Peritoneal adhesiolysis with major complications
What 24 hospitals in the U.S. charged and were paid for a Medicare hospital stay for peritoneal adhesiolysis with major complications (DRG 335), from 2024 Medicare claims.
Average charge
$191,583
Hospital list price billed
Average payment
$43,478
Medicare + patient + other payers
Medicare paid
$32,683
Average per stay
Volume
341
Medicare hospital stays
Hospitals in the U.S. billed an average of $191,583 for peritoneal adhesiolysis with major complications, about 4.4 times the average total payment of $43,478.
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 $43,478Billed $191,583
About 23¢ 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
| Adventhealth OrlandoOrlando, FL | $29,977 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $44,843 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $53,268 |
| NYU Hospitals CenterNew York, NY | $55,675 |
Highest
| NYU Hospitals CenterNew York, NY | $55,675 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $53,268 |
| New York-Presbyterian HospitalNew York, NY | $44,843 |
| Adventhealth OrlandoOrlando, FL | $29,977 |
Peritoneal adhesiolysis 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 |
|---|---|---|---|---|
| Arizona | 1 | $192,132 | $76,623 | – |
| California | 2 | $276,099 | $39,031 | $36,959 – $42,043 |
| Florida | 4 | $166,789 | $31,824 | $25,062 – $44,217 |
| Illinois | 3 | $191,536 | $53,984 | $32,218 – $67,520 |
| Massachusetts | 3 | $108,879 | $43,281 | $40,457 – $45,481 |
| Minnesota | 1 | $122,669 | $53,268 | – |
| Missouri | 1 | $221,200 | $62,892 | – |
| New York | 4 | $254,132 | $45,550 | $31,422 – $55,675 |
| Ohio | 2 | $172,129 | $33,979 | $28,092 – $37,789 |
| Oregon | 1 | $120,045 | $38,430 | – |
| Texas | 1 | $277,029 | $24,938 | – |
| Wisconsin | 1 | $156,683 | $41,215 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 24 | $198,400 | $29,977 |
| New York-Presbyterian HospitalNew York, NY | 23 | $244,890 | $44,843 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 22 | $122,669 | $53,268 |
| NYU Hospitals CenterNew York, NY | 21 | $330,719 | $55,675 |
| Northwestern Memorial HospitalChicago, IL | 17 | $259,882 | $58,513 |
| Cleveland Clinic - Main CampusCleveland, OH | 17 | $157,827 | $37,789 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | 16 | $183,263 | $36,959 |
| Mayo ClinicJacksonville, FL | 15 | $150,064 | $44,217 |
| Mayo Clinic HospitalPhoenix, AZ | 13 | $192,132 | $76,623 |
| Brigham and Women's HosptialBoston, MA | 13 | $182,531 | $45,481 |
| Lahey Clinic HospitalBurlington, MA | 13 | $43,318 | $40,457 |
| Naples Community HospitalNaples, FL | 12 | $136,150 | $26,226 |
| Advocate Lutheran General HospitalPark Ridge, IL | 12 | $141,351 | $67,520 |
| Huntington HospitalHuntington, NY | 12 | $135,192 | $31,422 |
| Baptist Medical CenterSan Antonio, TX | 12 | $277,029 | $24,938 |
Questions
How much does peritoneal adhesiolysis with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for peritoneal adhesiolysis with major complications (DRG 335) at 24 hospitals in the U.S. was billed at $191,583 on average, while the average total payment was $43,478, of which Medicare paid $32,683. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for peritoneal adhesiolysis with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Illinois ($53,984), New York ($45,550), Massachusetts ($43,281) and lowest in Florida ($31,824), Massachusetts ($43,281), New York ($45,550).
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 4.4 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.