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

Hospitals in Pennsylvania

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Average payment across these 36 hospitals: $16,246National $17,117 · Pennsylvania $16,246
Median hospital: $14,947
Lowest to highest: $11,524–$31,470
Medicare stays: 777

36 hospitals reported at least 11 Medicare stays for this in 2024. 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
Paoli HospitalPaoli, PA · CCN 390153	13	$11,524	33% below the national average	$10,509	$82,965
UPMC PassavantPittsburgh, PA · CCN 390107	15	$11,690	32% below the national average	$9,478	$74,490
Doylestown HospitalDoylestown, PA · CCN 390203	16	$11,728	31% below the national average	$10,641	$43,299
Chester County HospitalWest Chester, PA · CCN 390179	29	$12,051	30% below the national average	$11,095	$53,093
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	14	$12,270	28% below the national average	$9,349	$76,615
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	11	$12,338	28% below the national average	$8,929	$70,227
UPMC MemorialYork, PA · CCN 390101	11	$12,624	26% below the national average	$11,289	$63,044
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	21	$12,767	25% below the national average	$11,034	$65,567
Geisinger-Community Medical CenterScranton, PA · CCN 390001	21	$12,881	25% below the national average	$10,938	$112,536
Lancaster General HospitalLancaster, PA · CCN 390100	36	$13,571	21% below the national average	$10,224	$55,259
UPMC WilliamsportWilliamsport, PA · CCN 390045	12	$13,821	19% below the national average	$12,708	$64,663
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	13	$14,083	18% below the national average	$11,973	$49,705
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	16	$14,170	17% below the national average	$11,684	$99,373
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	23	$14,474	15% below the national average	$11,327	$46,611
UPMC HamotErie, PA · CCN 390063	17	$14,525	15% below the national average	$13,032	$47,812
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	14	$14,684	14% below the national average	$11,704	$53,786
Main Line Hospital LankenauWynnewood, PA · CCN 390195	18	$14,854	13% below the national average	$12,705	$93,029
Saint Vincent HospitalErie, PA · CCN 390009	14	$14,868	13% below the national average	$12,606	$100,475
Wellspan York HospitalYork, PA · CCN 390046	25	$15,026	12% below the national average	$11,154	$35,650
Jefferson Abington HospitalAbington, PA · CCN 390231	33	$15,067	12% below the national average	$12,905	$54,094
Robert Packer HospitalSayre, PA · CCN 390079	12	$15,078	12% below the national average	$13,378	$44,767
Lehigh Valley HospitalAllentown, PA · CCN 390133	53	$15,842	About average	$12,531	$117,032
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	12	$15,959	About average	$13,008	$63,196
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	14	$16,151	About average	$10,267	$39,604
St Lukes HospitalBethlehem, PA · CCN 390049	30	$16,514	About average	$13,152	$122,007
Reading HospitalWest Reading, PA · CCN 390044	29	$16,573	About average	$11,638	$59,176
Allegheny General HospitalPittsburgh, PA · CCN 390050	13	$16,744	About average	$13,485	$56,506
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	11	$16,884	About average	$13,653	$232,499
Geisinger Medical CenterDanville, PA · CCN 390006	32	$17,156	About average	$14,483	$101,040
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	40	$17,758	About average	$13,682	$147,738
Milton S Hershey Medical CenterHershey, PA · CCN 390256	24	$17,808	About average	$14,254	$63,579
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	18	$18,058	About average	$16,196	$138,392
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	28	$18,847	10% above the national average	$13,841	$98,152
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	26	$19,930	16% above the national average	$14,338	$65,277
Temple University HospitalPhiladelphia, PA · CCN 390027	28	$21,460	25% above the national average	$15,521	$168,802
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	35	$31,470	84% above the national average	$20,256	$219,594

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.