Complicated Peptic Ulcer with Major Complications — what U.S. hospitals charge
MS-DRG 380 · Inpatient stay · 48 U.S. hospitals publish a price
Cheapest quarter
under $65,765
Typical charge
$83,990
Dearest quarter
over $128,120
Actually paid
$21,032
The middle U.S. hospital bills $83,990 for Complicated Peptic Ulcer with Major Complications. The dearest hospitals charge about 4.4x what the cheapest do for the same coded work. Medicare actually paid about $21,032 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Complicated Peptic Ulcer with Major Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Texas | 6 | $92,003 | $70,620 – $200,730 |
| California | 10 | $139,219 | $74,577 – $298,731 |
| New York | 3 | $146,123 | $104,324 – $246,776 |
Where Complicated Peptic Ulcer with Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Johns Hopkins Hospital, The
Baltimore, MD |
$27,697 | $24,738 |
|
Presbyterian Hospital
Albuquerque, NM |
$37,100 | $15,680 |
|
Inova Fairfax Hospital
Falls Church, VA |
$37,339 | $17,987 |
|
Berkshire Medical Center
Pittsfield, MA |
$37,814 | $21,662 |
|
Prisma Health Greenville Memorial Hospital
Greenville, SC |
$46,262 | $16,710 |
|
Christiana Hospital
Newark, DE |
$48,214 | $17,627 |
|
Mayo Clinic Hospital
Phoenix, AZ |
$49,564 | $20,813 |
|
Ecu Health Medical Center
Greenville, NC |
$51,058 | $19,335 |
|
Norton Hospitals, Inc
Louisville, KY |
$59,825 | $13,212 |
|
University Of Iowa Hospital & Clinics
Iowa City, IA |
$61,541 | $20,341 |
|
Saint Francis Hospital, Inc
Tulsa, OK |
$62,931 | $12,664 |
|
Northwestern Medicine Mchenry
Mchenry, IL |
$63,608 | $14,918 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Stanford Health Care
Stanford, CA |
$298,731 | $33,941 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$282,306 | $26,259 |
|
Nyu Langone Hospitals
New York, NY |
$246,776 | $30,685 |
|
Morristown Medical Center
Morristown, NJ |
$237,221 | $24,502 |
|
University Of California Davis Medical Center
Sacramento, CA |
$230,216 | $36,817 |
|
Torrance Memorial Medical Center
Torrance, CA |
$202,078 | $18,469 |
|
Baptist Medical Center
San Antonio, TX |
$200,730 | $14,111 |
|
Houston Methodist Sugarland Hospital
Sugar Land, TX |
$185,731 | $16,288 |
|
Adventhealth Orlando
Orlando, FL |
$161,564 | $22,981 |
|
Ucsf Medical Center
San Francisco, CA |
$152,250 | $35,109 |
|
New York-Presbyterian Hospital
New York, NY |
$146,123 | $27,326 |
|
Brigham And Women's Hospital
Boston, MA |
$131,370 | $27,763 |
Questions people ask
What do U.S. hospitals charge for Complicated Peptic Ulcer with Major Complications?
Across 48 U.S. hospitals, the middle charge for Complicated Peptic Ulcer with Major Complications is $83,990. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $65,765 and the dearest quarter over $128,120.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Complicated Peptic Ulcer with Major Complications, the hospitals in the dearest tenth charge about 4.4x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $21,032 is roughly what Medicare actually paid per case, against an average charge of $113,850. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 380: “COMPLICATED PEPTIC ULCER WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.