Stomach, esophageal and duodenal procedures with complications
What 194 hospitals in the U.S. charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327), from 2024 Medicare claims.
Average charge
$134,404
Hospital list price billed
Average payment
$27,210
Medicare + patient + other payers
Medicare paid
$21,055
Average per stay
Volume
4,003
Medicare hospital stays
Hospitals in the U.S. billed an average of $134,404 for stomach, esophageal and duodenal procedures with complications, about 4.9 times the average total payment of $27,210.
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 $27,210Billed $134,404
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
| UPMC PassavantPittsburgh, PA | $16,372 |
|---|---|
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $17,135 |
| Cjw Medical CenterRichmond, VA | $17,420 |
| Sarasota Memorial HospitalSarasota, FL | $18,054 |
| Charleston Area Medical CenterCharleston, WV | $18,530 |
| Methodist HospitalSan Antonio, TX | $19,551 |
| Baptist Memorial HospitalMemphis, TN | $19,759 |
| Orlando Regional HealthcareOrlando, FL | $20,451 |
| Northwest Community HospitalArlington Heights, IL | $20,660 |
| Menorah Medical CenterShawnee Mission, KS | $20,773 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $48,754 |
|---|---|
| Stanford HospitalPalo Alto, CA | $47,315 |
| UCLA Medical CenterLos Angeles, CA | $46,542 |
| UCSF Medical CenterSan Francisco, CA | $41,665 |
| University of California San Diego Medical CenterSan Diego, CA | $39,747 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $39,680 |
| USC University HospitalLos Angeles, CA | $37,877 |
| OHSU Hospital and ClinicsPortland, OR | $34,109 |
| Providence Portland Medical CenterPortland, OR | $33,942 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $33,914 |
Stomach, esophageal and duodenal 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 | 3 | $186,802 | $25,647 | $15,754 – $42,828 |
| Arizona | 4 | $136,302 | $27,406 | $17,561 – $31,394 |
| Arkansas | 1 | $87,849 | $16,952 | – |
| California | 16 | $216,755 | $35,641 | $22,267 – $47,315 |
| Colorado | 2 | $168,351 | $25,495 | $20,800 – $27,972 |
| Connecticut | 2 | $101,913 | $31,431 | $28,402 – $36,062 |
| Delaware | 1 | $68,746 | $22,503 | – |
| Florida | 12 | $140,945 | $22,678 | $16,043 – $29,768 |
| Georgia | 6 | $115,181 | $26,090 | $20,156 – $32,562 |
| Hawaii | 1 | $180,456 | $46,782 | – |
| Idaho | 2 | $108,667 | $21,577 | $18,909 – $24,467 |
| Illinois | 8 | $132,347 | $27,174 | $20,005 – $36,058 |
| Indiana | 6 | $127,616 | $22,044 | $16,092 – $27,285 |
| Iowa | 1 | $124,163 | $24,330 | – |
| Kansas | 4 | $121,384 | $21,984 | $15,020 – $24,303 |
| Kentucky | 3 | $105,932 | $19,864 | $15,828 – $22,346 |
| Louisiana | 2 | $188,315 | $27,001 | $16,464 – $32,796 |
| Maine | 1 | $95,379 | $24,382 | – |
| Maryland | 5 | $48,599 | $43,880 | $20,129 – $78,059 |
| Massachusetts | 6 | $106,996 | $30,489 | $24,317 – $33,481 |
| Michigan | 5 | $103,687 | $27,652 | $22,165 – $33,786 |
| Minnesota | 2 | $112,415 | $31,813 | $18,612 – $33,914 |
| Mississippi | 2 | $55,470 | $19,794 | $16,895 – $21,921 |
| Missouri | 5 | $80,110 | $24,049 | $15,443 – $28,461 |
| Montana | 1 | $60,854 | $19,467 | – |
| Nebraska | 3 | $84,670 | $21,855 | $18,024 – $25,315 |
| New Hampshire | 1 | $106,790 | $27,505 | – |
| New Jersey | 6 | $126,317 | $24,827 | $21,169 – $31,199 |
| New Mexico | 1 | $45,588 | $24,995 | – |
| New York | 12 | $157,488 | $30,224 | $22,543 – $37,258 |
| North Carolina | 7 | $103,860 | $26,700 | $20,779 – $32,624 |
| North Dakota | 1 | $55,186 | $21,902 | – |
| Ohio | 7 | $107,949 | $23,848 | $18,299 – $27,386 |
| Oklahoma | 3 | $163,338 | $21,148 | $16,389 – $25,561 |
| Oregon | 3 | $108,526 | $32,187 | $25,045 – $34,109 |
| Pennsylvania | 11 | $196,079 | $26,157 | $16,372 – $33,616 |
| South Carolina | 3 | $130,347 | $28,801 | $20,989 – $31,242 |
| South Dakota | 1 | $122,740 | $23,036 | – |
| Tennessee | 4 | $110,749 | $24,632 | $19,629 – $29,405 |
| Texas | 12 | $145,831 | $21,535 | $14,774 – $27,567 |
| Utah | 3 | $78,690 | $22,643 | $18,692 – $26,504 |
| Virginia | 5 | $145,902 | $25,687 | $17,072 – $31,806 |
| Washington | 3 | $146,250 | $39,241 | $26,032 – $78,283 |
| West Virginia | 2 | $103,314 | $20,915 | $18,530 – $23,722 |
| Wisconsin | 4 | $122,933 | $25,785 | $21,190 – $28,378 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 88 | $118,070 | $33,914 |
| New York-Presbyterian HospitalNew York, NY | 70 | $167,439 | $33,587 |
| Barnes Jewish HospitalSt Louis, MO | 67 | $89,594 | $27,036 |
| Brigham and Women's HosptialBoston, MA | 64 | $154,583 | $33,481 |
| Mayo ClinicJacksonville, FL | 59 | $104,513 | $29,768 |
| Cleveland Clinic - Main CampusCleveland, OH | 54 | $116,026 | $27,386 |
| Massachusetts General HospitalBoston, MA | 46 | $123,652 | $29,916 |
| University of Kansas HospitalKansas City, KS | 44 | $121,092 | $24,303 |
| Hospital of the Univ of PaPhiladelphia, PA | 43 | $244,132 | $33,616 |
| UPMC Presbyterian ShadysidePittsburgh, PA | 42 | $278,939 | $26,023 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 41 | $377,251 | $32,723 |
| Stanford HospitalPalo Alto, CA | 39 | $492,210 | $47,315 |
| NYU Hospitals CenterNew York, NY | 39 | $227,435 | $33,687 |
| Vanderbilt University HospitalNashville, TN | 39 | $132,391 | $29,405 |
| Mayo Clinic HospitalPhoenix, AZ | 36 | $117,499 | $31,394 |
Questions
How much does stomach, esophageal and duodenal procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures with complications (DRG 327) at 194 hospitals in the U.S. was billed at $134,404 on average, while the average total payment was $27,210, of which Medicare paid $21,055. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for stomach, esophageal and duodenal procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($43,880), Washington ($39,241), California ($35,641) and lowest in Kentucky ($19,864), Oklahoma ($21,148), Texas ($21,535).
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.