Other Digestive System Diagnoses without Complications/mcc — what U.S. hospitals charge
MS-DRG 395 · Inpatient stay · 38 U.S. hospitals publish a price
Cheapest quarter
under $21,807
Typical charge
$36,083
Dearest quarter
over $50,240
Actually paid
$7,051
The middle U.S. hospital bills $36,083 for Other Digestive System Diagnoses without Complications/mcc. The dearest hospitals charge about 4.0x what the cheapest do for the same coded work. Medicare actually paid about $7,051 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 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 |
|---|---|---|---|
| Massachusetts | 5 | $17,448 | $11,428 – $30,019 |
| Pennsylvania | 3 | $31,807 | $30,217 – $50,381 |
| Florida | 10 | $37,238 | $30,375 – $85,071 |
| New York | 6 | $49,042 | $35,961 – $67,820 |
Where Other Digestive System Diagnoses 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 |
|---|---|---|
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$5,830 | $5,356 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$11,428 | $6,981 |
|
South Shore Hospital
South Weymouth, MA |
$12,114 | $5,312 |
|
Northwest Community Hospital 1
Arlington Heights, IL |
$15,826 | $4,915 |
|
Rex Hospital
Raleigh, NC |
$17,023 | $5,469 |
|
Northeast Hospital Corporation
Beverly, MA |
$17,448 | $5,545 |
|
Northshore University Healthsystem - Evanston Hospital
Evanston, IL |
$18,669 | $7,363 |
|
Christiana Hospital
Newark, DE |
$19,918 | $7,506 |
|
West Virginia University Hospitals, Inc
Morgantown, WV |
$20,715 | $8,285 |
|
Norton Hospitals, Inc
Louisville, KY |
$21,513 | $4,567 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$22,689 | $10,718 |
|
North Carolina Baptist Hospital
Winston-Salem, NC |
$24,059 | $11,065 |
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 |
|---|---|---|
|
Hca Florida Jfk Hospital
Atlantis, FL |
$85,071 | $6,274 |
|
Orlando Health
Orlando, FL |
$74,247 | $8,356 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$68,866 | $6,693 |
|
Nyu Langone Hospitals
New York, NY |
$67,820 | $10,559 |
|
Hca Florida West Hospital
Pensacola, FL |
$66,682 | $5,403 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$59,098 | $6,603 |
|
West Jersey Hospital
Voorhees, NJ |
$54,410 | $5,312 |
|
Long Island Jewish Medical Center
New Hyde Park, NY |
$54,216 | $9,092 |
|
Marion Communtiy Hospital
Ocala, FL |
$51,674 | $5,736 |
|
Geisinger Medical Center
Danville, PA |
$50,381 | $8,111 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$49,818 | $8,591 |
|
New York-Presbyterian Hospital
New York, NY |
$48,265 | $15,183 |
Questions people ask
What do U.S. hospitals charge for Other Digestive System Diagnoses without Complications/mcc?
Across 38 U.S. hospitals, the middle charge for Other Digestive System Diagnoses without Complications/mcc is $36,083. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $21,807 and the dearest quarter over $50,240.
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 without Complications/mcc, the hospitals in the dearest tenth charge about 4.0x 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. $7,051 is roughly what Medicare actually paid per case, against an average charge of $39,628. 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 395: “OTHER DIGESTIVE SYSTEM DIAGNOSES 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.