Inpatient stay · MS-DRG 393

Other digestive system diagnoses with MCC

In 2024, Medicare and patients paid an average of $17,117 per stay at 790 hospitals. Half of hospitals averaged between $12,873 and $17,630.

National figures, 2024

Average payment per case: $17,117
Typical range (middle half of hospitals): $12,873–$17,630
Medicare’s share: $13,88781% of the payment
Average billed charge: $81,195
Hospitals reporting: 79017,381 stays

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Year of care

790 hospitals reported at least 11 Medicare stays for this in 2024; showing 651–700. Download as CSV

Medicare payments per case for Other digestive system diagnoses with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	38	$19,019	11% above the national average	$12,940	$66,866
Saint Agnes Medical CenterFresno, CA · CCN 050093	17	$19,057	11% above the national average	$15,238	$64,739
Providence Regional Medical Center EverettEverett, WA · CCN 500014	17	$19,092	12% above the national average	$11,839	$90,337
Scripps Mercy HospitalSan Diego, CA · CCN 050077	24	$19,106	12% above the national average	$17,617	$123,822
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	14	$19,127	12% above the national average	$17,875	$151,977
Swedish Medical CenterSeattle, WA · CCN 500027	18	$19,158	12% above the national average	$16,228	$94,523
Jersey Shore University Medical CenterNeptune, NJ · CCN 310073	35	$19,163	12% above the national average	$13,112	$167,813
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	20	$19,164	12% above the national average	$13,027	$94,195
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	12	$19,170	12% above the national average	$17,251	$48,300
El Camino HealthMountain View, CA · CCN 050308	29	$19,195	12% above the national average	$18,114	$168,022
Flushing Hospital Medical CenterFlushing, NY · CCN 330193	13	$19,203	12% above the national average	$16,181	$23,564
Monmouth Medical CenterLong Branch, NJ · CCN 310075	11	$19,227	12% above the national average	$16,469	$139,494
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	29	$19,267	13% above the national average	$14,300	$147,978
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	35	$19,297	13% above the national average	$16,923	$142,600
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	25	$19,314	13% above the national average	$18,061	$215,030
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	29	$19,357	13% above the national average	$16,672	$122,812
Emory University HospitalAtlanta, GA · CCN 110010	29	$19,492	14% above the national average	$13,543	$42,313
Tristar Centennial Medical CenterNashville, TN · CCN 440161	20	$19,563	14% above the national average	$15,510	$169,550
Baylor Scott And White All Saints Medical CenterFort Worth, TX · CCN 450137	14	$19,667	15% above the national average	$16,896	$93,874
Staten Island University HospitalStaten Island, NY · CCN 330160	40	$19,670	15% above the national average	$16,960	$94,594
UH Cleveland Medical CenterCleveland, OH · CCN 360137	20	$19,704	15% above the national average	$15,550	$59,614
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	13	$19,731	15% above the national average	$17,922	$20,284
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	19	$19,761	15% above the national average	$18,108	$127,888
NorthBay Medical CenterFairfield, CA · CCN 050367	14	$19,785	16% above the national average	$17,485	$272,845
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	20	$19,793	16% above the national average	$11,612	$110,504
Northwest Hospital CenterRandallstown, MD · CCN 210040	16	$19,892	16% above the national average	$18,005	$22,480
Cooper University HospitalCamden, NJ · CCN 310014	22	$19,928	16% above the national average	$15,948	$106,255
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	26	$19,930	16% above the national average	$14,338	$65,277
Northwestern Memorial HospitalChicago, IL · CCN 140281	86	$19,943	17% above the national average	$15,094	$81,901
Peninsula Medical CenterBurlingame, CA · CCN 050007	23	$19,965	17% above the national average	$16,680	$78,861
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	49	$20,054	17% above the national average	$16,693	$40,434
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	36	$20,067	17% above the national average	$15,693	$146,785
New York-Presbyterian/QueensFlushing, NY · CCN 330055	49	$20,088	17% above the national average	$17,579	$125,663
Ecu Health Medical CenterGreenville, NC · CCN 340040	31	$20,122	18% above the national average	$12,399	$51,691
Riverside Community HospitalRiverside, CA · CCN 050022	13	$20,156	18% above the national average	$17,109	$205,565
Hackensack University Medical CenterHackensack, NJ · CCN 310001	35	$20,170	18% above the national average	$16,610	$137,308
UNM HospitalAlbuquerque, NM · CCN 320001	20	$20,441	19% above the national average	$16,575	$34,142
North Shore University HospitalManhasset, NY · CCN 330106	59	$20,449	19% above the national average	$16,262	$143,644
Adventist Health White MemorialLos Angeles, CA · CCN 050103	13	$20,500	20% above the national average	$18,559	$133,369
MedStar Washington Hospital CenterWashington, DC · CCN 090011	36	$20,546	20% above the national average	$13,818	$86,469
OHSU Hospital And ClinicsPortland, OR · CCN 380009	15	$20,697	21% above the national average	$16,559	$80,493
Virginia Mason Medical CenterSeattle, WA · CCN 500005	30	$20,717	21% above the national average	$16,012	$73,762
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	41	$20,865	22% above the national average	$15,211	$71,816
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	35	$20,893	22% above the national average	$12,775	$62,082
Cleveland ClinicCleveland, OH · CCN 360180	59	$20,924	22% above the national average	$14,144	$74,839
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	16	$20,949	22% above the national average	$16,318	$96,970
Northwest Health - PorterValparaiso, IN · CCN 150035	14	$20,971	23% above the national average	$9,347	$113,009
Rhode Island HospitalProvidence, RI · CCN 410007	24	$21,078	23% above the national average	$14,982	$61,558
University Of Maryland Shore Medical Center At EastonEaston, MD · CCN 210037	12	$21,112	23% above the national average	$20,296	$23,623
University Of Alabama HospitalBirmingham, AL · CCN 010033	28	$21,123	23% above the national average	$11,273	$73,471

