Other Digestive System Operating Room Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 356 · Inpatient stay · 135 U.S. hospitals publish a price
Cheapest quarter
under $141,498
Typical charge
$184,029
Dearest quarter
over $256,158
Actually paid
$43,529
The middle U.S. hospital bills $184,029 for Other Digestive System Operating Room Procedures with Major Complications. The dearest hospitals charge about 3.0x what the cheapest do for the same coded work. Medicare actually paid about $43,529 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 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 |
|---|---|---|---|
| Oklahoma | 3 | $129,324 | $105,827 – $385,954 |
| North Carolina | 7 | $132,618 | $81,550 – $162,127 |
| Ohio | 5 | $153,530 | $116,664 – $216,685 |
| Indiana | 4 | $155,322 | $100,227 – $277,859 |
| Virginia | 5 | $157,324 | $69,035 – $247,702 |
| Minnesota | 3 | $160,799 | $128,826 – $177,239 |
| Massachusetts | 8 | $167,371 | $63,991 – $225,767 |
| Tennessee | 4 | $169,565 | $100,164 – $184,029 |
| Missouri | 3 | $171,853 | $135,341 – $198,543 |
| Arizona | 3 | $175,655 | $155,934 – $264,893 |
| Illinois | 5 | $188,575 | $134,894 – $283,486 |
| Michigan | 3 | $200,681 | $81,849 – $215,861 |
| Florida | 11 | $203,173 | $117,638 – $389,804 |
| Texas | 9 | $210,795 | $123,200 – $364,979 |
| South Carolina | 3 | $211,529 | $150,349 – $214,837 |
| New Jersey | 3 | $283,310 | $221,728 – $316,014 |
| California | 13 | $340,286 | $178,413 – $699,078 |
| Pennsylvania | 7 | $348,006 | $145,544 – $442,936 |
| New York | 6 | $380,503 | $139,784 – $576,252 |
Where Other Digestive System Operating Room Procedures 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 |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$39,876 | $36,889 |
|
South Shore Hospital
South Weymouth, MA |
$63,991 | $32,780 |
|
Baystate Medical Center
Springfield, MA |
$66,114 | $44,220 |
|
Winchester Medical Center
Winchester, VA |
$69,035 | $34,203 |
|
Rex Hospital
Raleigh, NC |
$81,550 | $27,931 |
|
Spectrum Health
Grand Rapids, MI |
$81,849 | $34,727 |
|
St Dominic-Jackson Memorial Hospital
Jackson, MS |
$99,088 | $29,577 |
|
Memorial Healthcare System, Inc
Chattanooga, TN |
$100,164 | $26,451 |
|
Deaconess Hospital Inc
Evansville, IN |
$100,227 | $30,211 |
|
Mercy Hospital Oklahoma City, Inc
Oklahoma City, OK |
$105,827 | $26,567 |
|
Providence St Vincent Medical Center
Portland, OR |
$112,887 | $43,247 |
|
Kootenai Health
Coeur D'alene, ID |
$115,362 | $37,391 |
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 |
$699,078 | $65,336 |
|
Stanford Health Care
Stanford, CA |
$602,013 | $79,106 |
|
Westchester Medical Center
Valhalla, NY |
$576,252 | $53,337 |
|
Sharp Memorial Hospital
San Diego, CA |
$575,045 | $73,087 |
|
Mount Sinai Hospital
New York, NY |
$534,757 | $110,681 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$442,936 | $43,596 |
|
Montefiore Medical Center
Bronx, NY |
$405,636 | $76,323 |
|
El Camino Health
Mountain View, CA |
$399,007 | $47,521 |
|
Orlando Health
Orlando, FL |
$389,804 | $43,403 |
|
Integris Baptist Medical Center, Inc
Oklahoma City, OK |
$385,954 | $44,241 |
|
Tampa General Hospital
Tampa, FL |
$369,554 | $46,045 |
|
Methodist Hospital
San Antonio, TX |
$364,979 | $33,205 |
Questions people ask
What do U.S. hospitals charge for Other Digestive System Operating Room Procedures with Major Complications?
Across 135 U.S. hospitals, the middle charge for Other Digestive System Operating Room Procedures with Major Complications is $184,029. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $141,498 and the dearest quarter over $256,158.
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 Major Complications, the hospitals in the dearest tenth charge about 3.0x 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. $43,529 is roughly what Medicare actually paid per case, against an average charge of $218,547. 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 356: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES 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.