Stomach, esophageal and duodenal procedures with major complications
What 207 hospitals in the U.S. charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures with major complications (DRG 326), from 2024 Medicare claims.
Average charge
$263,485
Hospital list price billed
Average payment
$57,450
Medicare + patient + other payers
Medicare paid
$46,606
Average per stay
Volume
3,853
Medicare hospital stays
Hospitals in the U.S. billed an average of $263,485 for stomach, esophageal and duodenal procedures with major complications, about 4.6 times the average total payment of $57,450.
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 $57,450Billed $263,485
About 22¢ 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
| Saint Francis Hospital, INCTulsa, OK | $30,627 |
|---|---|
| Norton Healthcare PavilionLouisville, KY | $33,219 |
| Baptist Medical CenterSan Antonio, TX | $33,824 |
| Baptist Memorial HospitalMemphis, TN | $34,378 |
| Bryan Medical CenterLincoln, NE | $34,967 |
| Methodist Richardson Medical CenterRichardson, TX | $35,274 |
| Methodist HospitalSan Antonio, TX | $38,267 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $38,341 |
| Deaconess Hospital INCEvansville, IN | $39,189 |
| Mem Hermann Southwest HospHouston, TX | $42,731 |
Highest
| University of California San Diego Medical CenterSan Diego, CA | $108,662 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $102,600 |
| Stanford HospitalPalo Alto, CA | $101,063 |
| USC University HospitalLos Angeles, CA | $99,886 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $89,463 |
| New York-Presbyterian HospitalNew York, NY | $88,800 |
| The Johns Hopkins HospitalBaltimore, MD | $87,930 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $79,908 |
| Rush University Medical CenterChicago, IL | $79,512 |
| Medical College of Virginia HospitalsRichmond, VA | $78,888 |
Stomach, esophageal and duodenal procedures 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 | 2 | $506,573 | $57,669 | $43,171 – $72,168 |
| Alaska | 1 | $386,163 | $61,091 | – |
| Arizona | 3 | $227,839 | $55,227 | $39,057 – $60,881 |
| Arkansas | 6 | $126,126 | $36,251 | $32,326 – $44,134 |
| California | 15 | $504,873 | $82,154 | $47,288 – $116,985 |
| Colorado | 2 | $451,664 | $71,140 | $69,501 – $74,281 |
| Connecticut | 2 | $185,297 | $69,351 | $60,151 – $77,582 |
| Delaware | 1 | $109,956 | $46,784 | – |
| Florida | 12 | $277,415 | $47,655 | $31,941 – $62,139 |
| Georgia | 8 | $256,240 | $55,620 | $36,686 – $85,246 |
| Hawaii | 1 | $296,813 | $49,810 | – |
| Idaho | 2 | $238,266 | $73,193 | $48,937 – $99,653 |
| Illinois | 8 | $234,409 | $59,905 | $37,401 – $87,966 |
| Indiana | 4 | $205,445 | $47,474 | $34,625 – $56,971 |
| Iowa | 2 | $233,966 | $52,020 | $38,077 – $57,132 |
| Kansas | 3 | $272,468 | $41,399 | $37,503 – $44,206 |
| Kentucky | 3 | $183,636 | $45,393 | $33,219 – $61,984 |
| Louisiana | 2 | $143,571 | $44,505 | $38,545 – $50,891 |
| Maine | 1 | $208,966 | $54,239 | – |
| Maryland | 4 | $80,892 | $73,292 | $32,593 – $109,994 |
| Massachusetts | 7 | $186,887 | $61,882 | $47,603 – $73,754 |
| Michigan | 4 | $233,142 | $69,834 | $45,750 – $110,166 |
| Minnesota | 4 | $201,197 | $76,581 | $48,037 – $89,463 |
| Mississippi | 2 | $199,803 | $42,921 | $32,106 – $52,904 |
| Missouri | 2 | $177,313 | $57,361 | $54,775 – $58,276 |
| Montana | 1 | $83,403 | $39,611 | – |
| Nebraska | 3 | $159,581 | $44,133 | $34,967 – $50,855 |
| Nevada | 1 | $108,953 | $42,528 | – |
| New Hampshire | 1 | $222,481 | $72,930 | – |
| New Jersey | 6 | $295,676 | $59,030 | $42,747 – $81,651 |
| New York | 13 | $348,843 | $71,872 | $41,901 – $91,255 |
| North Carolina | 8 | $170,612 | $51,145 | $35,101 – $63,175 |
| Ohio | 6 | $227,990 | $55,945 | $41,329 – $70,166 |
| Oklahoma | 4 | $247,211 | $43,850 | $30,627 – $63,861 |
| Oregon | 3 | $178,182 | $60,672 | $50,796 – $69,607 |
| Pennsylvania | 10 | $357,751 | $52,697 | $36,614 – $66,606 |
| South Carolina | 4 | $205,759 | $53,539 | $37,640 – $67,463 |
| South Dakota | 2 | $210,771 | $41,683 | $40,972 – $42,781 |
| Tennessee | 7 | $223,318 | $47,081 | $34,378 – $63,298 |
| Texas | 18 | $293,458 | $46,279 | $31,342 – $70,199 |
| Utah | 2 | $168,835 | $54,488 | $46,149 – $64,110 |
| Vermont | 1 | $107,194 | $30,454 | – |
| Virginia | 7 | $230,869 | $54,842 | $32,653 – $78,888 |
| Washington | 4 | $260,435 | $62,654 | $49,740 – $68,687 |
| West Virginia | 1 | $188,361 | $64,974 | – |
| Wisconsin | 2 | $257,917 | $64,635 | $55,513 – $68,410 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | 70 | $237,310 | $62,079 |
| Brigham and Women's HosptialBoston, MA | 57 | $252,495 | $61,765 |
| New York-Presbyterian HospitalNew York, NY | 57 | $489,745 | $88,800 |
| Adventhealth OrlandoOrlando, FL | 53 | $316,451 | $43,376 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 53 | $189,299 | $89,463 |
| Barnes Jewish HospitalSt Louis, MO | 48 | $183,842 | $58,276 |
| Massachusetts General HospitalBoston, MA | 41 | $239,552 | $67,687 |
| Clarian Health PartnersIndianapolis, IN | 39 | $267,981 | $56,971 |
| NYU Hospitals CenterNew York, NY | 39 | $415,391 | $76,754 |
| Stanford HospitalPalo Alto, CA | 34 | $801,417 | $101,063 |
| Long Island Jewish Medical CenterNew Hyde Park, NY | 34 | $337,783 | $76,541 |
| University of Kansas HospitalKansas City, KS | 32 | $270,144 | $44,206 |
| Hospital of the Univ of PaPhiladelphia, PA | 32 | $413,960 | $66,606 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 31 | $820,835 | $74,305 |
| Mayo ClinicJacksonville, FL | 31 | $169,785 | $62,139 |
Questions
How much does stomach, esophageal and duodenal procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures with major complications (DRG 326) at 207 hospitals in the U.S. was billed at $263,485 on average, while the average total payment was $57,450, of which Medicare paid $46,606. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($82,154), Minnesota ($76,581), Maryland ($73,292) and lowest in Arkansas ($36,251), Kansas ($41,399), Oklahoma ($43,850).
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 4.6 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.