Major Esophageal Disorders with Complications — what U.S. hospitals charge
MS-DRG 369 · Inpatient stay · 5 U.S. hospitals publish a price
Cheapest quarter
under $20,582
Typical charge
$30,652
Dearest quarter
over $102,499
Actually paid
$11,590
The middle U.S. hospital bills $30,652 for Major Esophageal Disorders with Complications. The dearest hospitals charge about 5.4x what the cheapest do for the same coded work. Medicare actually paid about $11,590 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.
Where Major Esophageal Disorders 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 |
|---|---|---|
|
North Shore Medical Center -
Salem, MA |
$18,554 | $9,477 |
|
Missouri Baptist Medical Center
Saint Louis, MO |
$20,582 | $6,564 |
|
Christiana Hospital
Newark, DE |
$30,652 | $9,804 |
|
Nyu Langone Hospitals
New York, NY |
$102,499 | $15,953 |
|
New York-Presbyterian Hospital
New York, NY |
$106,446 | $16,152 |
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 |
|---|---|---|
|
New York-Presbyterian Hospital
New York, NY |
$106,446 | $16,152 |
|
Nyu Langone Hospitals
New York, NY |
$102,499 | $15,953 |
|
Christiana Hospital
Newark, DE |
$30,652 | $9,804 |
|
Missouri Baptist Medical Center
Saint Louis, MO |
$20,582 | $6,564 |
|
North Shore Medical Center -
Salem, MA |
$18,554 | $9,477 |
Questions people ask
What do U.S. hospitals charge for Major Esophageal Disorders with Complications?
Across 5 U.S. hospitals, the middle charge for Major Esophageal Disorders with Complications is $30,652. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $20,582 and the dearest quarter over $102,499.
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 Major Esophageal Disorders with Complications, the hospitals in the dearest tenth charge about 5.4x 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. $11,590 is roughly what Medicare actually paid per case, against an average charge of $56,107. 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 369: “MAJOR ESOPHAGEAL DISORDERS 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.