Other Digestive System Diagnoses with Major Complications — what U.S. hospitals charge
MS-DRG 393 · Inpatient stay · 790 U.S. hospitals publish a price
Cheapest quarter
under $48,309
Typical charge
$64,167
Dearest quarter
over $93,730
Actually paid
$16,191
The middle U.S. hospital bills $64,167 for Other Digestive System Diagnoses with Major Complications. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $16,191 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 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 | 22 | $20,127 | $12,171 – $74,163 |
| Massachusetts | 23 | $34,779 | $15,088 – $115,662 |
| North Dakota | 3 | $36,543 | $34,980 – $39,508 |
| Michigan | 21 | $39,025 | $24,781 – $71,200 |
| New Mexico | 3 | $40,397 | $34,142 – $43,322 |
| Idaho | 3 | $41,447 | $32,648 – $41,976 |
| New Hampshire | 4 | $41,967 | $38,374 – $65,680 |
| Missouri | 16 | $42,916 | $25,525 – $160,375 |
| Virginia | 27 | $45,933 | $27,473 – $142,052 |
| Minnesota | 14 | $46,617 | $33,565 – $85,728 |
| Rhode Island | 4 | $47,888 | $42,480 – $61,558 |
| Kansas | 7 | $48,522 | $29,072 – $140,500 |
| Oregon | 8 | $48,696 | $31,314 – $80,493 |
| Delaware | 4 | $48,736 | $43,905 – $51,700 |
| Utah | 3 | $49,072 | $29,777 – $62,595 |
| Tennessee | 11 | $50,205 | $29,299 – $169,550 |
| North Carolina | 17 | $50,307 | $32,246 – $86,112 |
| Kentucky | 6 | $51,026 | $40,739 – $66,398 |
| West Virginia | 4 | $51,340 | $34,731 – $69,020 |
| Mississippi | 6 | $51,535 | $33,714 – $57,256 |
| Arkansas | 9 | $52,487 | $34,321 – $63,723 |
| South Dakota | 3 | $52,724 | $51,399 – $54,857 |
| Wisconsin | 10 | $53,074 | $27,630 – $82,521 |
| Nebraska | 5 | $53,366 | $34,293 – $58,064 |
| Ohio | 32 | $53,595 | $32,001 – $98,139 |
| South Carolina | 11 | $56,935 | $37,590 – $134,273 |
| Iowa | 3 | $57,676 | $29,604 – $87,607 |
| Louisiana | 10 | $58,549 | $23,158 – $114,367 |
| Illinois | 43 | $60,371 | $26,565 – $115,234 |
| Indiana | 14 | $62,155 | $34,039 – $113,009 |
| Connecticut | 7 | $64,425 | $33,149 – $100,472 |
| Pennsylvania | 36 | $65,422 | $35,650 – $232,499 |
| Washington | 22 | $67,885 | $47,046 – $96,639 |
| Alabama | 11 | $68,271 | $26,767 – $164,846 |
| Arizona | 11 | $68,997 | $44,814 – $108,534 |
| Oklahoma | 7 | $72,968 | $40,242 – $118,583 |
| Texas | 56 | $75,442 | $38,267 – $200,076 |
| Florida | 65 | $76,024 | $41,261 – $186,550 |
| Georgia | 24 | $78,292 | $29,298 – $142,600 |
| New York | 50 | $78,522 | $23,564 – $193,973 |
| District of Columbia | 3 | $84,153 | $55,399 – $86,469 |
| California | 97 | $102,787 | $29,458 – $389,633 |
| New Jersey | 32 | $106,646 | $44,913 – $218,918 |
| Colorado | 7 | $108,764 | $77,939 – $146,785 |
| Nevada | 9 | $168,893 | $52,981 – $277,124 |
Where Other Digestive System Diagnoses 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 |
|---|---|---|
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$12,171 | $11,032 |
|
Sturdy Memorial Hospital
Attleboro, MA |
$15,088 | $13,289 |
|
Frederick Health Hospital
Frederick, MD |
$15,201 | $13,657 |
|
Medstar Good Samaritan Hospital
Baltimore, MD |
$16,858 | $15,116 |
|
Carroll Hospital Center
Westminster, MD |
$17,248 | $15,155 |
|
Cooley Dickinson Hospital Inc,The
Northampton, MA |
$18,134 | $13,424 |
|
Medstar Montgomery Medical Center
Olney, MD |
$18,259 | $16,284 |
|
Winchester Hospital
Winchester, MA |
$18,668 | $13,147 |
|
Meritus Medical Center
Hagerstown, MD |
$18,958 | $17,323 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$19,016 | $17,204 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$19,148 | $17,378 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$19,638 | $18,064 |
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 |
$389,633 | $17,446 |
|
Good Samaritan Hospital
San Jose, CA |
$312,472 | $18,058 |
|
Centennial Hills Hospital Medical Center
Las Vegas, NV |
$277,124 | $13,697 |
|
Northbay Medical Center
Fairfield, CA |
$272,845 | $19,785 |
|
Stanford Health Care
Stanford, CA |
$268,319 | $31,849 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$249,892 | $34,138 |
|
Temple Health - Chestnut Hill Hospital
Philadelphia, PA |
$232,499 | $16,884 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$222,912 | $15,127 |
|
Ucsf Medical Center
San Francisco, CA |
$220,507 | $37,664 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$219,594 | $31,470 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$218,967 | $33,840 |
|
Newark Beth Israel Medical Center
Newark, NJ |
$218,918 | $26,543 |
Questions people ask
What do U.S. hospitals charge for Other Digestive System Diagnoses with Major Complications?
Across 790 U.S. hospitals, the middle charge for Other Digestive System Diagnoses with Major Complications is $64,167. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $48,309 and the dearest quarter over $93,730.
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 Major Complications, the hospitals in the dearest tenth charge about 3.7x 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. $16,191 is roughly what Medicare actually paid per case, against an average charge of $81,195. 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 393: “OTHER DIGESTIVE SYSTEM DIAGNOSES 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.