facebook tracking Peritoneal adhesiolysis with complications cost: hospital prices by state (DRG 336)

Peritoneal adhesiolysis with complications

What 115 hospitals in the U.S. charged and were paid for a Medicare hospital stay for peritoneal adhesiolysis with complications (DRG 336), from 2024 Medicare claims.

DRG 336 Inpatient 2024 Medicare data
Average charge $110,146 Hospital list price billed
Average payment $22,553 Medicare + patient + other payers
Medicare paid $16,752 Average per stay
Volume 1,716 Medicare hospital stays

Hospitals in the U.S. billed an average of $110,146 for peritoneal adhesiolysis with complications, about 4.9 times the average total payment of $22,553.

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 $22,553Billed $110,146

About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.

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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

Naples Community HospitalNaples, FL$15,228
UPMC Pinnacle HospitalsHarrisburg, PA$17,250
Adventhealth OrlandoOrlando, FL$21,105
Community Medical CenterToms River, NJ$22,284
Carolinas Medical Center/Behav HealthCharlotte, NC$22,435
Barnes Jewish HospitalSt Louis, MO$22,438
Cleveland Clinic - Main CampusCleveland, OH$23,114
Mayo Clinic - Saint Marys HospitalRochester, MN$26,965
University of Virginia Medical CenterCharlottesville, VA$27,310
Mayo Clinic HospitalPhoenix, AZ$28,292

Highest

NYU Hospitals CenterNew York, NY$31,655
New York-Presbyterian HospitalNew York, NY$29,067
Mayo Clinic HospitalPhoenix, AZ$28,292
University of Virginia Medical CenterCharlottesville, VA$27,310
Mayo Clinic - Saint Marys HospitalRochester, MN$26,965
Cleveland Clinic - Main CampusCleveland, OH$23,114
Barnes Jewish HospitalSt Louis, MO$22,438
Carolinas Medical Center/Behav HealthCharlotte, NC$22,435
Community Medical CenterToms River, NJ$22,284
Adventhealth OrlandoOrlando, FL$21,105

Peritoneal adhesiolysis 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 2 $103,205 $23,227 $20,430 – $27,549
Arizona 1 $82,863 $28,292 –
California 15 $191,495 $28,754 $20,216 – $37,047
Colorado 2 $98,362 $19,342 $17,335 – $21,851
Delaware 1 $60,784 $19,603 –
Florida 9 $116,832 $18,016 $14,542 – $21,105
Georgia 1 $92,468 $18,777 –
Idaho 1 $104,904 $17,233 –
Illinois 6 $89,493 $23,313 $17,568 – $34,322
Kentucky 1 $60,500 $15,273 –
Louisiana 1 $88,873 $13,229 –
Maryland 3 $27,451 $25,146 $20,618 – $27,878
Massachusetts 6 $72,317 $25,430 $19,495 – $29,852
Michigan 2 $67,124 $19,013 $18,718 – $19,331
Minnesota 2 $72,250 $24,426 $15,884 – $26,965
Mississippi 1 $62,921 $12,630 –
Missouri 1 $70,899 $22,438 –
Nebraska 3 $83,349 $19,439 $16,047 – $24,805
New Jersey 5 $125,874 $20,651 $19,583 – $22,284
New York 10 $128,092 $26,531 $18,252 – $32,065
North Carolina 3 $91,441 $22,661 $20,296 – $26,444
Ohio 3 $89,828 $21,236 $15,633 – $23,114
Oklahoma 2 $103,380 $18,661 $16,783 – $20,382
Pennsylvania 7 $128,655 $21,229 $17,127 – $27,497
South Carolina 4 $107,757 $24,264 $13,913 – $37,198
South Dakota 1 $73,679 $16,851 –
Tennessee 3 $96,509 $20,877 $15,315 – $25,078
Texas 7 $134,578 $18,376 $13,938 – $26,722
Virginia 6 $66,996 $21,306 $17,136 – $27,310
Washington 2 $79,138 $21,618 $18,797 – $23,610
West Virginia 1 $103,528 $17,709 –
Wisconsin 3 $124,844 $26,089 $18,970 – $37,540

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Cleveland Clinic - Main CampusCleveland, OH40$91,558$23,114
Mayo Clinic - Saint Marys HospitalRochester, MN37$78,382$26,965
Mayo Clinic HospitalPhoenix, AZ35$82,863$28,292
Barnes Jewish HospitalSt Louis, MO34$70,899$22,438
Adventhealth OrlandoOrlando, FL26$171,892$21,105
New York-Presbyterian HospitalNew York, NY25$127,837$29,067
NYU Hospitals CenterNew York, NY24$223,596$31,655
Carolinas Medical Center/Behav HealthCharlotte, NC23$118,303$22,435
Naples Community HospitalNaples, FL21$87,036$15,228
Community Medical CenterToms River, NJ20$123,884$22,284
UPMC Pinnacle HospitalsHarrisburg, PA20$69,702$17,250
University of Virginia Medical CenterCharlottesville, VA20$68,372$27,310
Mayo ClinicJacksonville, FL19$75,087$20,503
Methodist Hospital,TheHouston, TX19$160,774$19,654
Stanford HospitalPalo Alto, CA18$341,094$36,169

Questions

How much does peritoneal adhesiolysis with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for peritoneal adhesiolysis with complications (DRG 336) at 115 hospitals in the U.S. was billed at $110,146 on average, while the average total payment was $22,553, of which Medicare paid $16,752. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for peritoneal adhesiolysis with complications?

Among states with at least three hospitals reporting, the average total payment was highest in California ($28,754), New York ($26,531), Wisconsin ($26,089) and lowest in Florida ($18,016), Texas ($18,376), Nebraska ($19,439).

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 4.9 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.