Stomach, esophageal and duodenal procedures without complications
What 121 hospitals in the U.S. charged and were paid for a Medicare hospital stay for stomach, esophageal and duodenal procedures without complications (DRG 328), from 2024 Medicare claims.
Average charge
$87,700
Hospital list price billed
Average payment
$16,978
Medicare + patient + other payers
Medicare paid
$12,768
Average per stay
Volume
2,141
Medicare hospital stays
Hospitals in the U.S. billed an average of $87,700 for stomach, esophageal and duodenal procedures without complications, about 5.2 times the average total payment of $16,978.
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 $16,978Billed $87,700
About 19¢ 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
| Norton Healthcare PavilionLouisville, KY | $12,134 |
|---|---|
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $12,371 |
| Community Medical CenterToms River, NJ | $13,767 |
| Adventhealth OrlandoOrlando, FL | $14,234 |
| Baylor University Medical CenterDallas, TX | $14,520 |
| UPMC Pinnacle HospitalsHarrisburg, PA | $14,855 |
| Lds HospitalSalt Lake City, UT | $15,039 |
| Christiana Care Health Services, INC.Newark, DE | $15,305 |
| Tampa General HospitalTampa, FL | $15,650 |
| Virginia Mason Medical CenterSeattle, WA | $16,038 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $27,331 |
|---|---|
| Stanford HospitalPalo Alto, CA | $25,814 |
| New York-Presbyterian HospitalNew York, NY | $21,376 |
| Brigham and Women's HosptialBoston, MA | $20,079 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $20,009 |
| Hospital of the Univ of PaPhiladelphia, PA | $19,816 |
| John Muir Medical Center - Concord CampusConcord, CA | $19,197 |
| Mayo ClinicJacksonville, FL | $19,172 |
| Duke University Medical CenterDurham, NC | $18,872 |
| Medical College of Virginia HospitalsRichmond, VA | $18,713 |
Stomach, esophageal and duodenal procedures without 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 | $101,675 | $12,359 | – |
| Arizona | 4 | $110,238 | $14,721 | $11,605 – $17,619 |
| Arkansas | 1 | $66,155 | $11,006 | – |
| California | 10 | $180,070 | $21,318 | $15,231 – $27,619 |
| Delaware | 1 | $47,333 | $15,305 | – |
| Florida | 10 | $102,130 | $15,807 | $12,000 – $23,497 |
| Georgia | 2 | $114,268 | $18,657 | $18,384 – $18,951 |
| Idaho | 1 | $121,044 | $12,997 | – |
| Illinois | 1 | $121,284 | $12,771 | – |
| Indiana | 2 | $110,452 | $16,220 | $14,753 – $17,058 |
| Iowa | 1 | $73,203 | $15,489 | – |
| Kansas | 3 | $73,308 | $13,045 | $12,657 – $13,646 |
| Kentucky | 3 | $82,652 | $12,694 | $10,322 – $15,168 |
| Louisiana | 1 | $65,453 | $11,804 | – |
| Maine | 1 | $66,386 | $14,200 | – |
| Maryland | 4 | $23,739 | $21,271 | $12,912 – $29,581 |
| Massachusetts | 5 | $50,982 | $17,748 | $12,998 – $20,079 |
| Michigan | 2 | $74,285 | $17,205 | $15,129 – $18,272 |
| Minnesota | 1 | $67,762 | $27,331 | – |
| Mississippi | 1 | $44,455 | $10,184 | – |
| Missouri | 1 | $59,871 | $18,526 | – |
| Montana | 3 | $46,710 | $13,859 | $12,050 – $15,823 |
| Nebraska | 1 | $50,105 | $11,763 | – |
| New Jersey | 3 | $71,240 | $15,770 | $13,767 – $18,044 |
| New York | 9 | $93,186 | $20,262 | $13,805 – $23,939 |
| North Carolina | 6 | $68,143 | $17,644 | $13,399 – $20,613 |
| Ohio | 4 | $80,547 | $15,878 | $12,451 – $17,295 |
| Oklahoma | 1 | $133,396 | $18,376 | – |
| Oregon | 3 | $58,064 | $18,972 | $17,194 – $23,571 |
| Pennsylvania | 9 | $95,749 | $15,694 | $10,839 – $19,816 |
| South Carolina | 2 | $84,215 | $15,447 | $10,121 – $17,170 |
| Tennessee | 4 | $57,775 | $14,144 | $11,094 – $16,353 |
| Texas | 5 | $86,655 | $14,956 | $12,162 – $18,914 |
| Utah | 2 | $64,541 | $16,158 | $15,039 – $18,473 |
| Virginia | 6 | $93,983 | $16,686 | $12,837 – $20,597 |
| Washington | 3 | $74,794 | $16,861 | $16,038 – $18,022 |
| West Virginia | 2 | $85,064 | $16,815 | $12,838 – $21,360 |
| Wisconsin | 1 | $99,530 | $19,588 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Barnes Jewish HospitalSt Louis, MO | 67 | $59,871 | $18,526 |
| Cleveland Clinic - Main CampusCleveland, OH | 45 | $75,544 | $16,728 |
| Providence Portland Medical CenterPortland, OR | 36 | $57,488 | $17,857 |
| Stanford HospitalPalo Alto, CA | 35 | $243,030 | $25,814 |
| Univ of Michigan HospitalsAnn Arbor, MI | 35 | $73,470 | $18,272 |
| MUSC Medical CenterCharleston, SC | 34 | $84,594 | $17,170 |
| Baylor University Medical CenterDallas, TX | 33 | $45,776 | $14,520 |
| Vanderbilt University HospitalNashville, TN | 31 | $70,073 | $16,353 |
| Lds HospitalSalt Lake City, UT | 31 | $68,676 | $15,039 |
| Hospital of the Univ of PaPhiladelphia, PA | 30 | $131,347 | $19,816 |
| Clarian Health PartnersIndianapolis, IN | 28 | $107,435 | $17,058 |
| Sarasota Memorial HospitalSarasota, FL | 27 | $129,305 | $16,622 |
| Brigham and Women's HosptialBoston, MA | 27 | $95,807 | $20,079 |
| New York-Presbyterian HospitalNew York, NY | 27 | $80,579 | $21,376 |
| Tampa General HospitalTampa, FL | 26 | $165,690 | $15,650 |
Questions
How much does stomach, esophageal and duodenal procedures without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for stomach, esophageal and duodenal procedures without complications (DRG 328) at 121 hospitals in the U.S. was billed at $87,700 on average, while the average total payment was $16,978, of which Medicare paid $12,768. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for stomach, esophageal and duodenal procedures without complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($21,318), Maryland ($21,271), New York ($20,262) and lowest in Kentucky ($12,694), Kansas ($13,045), Montana ($13,859).
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 5.2 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.