CostGrade

Gastrointestinal Obstruction with Major Complications — what U.S. hospitals charge

MS-DRG 388 · Inpatient stay · 505 U.S. hospitals publish a price

Cheapest quarter

under $40,840

Typical charge

$57,529

Dearest quarter

over $84,574

Actually paid

$13,959

The middle U.S. hospital bills $57,529 for Gastrointestinal Obstruction with Major Complications. The dearest hospitals charge about 4.4x what the cheapest do for the same coded work. Medicare actually paid about $13,959 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.

Gastrointestinal Obstruction 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 11 $17,704 $11,532 – $26,041
Massachusetts 21 $28,568 $16,831 – $106,783
North Carolina 12 $38,099 $25,609 – $49,825
Michigan 9 $39,044 $24,103 – $60,854
Oregon 4 $39,937 $36,432 – $82,295
Louisiana 8 $40,072 $15,666 – $68,828
Delaware 3 $41,906 $33,984 – $52,892
Virginia 13 $41,998 $21,873 – $139,565
Indiana 8 $42,351 $22,507 – $71,369
South Carolina 8 $42,497 $26,417 – $58,443
Alabama 5 $43,161 $40,236 – $125,027
Arkansas 6 $43,606 $29,063 – $56,745
Iowa 7 $44,583 $25,544 – $82,693
Nebraska 4 $45,489 $32,859 – $54,312
Minnesota 12 $46,847 $23,876 – $88,161
Missouri 11 $47,464 $26,321 – $112,063
Ohio 22 $47,917 $18,291 – $89,849
Mississippi 7 $49,000 $31,781 – $114,016
Tennessee 10 $49,420 $24,804 – $155,335
Kentucky 4 $51,993 $28,992 – $57,918
Oklahoma 9 $52,613 $31,026 – $157,718
Illinois 27 $53,613 $25,308 – $96,274
Wisconsin 6 $54,421 $21,607 – $78,276
Kansas 5 $55,852 $35,304 – $174,855
Washington 9 $56,811 $43,555 – $105,870
Arizona 11 $60,758 $34,385 – $119,363
Georgia 13 $61,800 $37,242 – $84,574
Pennsylvania 23 $64,867 $33,015 – $286,801
Texas 34 $71,257 $38,643 – $202,165
Florida 45 $72,129 $27,137 – $193,817
Colorado 4 $79,539 $57,801 – $131,510
California 58 $97,502 $39,033 – $442,986
New Jersey 22 $97,897 $53,717 – $158,751
New York 27 $103,674 $31,737 – $179,350
Nevada 6 $114,557 $25,125 – $177,930

Where Gastrointestinal Obstruction 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
University Of Md St Joseph Medical Center

Towson, MD

$11,532 $10,256
Baton Rouge General Medical Center

Baton Rouge, LA

$15,666 $10,820
Luminis Health Doctors Community Medical Ctr, Inc

Lanham, MD

$15,963 $14,722
Medstar Franklin Square Medical Center

Rosedale, MD

$16,363 $14,902
Sturdy Memorial Hospital

Attleboro, MA

$16,831 $12,337
Northwest Hospital Center

Randallstown, MD

$16,873 $15,318
University Of Md Shore Medical Center At Easton

Easton, MD

$16,892 $15,125
Good Samaritan Medical Center

Brockton, MA

$17,295 $11,602
Meritus Medical Center

Hagerstown, MD

$17,704 $16,704
Milford Regional Medical Center

Milford, MA

$17,775 $12,058
Beth Israel Deaconess Hospital Plymouth

Plymouth, MA

$18,066 $11,601
Luminis Health Anne Arundel Medical Center, Inc

Annapolis, MD

$18,226 $16,951

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
Doctors Medical Center

Modesto, CA

$442,986 $18,693
Stanford Health Care

Stanford, CA

$347,636 $48,895
Upmc Presbyterian Shadyside

Pittsburgh, PA

$286,801 $22,266
Cedars-Sinai Medical Center

Los Angeles, CA

$269,111 $21,881
Hospital Of Univ Of Pennsylvania

Philadelphia, PA

$229,638 $24,759
Ucsf Medical Center

San Francisco, CA

$213,274 $34,688
John Muir Medical Center - Walnut Creek Campus

Walnut Creek, CA

$211,188 $20,068
Houston Methodist Hospital

Houston, TX

$202,165 $26,459
Hca Florida South Shore Hospital

Sun City Center, FL

$193,817 $9,531
Temple University Hospital

Philadelphia, PA

$193,020 $19,662
Good Samaritan Hospital

San Jose, CA

$182,105 $15,853
Hca Florida Fawcett Hospital

Port Charlotte, FL

$181,473 $12,292

Questions people ask

What do U.S. hospitals charge for Gastrointestinal Obstruction with Major Complications?

Across 505 U.S. hospitals, the middle charge for Gastrointestinal Obstruction with Major Complications is $57,529. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $40,840 and the dearest quarter over $84,574.

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 Gastrointestinal Obstruction 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. $13,959 is roughly what Medicare actually paid per case, against an average charge of $73,423. 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 388: “GASTROINTESTINAL OBSTRUCTION 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.