Other Digestive System Diagnoses with Complications — what U.S. hospitals charge
MS-DRG 394 · Inpatient stay · 1,004 U.S. hospitals publish a price
Cheapest quarter
under $28,614
Typical charge
$38,844
Dearest quarter
over $57,900
Actually paid
$9,254
The middle U.S. hospital bills $38,844 for Other Digestive System Diagnoses with Complications. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $9,254 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.
Other Digestive System Diagnoses 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 | 27 | $12,626 | $8,402 – $35,525 |
| Massachusetts | 34 | $18,073 | $11,087 – $56,155 |
| North Dakota | 3 | $21,680 | $19,821 – $25,264 |
| Montana | 4 | $22,114 | $15,143 – $33,274 |
| Michigan | 31 | $25,547 | $17,838 – $53,860 |
| Arkansas | 9 | $26,111 | $15,882 – $48,695 |
| Idaho | 3 | $26,499 | $22,279 – $26,961 |
| Rhode Island | 5 | $27,716 | $23,832 – $30,736 |
| Mississippi | 10 | $28,002 | $17,734 – $80,097 |
| Iowa | 9 | $28,204 | $11,904 – $43,763 |
| Minnesota | 15 | $28,583 | $17,525 – $63,628 |
| Virginia | 31 | $28,821 | $14,112 – $78,996 |
| Utah | 5 | $29,033 | $26,360 – $52,091 |
| West Virginia | 9 | $29,745 | $23,508 – $45,071 |
| Tennessee | 21 | $30,595 | $14,601 – $78,550 |
| Wisconsin | 17 | $30,930 | $18,365 – $49,108 |
| Ohio | 41 | $31,041 | $19,183 – $58,808 |
| Alabama | 15 | $31,057 | $20,565 – $136,235 |
| Maine | 3 | $31,215 | $31,036 – $37,867 |
| New Hampshire | 6 | $31,334 | $25,738 – $54,371 |
| North Carolina | 24 | $31,692 | $19,600 – $59,050 |
| Oregon | 7 | $31,815 | $23,509 – $49,636 |
| Delaware | 3 | $32,515 | $27,730 – $37,975 |
| Missouri | 17 | $33,321 | $18,877 – $96,626 |
| Louisiana | 12 | $33,355 | $18,594 – $70,808 |
| Nebraska | 5 | $34,316 | $21,635 – $36,056 |
| Indiana | 26 | $35,392 | $21,763 – $58,904 |
| Illinois | 45 | $35,738 | $18,047 – $59,204 |
| Kentucky | 13 | $36,562 | $17,558 – $57,966 |
| South Carolina | 18 | $37,559 | $23,865 – $76,483 |
| Arizona | 19 | $40,550 | $28,752 – $98,901 |
| Connecticut | 12 | $40,664 | $26,473 – $48,850 |
| Oklahoma | 7 | $41,393 | $24,025 – $65,671 |
| Georgia | 28 | $41,793 | $20,956 – $105,864 |
| Washington | 17 | $41,951 | $22,375 – $58,590 |
| South Dakota | 3 | $42,390 | $39,508 – $43,685 |
| Pennsylvania | 45 | $43,096 | $19,961 – $155,950 |
| Texas | 69 | $47,899 | $19,074 – $130,111 |
| New York | 55 | $50,912 | $10,531 – $130,119 |
| New Mexico | 3 | $51,422 | $26,836 – $58,904 |
| Kansas | 10 | $51,920 | $28,924 – $91,836 |
| Florida | 95 | $56,934 | $16,396 – $140,331 |
| New Jersey | 38 | $59,158 | $30,594 – $273,633 |
| Colorado | 9 | $62,298 | $50,054 – $102,687 |
| California | 103 | $66,274 | $26,503 – $179,779 |
| District of Columbia | 3 | $72,995 | $50,146 – $73,402 |
| Nevada | 14 | $92,453 | $36,502 – $221,930 |
Where Other Digestive System Diagnoses 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 |
|---|---|---|
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$8,402 | $7,708 |
|
Frederick Health Hospital
Frederick, MD |
$9,502 | $8,652 |
|
Union Hospital Of Cecil County
Elkton, MD |
$9,631 | $8,621 |
|
Western Maryland Regional Medical Center
Cumberland, MD |
$10,001 | $8,920 |
|
Meritus Medical Center
Hagerstown, MD |
$10,486 | $9,660 |
|
Unity Hospital
Rochester, NY |
$10,531 | $9,541 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$10,570 | $9,747 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$10,625 | $9,463 |
|
Greater Baltimore Medical Center
Baltimore, MD |
$10,782 | $9,563 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$11,062 | $10,228 |
|
Beth Israel Deaconess Hospital - Milton
Milton, MA |
$11,087 | $7,677 |
|
Suburban Hospital
Bethesda, MD |
$11,404 | $10,269 |
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 |
|---|---|---|
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$273,633 | $9,807 |
|
Valley Hospital Medical Center
Las Vegas, NV |
$221,930 | $9,431 |
|
Centennial Hills Hospital Medical Center
Las Vegas, NV |
$206,130 | $10,038 |
|
Stanford Health Care
Stanford, CA |
$179,779 | $20,038 |
|
Doctors Medical Center
Modesto, CA |
$163,763 | $9,869 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$162,798 | $14,476 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$155,950 | $17,601 |
|
Good Samaritan Hospital
San Jose, CA |
$154,876 | $10,506 |
|
Hudson Regional Hospital
Secaucus, NJ |
$147,584 | $8,334 |
|
Spring Valley Hospital Medical Center
Las Vegas, NV |
$146,890 | $8,861 |
|
Desert Regional Medical Center
Palm Springs, CA |
$141,242 | $11,104 |
|
Hca Florida Orange Park Hospital
Orange Park, FL |
$140,331 | $9,386 |
Questions people ask
What do U.S. hospitals charge for Other Digestive System Diagnoses with Complications?
Across 1,004 U.S. hospitals, the middle charge for Other Digestive System Diagnoses with Complications is $38,844. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $28,614 and the dearest quarter over $57,900.
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 Other Digestive System Diagnoses with Complications, the hospitals in the dearest tenth charge about 3.8x 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. $9,254 is roughly what Medicare actually paid per case, against an average charge of $48,649. 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 394: “OTHER DIGESTIVE SYSTEM DIAGNOSES 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.