Other Digestive System Operating Room Procedures with Complications — what U.S. hospitals charge
MS-DRG 357 · Inpatient stay · 46 U.S. hospitals publish a price
Cheapest quarter
under $86,646
Typical charge
$105,565
Dearest quarter
over $159,162
Actually paid
$22,625
The middle U.S. hospital bills $105,565 for Other Digestive System Operating Room Procedures with Complications. The dearest hospitals charge about 3.4x what the cheapest do for the same coded work. Medicare actually paid about $22,625 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 Operating Room Procedures 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 |
|---|---|---|---|
| Massachusetts | 3 | $92,928 | $44,666 – $127,249 |
| Virginia | 3 | $124,443 | $56,382 – $209,534 |
| Florida | 7 | $128,449 | $59,109 – $251,784 |
| California | 4 | $150,381 | $90,576 – $436,678 |
Where Other Digestive System Operating Room Procedures 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 |
|---|---|---|
|
South Shore Hospital
South Weymouth, MA |
$44,666 | $17,723 |
|
Winchester Medical Center
Winchester, VA |
$56,382 | $17,680 |
|
Mayo Clinic
Jacksonville, FL |
$59,109 | $23,674 |
|
Baylor University Medical Center
Dallas, TX |
$59,903 | $20,783 |
|
Mayo Clinic Hospital
Phoenix, AZ |
$60,002 | $24,008 |
|
Mississippi Baptist Medical Center
Jackson, MS |
$62,599 | $13,811 |
|
Duke University Hospital
Durham, NC |
$67,955 | $25,490 |
|
Morton Plant Hospital
Clearwater, FL |
$68,552 | $15,858 |
|
Novant Health New Hanover Regional Medical Center
Wilmington, NC |
$74,253 | $19,990 |
|
Jackson-Madison County General Hospital
Jackson, TN |
$74,577 | $16,379 |
|
Prisma Health Greenville Memorial Hospital
Greenville, SC |
$82,293 | $24,491 |
|
Cleveland Clinic
Cleveland, OH |
$85,564 | $24,718 |
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 |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$436,678 | $29,456 |
|
O U Medical Center
Oklahoma City, OK |
$295,047 | $37,241 |
|
Orlando Health
Orlando, FL |
$251,784 | $22,573 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$236,171 | $27,261 |
|
Henrico Doctors' Hospital
Richmond, VA |
$209,534 | $15,638 |
|
Adventhealth Orlando
Orlando, FL |
$203,160 | $20,364 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$201,209 | $27,274 |
|
Methodist Hospital
San Antonio, TX |
$180,367 | $16,507 |
|
Nyu Langone Hospitals
New York, NY |
$176,296 | $31,023 |
|
University Of Kansas Hospital
Kansas City, KS |
$171,172 | $23,442 |
|
Ucsf Medical Center
San Francisco, CA |
$169,540 | $38,145 |
|
Tampa General Hospital
Tampa, FL |
$160,381 | $21,431 |
Questions people ask
What do U.S. hospitals charge for Other Digestive System Operating Room Procedures with Complications?
Across 46 U.S. hospitals, the middle charge for Other Digestive System Operating Room Procedures with Complications is $105,565. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $86,646 and the dearest quarter over $159,162.
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 Operating Room Procedures with Complications, the hospitals in the dearest tenth charge about 3.4x 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. $22,625 is roughly what Medicare actually paid per case, against an average charge of $128,706. 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 357: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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.