National trend

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

Average payment
Average billed charge

2020: 16,318 stays at 761 hospitals · 2021: 17,155 stays at 776 hospitals · 2022: 16,865 stays at 766 hospitals · 2023: 17,726 stays at 798 hospitals · 2024: 17,381 stays at 790 hospitals

View data as a table

National average payment and billed charge for Other digestive system diagnoses with MCC
Year of care	Average payment	Average billed charge
2020	$15K	$65K
2021	$16K	$70K
2022	$17K	$75K
2023	$16K	$79K
2024	$17K	$81K

By state, 2024

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

Show all 50 states

Average payment by state for Other digestive system diagnoses with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Mississippi	6	130	$11,504	$10,970–$11,991
Arkansas	9	146	$12,441	$11,271–$12,417
Montana	2	30	$12,622	$12,022–$12,804
Louisiana	10	183	$12,638	$10,461–$13,887
North Dakota	3	46	$12,865	$12,603–$12,959
Idaho	3	48	$12,899	$12,674–$13,207
Kentucky	6	159	$13,117	$10,950–$13,596
Alabama	11	172	$13,566	$11,206–$12,802
Oklahoma	7	155	$13,735	$12,382–$13,630
Kansas	7	133	$13,842	$11,735–$13,650
Indiana	14	284	$14,039	$11,817–$14,582
West Virginia	4	73	$14,130	$11,910–$14,962
Texas	56	1,156	$14,148	$12,569–$14,773
South Dakota	3	76	$14,291	$13,680–$15,129
Ohio	32	658	$14,400	$12,136–$14,540
Delaware	4	90	$14,463	$13,838–$14,431
Iowa	3	64	$14,527	$11,935–$15,111
Florida	65	1,577	$14,579	$12,283–$14,672
Tennessee	11	286	$14,637	$12,236–$15,436
Nebraska	5	102	$14,851	$12,123–$17,198
Maine	1	36	$14,949	$14,949–$14,949
Virginia	27	543	$15,185	$12,282–$14,988
Missouri	16	304	$15,574	$11,686–$16,070
New Mexico	3	64	$15,601	$14,720–$19,033
Alaska	1	12	$15,618	$15,618–$15,618
Michigan	21	457	$15,675	$14,007–$16,934
Colorado	7	133	$15,689	$12,574–$15,804
Nevada	9	148	$16,002	$15,127–$16,156
Washington	22	380	$16,124	$13,902–$17,285
Illinois	43	1,024	$16,208	$12,615–$17,739
Pennsylvania	36	777	$16,246	$13,399–$16,779
South Carolina	11	221	$16,370	$11,601–$15,479
North Carolina	17	406	$16,566	$12,448–$20,122
New Hampshire	4	81	$16,739	$12,709–$17,034
New Jersey	32	712	$16,845	$14,436–$19,179
Georgia	24	385	$16,870	$14,087–$17,606
Minnesota	14	312	$16,929	$13,002–$15,339
Arizona	11	243	$17,140	$12,930–$14,642
Wisconsin	10	200	$17,377	$13,498–$17,918
Hawaii	2	37	$17,416	$16,900–$17,594
Utah	3	67	$17,967	$15,178–$19,260
Rhode Island	4	66	$18,013	$16,000–$18,084
Oregon	8	124	$18,378	$15,336–$18,944
Massachusetts	23	742	$18,554	$13,500–$19,373
District of Columbia	3	86	$20,233	$16,879–$21,875
Connecticut	7	181	$20,251	$16,804–$22,166
Vermont	1	13	$21,137	$21,137–$21,137
California	97	2,099	$21,249	$16,594–$20,865
New York	50	1,530	$21,421	$15,754–$22,680
Maryland	22	430	$28,217	$17,234–$22,617

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.