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Inpatient stay · MS-DRG 356 · Surgery or procedure

Other digestive system O.R. procedures with MCC

In 2024, Medicare and patients paid an average of $44,107 per stay at 135 hospitals. Half of hospitals averaged between $34,062 and $49,331.

National figures, 2024

Average payment per case
$44,107
Typical range (middle half of hospitals)
$34,062–$49,331
Medicare’s share
$37,26784% of the payment
Average billed charge
$218,547
Hospitals reporting
1352,095 stays

Hospitals in Texas

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Texas
Specific hospitals up to 10
Average payment across these 9 hospitals
$38,655National $44,107 · Texas $38,655
Median hospital
$38,563
Lowest to highest
$33,144–$46,850
Medicare stays
144

9 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Other digestive system O.R. procedures with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Baylor St Lukes Medical CenterHouston, TX · CCN 45019313$33,14425% below the national average$30,453$281,564
Methodist HospitalSan Antonio, TX · CCN 45038821$33,20525% below the national average$31,416$364,979
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 45013518$33,60224% below the national average$32,271$202,356
Covenant Medical CenterLubbock, TX · CCN 45004014$35,02621% below the national average$32,516$362,469
Baylor University Medical CenterDallas, TX · CCN 45002119$38,56313% below the national average$26,805$123,200
Memorial Hermann Hospital SystemHouston, TX · CCN 45018415$41,062About average$35,756$210,795
Houston Methodist HospitalHouston, TX · CCN 45035816$44,467About average$38,977$330,013
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 45004416$45,036About average$30,044$138,350
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 45001812$46,850About average$40,297$201,108

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 2,116 stays at 142 hospitals · 2021: 1,830 stays at 125 hospitals · 2022: 1,637 stays at 108 hospitals · 2023: 1,891 stays at 128 hospitals · 2024: 2,095 stays at 135 hospitals
View data as a table
National average payment and billed charge for Other digestive system O.R. procedures with MCC
Year of careAverage paymentAverage billed charge
2020$40K$174K
2021$41K$187K
2022$42K$196K
2023$43K$194K
2024$44K$219K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 42 states
Average payment by state for Other digestive system O.R. procedures with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont112$24,384$24,384–$24,384
Louisiana112$28,205$28,205–$28,205
Alabama121$32,814$32,814–$32,814
Colorado112$33,869$33,869–$33,869
Oklahoma342$34,609$30,167–$39,004
South Dakota222$34,778$31,726–$37,830
Nebraska228$35,126$33,485–$39,231
Mississippi224$35,337$32,457–$38,217
Indiana463$35,958$29,905–$41,556
Georgia113$36,368$36,368–$36,368
Tennessee461$36,797$29,596–$42,152
Maryland116$36,889$36,889–$36,889
Florida11184$37,018$33,140–$42,003
Nevada115$37,276$37,276–$37,276
Idaho111$37,391$37,391–$37,391
Washington234$37,739$37,734–$37,748
North Carolina7116$38,137$33,739–$42,607
Texas9144$38,655$33,602–$44,467
Illinois568$38,962$36,520–$40,798
Kansas235$39,557$34,108–$40,800
Arizona345$39,569$32,765–$41,357
Delaware118$39,932$39,932–$39,932
Missouri345$40,409$29,913–$45,032
Ohio595$40,513$29,864–$39,458
South Carolina347$41,702$33,501–$47,264
Hawaii112$42,054$42,054–$42,054
Virginia573$42,491$34,203–$49,609
New Jersey344$43,154$39,907–$45,489
Oregon111$43,247$43,247–$43,247
Pennsylvania7101$43,320$38,321–$43,777
Iowa123$43,446$43,446–$43,446
Kentucky229$43,731$39,740–$46,354
Michigan340$44,825$37,996–$48,627
West Virginia119$45,408$45,408–$45,408
Wisconsin227$51,277$51,177–$51,392
New Hampshire119$51,382$51,382–$51,382
District of Columbia116$55,169$55,169–$55,169
Massachusetts8137$55,297$44,156–$62,064
Minnesota362$56,673$39,978–$53,780
California13173$56,976$42,668–$73,087
New York6104$64,716$52,593–$71,876
Connecticut122$74,487$74,487–$74,487

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.