Other digestive system diagnoses with major complications
What 790 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other digestive system diagnoses with major complications (DRG 393), from 2024 Medicare claims.
Average charge
$81,195
Hospital list price billed
Average payment
$17,117
Medicare + patient + other payers
Medicare paid
$13,887
Average per stay
Volume
17,381
Medicare hospital stays
Hospitals in the U.S. billed an average of $81,195 for other digestive system diagnoses with major complications, about 4.7 times the average total payment of $17,117.
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 $17,117Billed $81,195
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
| Mississippi Baptist Medical CenterJackson, MS | $10,370 |
|---|---|
| Memorial Healthcare System, INCChattanooga, TN | $10,672 |
| Baylor Regional Medical Center at PlanoPlano, TX | $10,928 |
| Howard County General HospitalColumbia, MD | $11,032 |
| Jupiter Medical CenterJupiter, FL | $11,145 |
| Cjw Medical CenterRichmond, VA | $11,250 |
| Baptist Health Medical Center-Little RockLittle Rock, AR | $11,327 |
| Mercy Hospital SouthSt Louis, MO | $11,420 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $11,572 |
| St Dominic-Jackson Memorial HospitalJackson, MS | $11,612 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $82,049 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $45,140 |
| UCLA Medical CenterLos Angeles, CA | $45,010 |
| UCSF Medical CenterSan Francisco, CA | $37,664 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $34,138 |
| University of California San Diego Medical CenterSan Diego, CA | $33,531 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $32,642 |
| Stanford HospitalPalo Alto, CA | $31,849 |
| Hospital of the Univ of PaPhiladelphia, PA | $31,470 |
| Umass Memorial Medical Center INCWorcester, MA | $30,860 |
Other digestive system diagnoses 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 | 11 | $70,735 | $13,566 | $10,349 – $21,123 |
| Alaska | 1 | $120,765 | $15,618 | – |
| Arizona | 11 | $68,219 | $17,140 | $12,253 – $23,024 |
| Arkansas | 9 | $50,478 | $12,441 | $11,006 – $16,902 |
| California | 97 | $123,060 | $21,249 | $14,364 – $45,010 |
| Colorado | 7 | $115,477 | $15,689 | $11,935 – $20,067 |
| Connecticut | 7 | $62,503 | $20,251 | $15,020 – $23,520 |
| Delaware | 4 | $47,107 | $14,463 | $13,541 – $15,027 |
| Florida | 65 | $90,122 | $14,579 | $10,415 – $30,537 |
| Georgia | 24 | $80,667 | $16,870 | $11,774 – $29,738 |
| Hawaii | 2 | $67,802 | $17,416 | $16,554 – $17,941 |
| Idaho | 3 | $38,746 | $12,899 | $12,522 – $13,590 |
| Illinois | 43 | $62,583 | $16,208 | $11,499 – $41,127 |
| Indiana | 14 | $59,833 | $14,039 | $11,435 – $20,971 |
| Iowa | 3 | $63,753 | $14,527 | $11,436 – $17,788 |
| Kansas | 7 | $77,463 | $13,842 | $10,873 – $16,315 |
| Kentucky | 6 | $50,899 | $13,117 | $10,513 – $17,401 |
| Louisiana | 10 | $60,666 | $12,638 | $10,174 – $15,448 |
| Maine | 1 | $51,045 | $14,949 | – |
| Maryland | 22 | $30,382 | $28,217 | $11,032 – $82,049 |
| Massachusetts | 23 | $49,537 | $18,554 | $12,595 – $30,860 |
| Michigan | 21 | $46,501 | $15,675 | $12,513 – $23,221 |
| Minnesota | 14 | $52,246 | $16,929 | $12,327 – $22,618 |
| Mississippi | 6 | $50,473 | $11,504 | $10,370 – $12,310 |
| Missouri | 16 | $59,110 | $15,574 | $10,226 – $26,228 |
| Montana | 2 | $35,200 | $12,622 | $11,631 – $13,196 |
| Nebraska | 5 | $47,658 | $14,851 | $10,476 – $17,766 |
| Nevada | 9 | $162,700 | $16,002 | $13,697 – $19,793 |
| New Hampshire | 4 | $49,779 | $16,739 | $12,583 – $22,406 |
| New Jersey | 32 | $113,031 | $16,845 | $11,911 – $27,935 |
| New Mexico | 3 | $38,991 | $15,601 | $11,816 – $20,441 |
| New York | 50 | $115,242 | $21,421 | $13,630 – $35,852 |
| North Carolina | 17 | $52,859 | $16,566 | $11,652 – $23,687 |
| North Dakota | 3 | $37,038 | $12,865 | $12,480 – $13,192 |
| Ohio | 32 | $58,880 | $14,400 | $10,211 – $20,924 |
| Oklahoma | 7 | $73,270 | $13,735 | $12,312 – $18,550 |
| Oregon | 8 | $53,074 | $18,378 | $13,970 – $25,015 |
| Pennsylvania | 36 | $91,174 | $16,246 | $11,524 – $31,470 |
| Rhode Island | 4 | $51,332 | $18,013 | $14,817 – $21,078 |
| South Carolina | 11 | $68,231 | $16,370 | $10,459 – $27,421 |
| South Dakota | 3 | $52,812 | $14,291 | $13,085 – $15,982 |
| Tennessee | 11 | $63,826 | $14,637 | $10,672 – $22,224 |
| Texas | 56 | $90,912 | $14,148 | $10,875 – $22,705 |
| Utah | 3 | $46,340 | $17,967 | $13,169 – $21,332 |
| Vermont | 1 | $61,119 | $21,137 | – |
| Virginia | 27 | $64,888 | $15,185 | $10,953 – $29,725 |
| Washington | 22 | $71,339 | $16,124 | $12,591 – $20,717 |
| West Virginia | 4 | $53,547 | $14,130 | $10,641 – $17,339 |
| Wisconsin | 10 | $58,428 | $17,377 | $12,554 – $25,439 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 187 | $174,198 | $25,522 |
| Adventhealth OrlandoOrlando, FL | 177 | $103,223 | $15,185 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | 136 | $85,854 | $17,809 |
| New York-Presbyterian HospitalNew York, NY | 112 | $184,861 | $30,025 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 105 | $249,892 | $34,138 |
| Los Angeles Community HospitalLos Angeles, CA | 97 | $53,658 | $17,363 |
| Brigham and Women's HosptialBoston, MA | 96 | $85,738 | $21,566 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 88 | $57,431 | $22,130 |
| Northwestern Memorial HospitalChicago, IL | 86 | $81,901 | $19,943 |
| Massachusetts General HospitalBoston, MA | 86 | $89,463 | $24,050 |
| Mayo Clinic HospitalPhoenix, AZ | 84 | $65,058 | $23,024 |
| The Johns Hopkins HospitalBaltimore, MD | 74 | $50,627 | $45,140 |
| Montefiore Medical CenterBronx, NY | 74 | $134,555 | $23,499 |
| Mount Sinai HospitalNew York, NY | 73 | $140,913 | $28,840 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 72 | $144,719 | $22,938 |
Questions
How much does other digestive system diagnoses with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with major complications (DRG 393) at 790 hospitals in the U.S. was billed at $81,195 on average, while the average total payment was $17,117, 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 other digestive system diagnoses with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($28,217), New York ($21,421), California ($21,249) and lowest in Mississippi ($11,504), Arkansas ($12,441), Louisiana ($12,638).
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.