Digestive Malignancy with Major Complications — what U.S. hospitals charge
MS-DRG 374 · Inpatient stay · 288 U.S. hospitals publish a price
Cheapest quarter
under $63,061
Typical charge
$86,199
Dearest quarter
over $130,491
Actually paid
$21,630
The middle U.S. hospital bills $86,199 for Digestive Malignancy with Major Complications. The dearest hospitals charge about 4.2x what the cheapest do for the same coded work. Medicare actually paid about $21,630 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 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 |
|---|---|---|---|
| Maryland | 7 | $26,964 | $16,980 – $62,885 |
| Massachusetts | 14 | $42,827 | $25,065 – $114,668 |
| Virginia | 11 | $51,275 | $33,651 – $152,129 |
| Michigan | 10 | $55,974 | $43,170 – $104,222 |
| Nebraska | 3 | $57,134 | $48,579 – $77,845 |
| Indiana | 4 | $58,506 | $58,026 – $101,247 |
| North Carolina | 10 | $60,426 | $34,121 – $102,334 |
| Oklahoma | 4 | $65,448 | $51,379 – $121,551 |
| Tennessee | 7 | $65,662 | $39,616 – $116,550 |
| South Carolina | 4 | $66,631 | $40,168 – $177,109 |
| Wisconsin | 3 | $69,002 | $53,618 – $118,990 |
| Arizona | 3 | $69,620 | $65,555 – $86,432 |
| Minnesota | 6 | $72,416 | $65,497 – $103,477 |
| Ohio | 8 | $75,337 | $48,560 – $109,716 |
| Illinois | 21 | $76,565 | $33,152 – $116,932 |
| Missouri | 6 | $77,461 | $43,046 – $111,865 |
| Washington | 8 | $79,683 | $32,991 – $147,596 |
| Florida | 17 | $83,152 | $42,049 – $214,118 |
| Oregon | 3 | $84,564 | $61,194 – $113,156 |
| District of Columbia | 3 | $85,654 | $66,333 – $105,950 |
| Connecticut | 4 | $93,794 | $67,542 – $121,521 |
| Pennsylvania | 14 | $94,812 | $40,500 – $298,651 |
| Kansas | 3 | $100,144 | $62,761 – $225,780 |
| Texas | 18 | $113,779 | $63,334 – $186,474 |
| Georgia | 5 | $115,303 | $71,950 – $160,907 |
| New Jersey | 15 | $132,581 | $90,597 – $322,966 |
| California | 35 | $154,312 | $80,662 – $438,425 |
| New York | 22 | $168,653 | $66,501 – $261,144 |
| Nevada | 3 | $182,786 | $70,149 – $260,554 |
Where Digestive Malignancy 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 |
|---|---|---|
|
Carroll Hospital Center
Westminster, MD |
$16,980 | $14,897 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$23,128 | $20,901 |
|
Meritus Medical Center
Hagerstown, MD |
$24,410 | $22,499 |
|
South Shore Hospital
South Weymouth, MA |
$25,065 | $15,333 |
|
Beth Israel Deaconess Hospital Plymouth
Plymouth, MA |
$26,757 | $17,326 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$26,964 | $23,898 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$27,701 | $25,944 |
|
Baton Rouge General Medical Center
Baton Rouge, LA |
$29,018 | $15,971 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$32,536 | $21,200 |
|
Olympic Medical Center
Port Angeles, WA |
$32,991 | $18,721 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$33,152 | $13,989 |
|
Winchester Medical Center
Winchester, VA |
$33,651 | $18,381 |
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 |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$438,425 | $34,983 |
|
Stanford Health Care
Stanford, CA |
$366,844 | $43,372 |
|
Good Samaritan Hospital
San Jose, CA |
$340,724 | $22,466 |
|
St Joseph's University Medical Center Inc
Paterson, NJ |
$322,966 | $38,916 |
|
Community Hospital Of The Monterey Peninsula
Monterey, CA |
$309,601 | $52,377 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$298,651 | $50,943 |
|
Ucsf Medical Center
San Francisco, CA |
$288,801 | $51,804 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$281,501 | $27,959 |
|
Memorialcare Long Beach Medical Center
Long Beach, CA |
$268,616 | $32,982 |
|
Montefiore Medical Center
Bronx, NY |
$261,144 | $39,125 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$260,554 | $19,105 |
|
New York-Presbyterian Hospital
New York, NY |
$246,387 | $34,035 |
Questions people ask
What do U.S. hospitals charge for Digestive Malignancy with Major Complications?
Across 288 U.S. hospitals, the middle charge for Digestive Malignancy with Major Complications is $86,199. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $63,061 and the dearest quarter over $130,491.
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 Major Complications, the hospitals in the dearest tenth charge about 4.2x 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. $21,630 is roughly what Medicare actually paid per case, against an average charge of $115,406. 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 374: “DIGESTIVE MALIGNANCY 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.