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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

Hospitals in New York

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
New York
Specific hospitals up to 10
Average payment across these 6 hospitals
$9,337National $7,117 · New York $9,337
Median hospital
$8,841
Lowest to highest
$5,622–$15,183
Medicare stays
87

6 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
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 33018213$5,62221% below the national average$4,303$37,185
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 33028614$6,34211% below the national average$5,016$35,961
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
Nyu Langone HospitalsNew York, NY · CCN 33021413$10,55948% above the national average$6,595$67,820
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.