Other digestive system operating room procedures with complications
What 46 hospitals in the U.S. charged and were paid for a Medicare hospital stay for other digestive system operating room procedures with complications (DRG 357), from 2024 Medicare claims.
Average charge
$128,706
Hospital list price billed
Average payment
$22,570
Medicare + patient + other payers
Medicare paid
$17,493
Average per stay
Volume
629
Medicare hospital stays
Hospitals in the U.S. billed an average of $128,706 for other digestive system operating room procedures with complications, about 5.7 times the average total payment of $22,570.
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 $22,570Billed $128,706
About 18¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:
Other digestive system operating room procedures 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 | 1 | $110,661 | $19,889 | – |
| Arizona | 2 | $109,664 | $19,879 | $16,067 – $24,008 |
| Arkansas | 1 | $91,209 | $15,411 | – |
| California | 4 | $207,591 | $28,605 | $24,356 – $38,145 |
| Florida | 7 | $145,255 | $19,374 | $15,092 – $23,674 |
| Georgia | 1 | $119,065 | $18,404 | – |
| Illinois | 1 | $121,487 | $21,466 | – |
| Indiana | 1 | $119,225 | $24,800 | – |
| Iowa | 1 | $104,248 | $21,867 | – |
| Kansas | 1 | $171,172 | $23,442 | – |
| Louisiana | 1 | $106,882 | $15,722 | – |
| Massachusetts | 3 | $88,407 | $22,526 | $17,722 – $25,459 |
| Michigan | 1 | $91,515 | $27,368 | – |
| Minnesota | 1 | $99,726 | $29,215 | – |
| Mississippi | 1 | $62,599 | $13,811 | – |
| New York | 2 | $161,947 | $32,301 | $31,023 – $33,776 |
| North Carolina | 2 | $71,687 | $22,231 | $19,990 – $25,490 |
| North Dakota | 1 | $93,210 | $17,062 | – |
| Ohio | 2 | $93,303 | $21,029 | $17,340 – $24,718 |
| Oklahoma | 1 | $295,047 | $37,241 | – |
| Pennsylvania | 2 | $217,930 | $27,268 | $27,261 – $27,274 |
| South Carolina | 2 | $85,669 | $25,464 | $24,491 – $26,680 |
| Tennessee | 1 | $74,577 | $16,379 | – |
| Texas | 2 | $133,736 | $18,162 | $16,507 – $20,783 |
| Vermont | 1 | $91,466 | $21,448 | – |
| Virginia | 3 | $125,756 | $21,730 | $15,638 – $29,706 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 22 | $99,726 | $29,215 |
| University of Iowa Hospital & ClinicsIowa City, IA | 21 | $104,248 | $21,867 |
| Methodist HospitalSan Antonio, TX | 19 | $180,367 | $16,507 |
| Adventhealth OrlandoOrlando, FL | 18 | $203,160 | $20,364 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | 16 | $90,576 | $24,490 |
| Memorial Health Univ Med Cen, INCSavannah, GA | 16 | $119,065 | $18,404 |
| Clarian Health PartnersIndianapolis, IN | 16 | $119,225 | $24,800 |
| Willis Knighton Medical CenterShreveport, LA | 16 | $106,882 | $15,722 |
| New Hanover Regional Medical CenterWilmington, NC | 16 | $74,253 | $19,990 |
| Fletcher Allen Hospital of VermontBurlington, VT | 16 | $91,466 | $21,448 |
| Orlando Regional HealthcareOrlando, FL | 15 | $251,784 | $22,573 |
| Mississippi Baptist Medical CenterJackson, MS | 15 | $62,599 | $13,811 |
| NYU Hospitals CenterNew York, NY | 15 | $176,296 | $31,023 |
| Riverside Methodist HospitalColumbus, OH | 15 | $101,042 | $17,340 |
| Cleveland Clinic - Main CampusCleveland, OH | 15 | $85,564 | $24,718 |
Questions
How much does other digestive system operating room procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for other digestive system operating room procedures with complications (DRG 357) at 46 hospitals in the U.S. was billed at $128,706 on average, while the average total payment was $22,570, of which Medicare paid $17,493. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for other digestive system operating room procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($28,605), Massachusetts ($22,526), Virginia ($21,730) and lowest in Florida ($19,374), Virginia ($21,730), Massachusetts ($22,526).
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 5.7 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.