Digestive Malignancy with Complications — what U.S. hospitals charge
MS-DRG 375 · Inpatient stay · 207 U.S. hospitals publish a price
Cheapest quarter
under $39,417
Typical charge
$53,277
Dearest quarter
over $77,596
Actually paid
$12,742
The middle U.S. hospital bills $53,277 for Digestive Malignancy with Complications. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $12,742 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.
Digestive Malignancy with 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 |
|---|---|---|---|
| Maryland | 10 | $16,925 | $9,691 – $28,973 |
| South Carolina | 3 | $31,176 | $29,062 – $32,023 |
| Massachusetts | 10 | $32,784 | $20,900 – $60,773 |
| North Carolina | 6 | $38,524 | $24,249 – $56,110 |
| Indiana | 4 | $38,682 | $34,555 – $50,146 |
| Michigan | 5 | $39,300 | $34,803 – $40,971 |
| Virginia | 11 | $40,430 | $24,325 – $130,513 |
| Ohio | 4 | $46,234 | $38,234 – $57,939 |
| Arizona | 3 | $46,256 | $44,887 – $84,182 |
| Tennessee | 6 | $46,286 | $32,038 – $73,722 |
| Washington | 4 | $49,496 | $45,128 – $56,722 |
| Georgia | 4 | $50,642 | $32,828 – $92,654 |
| Illinois | 17 | $54,901 | $33,051 – $70,983 |
| Kansas | 3 | $55,016 | $53,277 – $68,787 |
| Florida | 17 | $59,412 | $39,535 – $139,521 |
| Pennsylvania | 10 | $67,997 | $40,060 – $116,357 |
| Texas | 11 | $76,019 | $44,084 – $136,040 |
| New Jersey | 11 | $76,079 | $49,083 – $137,325 |
| California | 24 | $91,580 | $42,615 – $245,226 |
| New York | 17 | $97,730 | $27,004 – $164,881 |
Where Digestive Malignancy with Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Suburban Hospital
Bethesda, MD |
$9,691 | $8,645 |
|
Frederick Health Hospital
Frederick, MD |
$13,603 | $12,206 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$14,071 | $13,082 |
|
Medstar Southern Maryland Hospital Center
Clinton, MD |
$16,134 | $15,438 |
|
Greater Baltimore Medical Center
Baltimore, MD |
$16,358 | $14,453 |
|
Mercy Medical Center Inc
Baltimore, MD |
$17,492 | $15,476 |
|
Carroll Hospital Center
Westminster, MD |
$18,378 | $16,252 |
|
Adventist Healthcare Shady Grove Medical Center
Rockville, MD |
$19,841 | $17,460 |
|
South Shore Hospital
South Weymouth, MA |
$20,900 | $10,111 |
|
Beth Israel Deaconess Hospital Plymouth
Plymouth, MA |
$22,124 | $9,726 |
|
Moses H. Cone Memorial Hospital, The
Greensboro, NC |
$24,249 | $11,171 |
|
Winchester Medical Center
Winchester, VA |
$24,325 | $10,569 |
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 |
$245,226 | $25,132 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$207,830 | $17,026 |
|
University Hospital S U N Y Health Science Center
Syracuse, NY |
$164,881 | $20,902 |
|
Northbay Medical Center
Fairfield, CA |
$164,221 | $14,734 |
|
Mountainview Hospital
Las Vegas, NV |
$157,959 | $11,708 |
|
Mount Sinai Hospital
New York, NY |
$142,516 | $24,594 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$139,521 | $10,945 |
|
Robert Wood Johnson University Hospital
New Brunswick, NJ |
$137,325 | $18,968 |
|
University Of California Davis Medical Center
Sacramento, CA |
$136,880 | $19,952 |
|
Baptist Medical Center
San Antonio, TX |
$136,040 | $8,735 |
|
New York-Presbyterian Hospital
New York, NY |
$135,394 | $19,684 |
|
Cjw Medical Center
Richmond, VA |
$130,513 | $10,573 |
Questions people ask
What do U.S. hospitals charge for Digestive Malignancy with Complications?
Across 207 U.S. hospitals, the middle charge for Digestive Malignancy with Complications is $53,277. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $39,417 and the dearest quarter over $77,596.
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 Digestive Malignancy with Complications, the hospitals in the dearest tenth charge about 3.7x 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. $12,742 is roughly what Medicare actually paid per case, against an average charge of $66,700. 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 375: “DIGESTIVE MALIGNANCY WITH CC”. 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.