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Inpatient stay · MS-DRG 395

Other digestive system diagnoses without CC/MCC

In 2024, Medicare and patients paid an average of $7,117 per stay at 38 hospitals. Half of hospitals averaged between $5,488 and $8,241.

National figures, 2024

Average payment per case
$7,117
Typical range (middle half of hospitals)
$5,488–$8,241
Medicare’s share
$4,58464% of the payment
Average billed charge
$39,628
Hospitals reporting
38517 stays

Compare hospitals

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
Specific hospitals up to 10

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

Medicare payments per case for Other digestive system diagnoses without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Norton Hospitals, IncLouisville, KY · CCN 18008813$4,56736% below the national average$3,335$21,513
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 03008713$4,76433% below the national average$3,119$40,407
Northwest Community Hospital 1Arlington Heights, IL · CCN 14025212$4,91531% below the national average$3,555$15,826
Sarasota Memorial HospitalSarasota, FL · CCN 10008711$5,22127% below the national average$3,916$30,375
South Shore HospitalSouth Weymouth, MA · CCN 22010015$5,31225% below the national average$3,827$12,114
West Jersey HospitalVoorhees, NJ · CCN 31002211$5,31225% below the national average$3,709$54,410
MedStar Franklin Square Medical CenterRosedale, MD · CCN 21001511$5,35625% below the national average$3,608$5,830
HCA Florida West HospitalPensacola, FL · CCN 10023112$5,40324% below the national average$3,940$66,682
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 10008813$5,45523% below the national average$4,042$35,541
Rex HospitalRaleigh, NC · CCN 34011411$5,46923% below the national average$3,215$17,023
Northeast Hospital CorporationBeverly, MA · CCN 22003312$5,54522% below the national average$4,049$17,448
Boca Raton Regional HospitalBoca Raton, FL · CCN 10016811$5,54722% below the national average$3,008$33,684
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 33018213$5,62221% below the national average$4,303$37,185
Marion Communtiy HospitalOcala, FL · CCN 10021212$5,73619% below the national average$4,510$51,674
Methodist HospitalSan Antonio, TX · CCN 45038819$5,96016% below the national average$3,754$46,403
Lehigh Valley HospitalAllentown, PA · CCN 39013311$6,10414% below the national average$3,979$30,217
St Josephs HospitalTampa, FL · CCN 10007517$6,16213% below the national average$4,690$37,503
HCA Florida JFK HospitalAtlantis, FL · CCN 10008017$6,27412% below the national average$4,842$85,071
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 33028614$6,34211% below the national average$5,016$35,961
AdventHealth OrlandoOrlando, FL · CCN 10000720$6,432About average$4,055$36,205
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 39006712$6,520About average$3,105$31,807
Sunrise Hospital And Medical CenterLas Vegas, NV · CCN 29000313$6,603About average$4,949$59,098
HCA Houston Healthcare KingwoodKingwood, TX · CCN 45077514$6,693About average$4,955$68,866
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 22017113$6,981About average$5,007$11,428
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 31004515$7,233About average$5,915$40,317
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 14001014$7,363About average$4,244$18,669
Christiana HospitalNewark, DE · CCN 08000111$7,506About average$4,198$19,918
Geisinger Medical CenterDanville, PA · CCN 39000611$8,11114% above the national average$4,653$50,381
West Virginia University Hospitals, IncMorgantown, WV · CCN 51000112$8,28516% above the national average$3,644$20,715
Orlando HealthOrlando, FL · CCN 10000624$8,35617% above the national average$4,937$74,247
UF Health Shands HospitalGainesville, FL · CCN 10011311$8,44519% above the national average$5,650$36,972
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 33039311$8,59121% above the national average$6,690$49,818
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 33019521$9,09228% above the national average$5,924$54,216
Massachusetts General HospitalBoston, MA · CCN 22007117$9,13028% above the national average$6,303$30,019
Nyu Langone HospitalsNew York, NY · CCN 33021413$10,55948% above the national average$6,595$67,820
Beth Israel Deaconess Medical CenterBoston, MA · CCN 22008611$10,71851% above the national average$5,700$22,689
North Carolina Baptist HospitalWinston-Salem, NC · CCN 34004711$11,06555% above the national average$5,634$24,059
New York-Presbyterian HospitalNew York, NY · CCN 33010115$15,183113% above the national average$5,701$48,265

National trend

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

  • Average payment
  • Average billed charge
2020: 816 stays at 54 hospitals · 2021: 953 stays at 65 hospitals · 2022: 597 stays at 42 hospitals · 2023: 575 stays at 38 hospitals · 2024: 517 stays at 38 hospitals
View data as a table
National average payment and billed charge for Other digestive system diagnoses without CC/MCC
Year of careAverage paymentAverage billed charge
2020$6,065$31K
2021$6,403$32K
2022$6,524$31K
2023$6,422$38K
2024$7,117$40K

By state, 2024

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

Show all 14 states
Average payment by state for Other digestive system diagnoses without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Kentucky113$4,567$4,567–$4,567
Arizona113$4,764$4,764–$4,764
Maryland111$5,356$5,356–$5,356
Illinois226$6,233$5,527–$6,751
Texas233$6,271$6,143–$6,510
New Jersey226$6,420$5,792–$6,752
Florida10148$6,463$5,478–$6,392
Nevada113$6,603$6,603–$6,603
Pennsylvania334$6,900$6,312–$7,315
Massachusetts568$7,501$5,545–$9,130
Delaware111$7,506$7,506–$7,506
North Carolina222$8,267$6,868–$9,666
West Virginia112$8,285$8,285–$8,285
New York687$9,337$6,905–$10,193

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.