Major Gastrointestinal Disorders and Peritoneal Infections without Complications/mcc — what U.S. hospitals charge
MS-DRG 373 · Inpatient stay · 6 U.S. hospitals publish a price
Cheapest quarter
under $27,382
Typical charge
$61,248
Dearest quarter
over $65,500
Actually paid
$9,156
The middle U.S. hospital bills $61,248 for Major Gastrointestinal Disorders and Peritoneal Infections without Complications/mcc. The dearest hospitals charge about 5.6x what the cheapest do for the same coded work. Medicare actually paid about $9,156 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.
Major Gastrointestinal Disorders and Peritoneal Infections without Complications/mcc cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| New York | 3 | $66,618 | $62,146 – $82,982 |
Where Major Gastrointestinal Disorders and Peritoneal Infections without Complications/mcc is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$10,527 | $9,616 |
|
South Shore Hospital
South Weymouth, MA |
$16,393 | $6,048 |
|
Adventhealth Orlando
Orlando, FL |
$60,350 | $6,525 |
|
North Shore University Hospital
Manhasset, NY |
$62,146 | $11,194 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$66,618 | $10,816 |
|
New York-Presbyterian Hospital
New York, NY |
$82,982 | $10,735 |
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 |
$82,982 | $10,735 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$66,618 | $10,816 |
|
North Shore University Hospital
Manhasset, NY |
$62,146 | $11,194 |
|
Adventhealth Orlando
Orlando, FL |
$60,350 | $6,525 |
|
South Shore Hospital
South Weymouth, MA |
$16,393 | $6,048 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$10,527 | $9,616 |
Questions people ask
What do U.S. hospitals charge for Major Gastrointestinal Disorders and Peritoneal Infections without Complications/mcc?
Across 6 U.S. hospitals, the middle charge for Major Gastrointestinal Disorders and Peritoneal Infections without Complications/mcc is $61,248. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $27,382 and the dearest quarter over $65,500.
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 Gastrointestinal Disorders and Peritoneal Infections without Complications/mcc, the hospitals in the dearest tenth charge about 5.6x 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. $9,156 is roughly what Medicare actually paid per case, against an average charge of $52,157. 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 373: “MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/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.