Other digestive system diagnoses with complications
What 1,004 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$48,649
Hospital list price billed
Average payment
$9,547
Medicare + patient + other payers
Medicare paid
$7,241
Average per stay
Volume
23,654
Medicare hospital stays
Hospitals in the U.S. billed an average of $48,649 for other digestive system diagnoses with complications, about 5.1 times the average total payment of $9,547.
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 $9,547Billed $48,649
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
| Lafayette General Medical CenterLafayette, LA | $6,089 |
|---|---|
| Villages Regional Hospital theLady Lake, FL | $6,104 |
| Mississippi Baptist Medical CenterJackson, MS | $6,180 |
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $6,241 |
| Jupiter Medical CenterJupiter, FL | $6,274 |
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $6,319 |
| Physicians Regional Medical Center - Pine RidgeNaples, FL | $6,367 |
| Baptist Hospital EastLouisville, KY | $6,389 |
| Palos Community HospitalPalos Heights, IL | $6,397 |
| University Hospitals Ahuja Medical CenterBeachwood, OH | $6,478 |
Highest
| Sinai Hospital of BaltimoreBaltimore, MD | $24,971 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $21,887 |
| Stanford HospitalPalo Alto, CA | $20,038 |
| UCLA Medical CenterLos Angeles, CA | $18,338 |
| Loyola University Medical CenterMaywood, IL | $18,236 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA | $18,066 |
| UCSF Medical CenterSan Francisco, CA | $17,971 |
| University of California San Diego Medical CenterSan Diego, CA | $17,792 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $17,668 |
| Hospital of the Univ of PaPhiladelphia, PA | $17,601 |
Other digestive system diagnoses 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 | 15 | $41,439 | $7,936 | $6,765 – $11,264 |
| Alaska | 2 | $78,454 | $9,020 | $8,505 – $9,572 |
| Arizona | 19 | $44,396 | $9,151 | $6,895 – $12,710 |
| Arkansas | 9 | $30,042 | $7,168 | $6,515 – $8,291 |
| California | 103 | $81,394 | $11,855 | $8,107 – $24,514 |
| Colorado | 9 | $71,523 | $8,645 | $7,243 – $11,248 |
| Connecticut | 12 | $41,333 | $10,999 | $8,391 – $13,656 |
| Delaware | 3 | $31,490 | $8,995 | $7,697 – $9,890 |
| Florida | 95 | $61,723 | $8,447 | $5,942 – $16,908 |
| Georgia | 28 | $45,483 | $10,657 | $6,566 – $23,726 |
| Hawaii | 1 | $43,334 | $11,469 | – |
| Idaho | 3 | $24,895 | $7,579 | $7,131 – $8,018 |
| Illinois | 45 | $38,487 | $9,444 | $6,397 – $18,236 |
| Indiana | 26 | $37,535 | $8,315 | $6,319 – $15,243 |
| Iowa | 9 | $27,877 | $7,704 | $6,195 – $10,008 |
| Kansas | 10 | $53,997 | $8,140 | $6,014 – $10,222 |
| Kentucky | 13 | $35,605 | $7,685 | $6,389 – $11,782 |
| Louisiana | 12 | $36,836 | $7,255 | $6,089 – $9,524 |
| Maine | 3 | $32,575 | $10,110 | $9,619 – $11,723 |
| Maryland | 27 | $14,694 | $13,151 | $7,708 – $32,814 |
| Massachusetts | 34 | $25,973 | $9,990 | $7,505 – $13,711 |
| Michigan | 31 | $29,530 | $9,081 | $6,494 – $15,487 |
| Minnesota | 15 | $29,574 | $9,435 | $7,573 – $13,339 |
| Mississippi | 10 | $32,930 | $7,563 | $6,180 – $12,184 |
| Missouri | 17 | $37,698 | $8,451 | $5,886 – $13,078 |
| Montana | 4 | $22,748 | $8,049 | $7,289 – $9,769 |
| Nebraska | 5 | $31,361 | $9,390 | $6,750 – $13,372 |
| Nevada | 14 | $98,408 | $10,006 | $8,111 – $13,795 |
| New Hampshire | 6 | $34,189 | $8,946 | $7,256 – $11,653 |
| New Jersey | 38 | $67,463 | $9,463 | $7,196 – $14,357 |
| New Mexico | 3 | $42,815 | $7,024 | $6,580 – $7,330 |
| New York | 55 | $63,837 | $11,917 | $7,883 – $23,860 |
| North Carolina | 24 | $32,236 | $9,603 | $6,727 – $17,668 |
| North Dakota | 3 | $23,663 | $8,013 | $7,150 – $8,388 |
| Ohio | 41 | $34,976 | $8,370 | $5,261 – $11,467 |
| Oklahoma | 7 | $37,652 | $8,818 | $6,767 – $13,222 |
| Oregon | 7 | $33,346 | $10,172 | $8,831 – $13,422 |
| Pennsylvania | 45 | $52,223 | $8,818 | $6,371 – $17,601 |
| Rhode Island | 5 | $27,934 | $9,788 | $7,473 – $10,866 |
| South Carolina | 18 | $41,064 | $9,038 | $6,562 – $13,777 |
| South Dakota | 3 | $41,602 | $8,580 | $7,938 – $9,124 |
| Tennessee | 21 | $36,896 | $8,493 | $6,607 – $12,987 |
| Texas | 69 | $55,727 | $8,770 | $6,560 – $20,816 |
| Utah | 5 | $32,556 | $9,405 | $7,451 – $11,777 |
| Vermont | 2 | $35,635 | $7,363 | $5,689 – $8,353 |
| Virginia | 31 | $37,520 | $8,640 | $6,662 – $15,891 |
| Washington | 17 | $41,113 | $9,571 | $7,732 – $12,348 |
| West Virginia | 9 | $31,447 | $8,094 | $6,094 – $11,152 |
| Wisconsin | 17 | $34,020 | $8,883 | $6,559 – $11,545 |
| Wyoming | 1 | $22,210 | $9,458 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 169 | $71,965 | $8,936 |
| New York-Presbyterian HospitalNew York, NY | 144 | $100,252 | $14,660 |
| NYU Hospitals CenterNew York, NY | 120 | $100,229 | $13,879 |
| Methodist HospitalSan Antonio, TX | 100 | $65,301 | $8,095 |
| Lehigh Valley HospitalAllentown, PA | 97 | $52,139 | $8,656 |
| Brigham and Women's HosptialBoston, MA | 92 | $50,178 | $12,938 |
| Massachusetts General HospitalBoston, MA | 89 | $56,155 | $13,424 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 86 | $162,798 | $14,476 |
| Mayo Clinic HospitalPhoenix, AZ | 80 | $35,879 | $12,516 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 79 | $28,583 | $13,267 |
| Norton Healthcare PavilionLouisville, KY | 77 | $31,344 | $7,021 |
| South Shore HospitalSouth Weymouth, MA | 77 | $17,847 | $8,101 |
| Northwest Community HospitalArlington Heights, IL | 76 | $24,399 | $7,020 |
| Evanston HospitalEvanston, IL | 74 | $28,869 | $8,738 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | 73 | $44,480 | $9,652 |
Questions
How much does other digestive system diagnoses with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 1,004 hospitals in the U.S. was billed at $48,649 on average, while the average total payment was $9,547, of which Medicare paid $7,241. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other digestive system diagnoses with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($13,151), New York ($11,917), California ($11,855) and lowest in New Mexico ($7,024), Arkansas ($7,168), Louisiana ($7,255).
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 5.1 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.