CenterAnnapolis, MD | 50 | $18,783 | $17,952 |
| MUSC Medical CenterCharleston, SC | 50 | $92,245 | $18,825 |
| Deaconess Hospital INCEvansville, IN | 49 | $46,751 | $13,681 |
| Oklahoma Surgical Hospital, LLCTulsa, OK | 49 | $41,380 | $11,203 |
| Morristown Memorial HospitalMorristown, NJ | 48 | $96,888 | $18,318 |
Questions
How much does major small and large bowel procedures without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 553 hospitals in the U.S. was billed at $84,764 on average, while the average total payment was $16,035, of which Medicare paid $12,053. 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 without complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($24,350), Connecticut ($20,090), California ($20,062) and lowest in Mississippi ($12,204), Arkansas ($12,204), Iowa ($12,524).
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 5.3 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.