Stomach, Esophageal and Duodenal Procedures with Major Complications — what U.S. hospitals charge
MS-DRG 326 · Inpatient stay · 207 U.S. hospitals publish a price
Cheapest quarter
under $162,425
Typical charge
$223,247
Dearest quarter
over $304,142
Actually paid
$55,346
The middle U.S. hospital bills $223,247 for Stomach, Esophageal and Duodenal Procedures with Major Complications. The dearest hospitals charge about 3.6x what the cheapest do for the same coded work. Medicare actually paid about $55,346 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.
Stomach, Esophageal and Duodenal 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 |
|---|---|---|---|
| Maryland | 4 | $79,902 | $35,285 – $119,036 |
| Arkansas | 6 | $126,011 | $60,655 – $178,916 |
| Massachusetts | 7 | $141,263 | $108,218 – $252,495 |
| North Carolina | 8 | $157,913 | $121,458 – $218,393 |
| Tennessee | 7 | $164,706 | $125,946 – $495,333 |
| Oregon | 3 | $165,446 | $102,566 – $221,023 |
| Nebraska | 3 | $171,371 | $115,776 – $191,196 |
| Indiana | 4 | $173,709 | $127,389 – $267,981 |
| Kentucky | 3 | $181,281 | $142,439 – $226,439 |
| Minnesota | 4 | $183,489 | $112,477 – $285,885 |
| Oklahoma | 4 | $194,395 | $107,437 – $441,949 |
| South Carolina | 4 | $194,465 | $175,547 – $231,849 |
| Virginia | 7 | $206,613 | $109,095 – $534,793 |
| Michigan | 4 | $219,212 | $143,943 – $314,829 |
| Ohio | 6 | $223,532 | $197,841 – $272,801 |
| Illinois | 8 | $230,683 | $143,215 – $326,236 |
| Georgia | 8 | $236,294 | $201,477 – $382,695 |
| Arizona | 3 | $244,261 | $156,522 – $282,198 |
| New York | 13 | $254,793 | $136,380 – $504,433 |
| Kansas | 3 | $270,144 | $121,923 – $454,301 |
| Washington | 4 | $274,273 | $183,021 – $340,510 |
| New Jersey | 6 | $278,196 | $171,595 – $468,685 |
| Texas | 18 | $279,602 | $125,528 – $636,728 |
| Florida | 12 | $282,083 | $116,547 – $489,835 |
| Pennsylvania | 10 | $310,471 | $125,896 – $588,301 |
| California | 15 | $368,929 | $171,434 – $1,027,541 |
Where Stomach, Esophageal and Duodenal 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 |
$35,285 | $32,593 |
|
Meritus Medical Center
Hagerstown, MD |
$60,653 | $55,848 |
|
Mercy Hospital Fort Smith
Fort Smith, AR |
$60,655 | $32,326 |
|
Billings Clinic Hospital
Billings, MT |
$83,403 | $39,611 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$99,150 | $87,930 |
|
Baton Rouge General Medical Center
Baton Rouge, LA |
$101,112 | $38,545 |
|
Providence Portland Medical Center
Portland, OR |
$102,566 | $50,796 |
|
Univ. Of Vermont - Fletcher Allen Health Care
Burlington, VT |
$107,194 | $30,454 |
|
Saint Francis Hospital, Inc
Tulsa, OK |
$107,437 | $30,627 |
|
Baystate Medical Center
Springfield, MA |
$108,218 | $55,661 |
|
Renown Regional Medical Center
Reno, NV |
$108,953 | $42,528 |
|
Winchester Medical Center
Winchester, VA |
$109,095 | $45,919 |
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 |
|---|---|---|
|
Good Samaritan Hospital
San Jose, CA |
$1,027,541 | $87,772 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$820,835 | $74,305 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$814,754 | $63,658 |
|
Stanford Health Care
Stanford, CA |
$801,417 | $101,063 |
|
Grandview Medical Center
Birmingham, AL |
$719,586 | $43,171 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$636,728 | $46,205 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$588,301 | $58,416 |
|
Henrico Doctors' Hospital
Richmond, VA |
$534,793 | $42,765 |
|
University Of Colorado Hospital Authority
Aurora, CO |
$528,817 | $69,501 |
|
Lenox Hill Hospital
New York, NY |
$504,433 | $84,615 |
|
Tristar Centennial Medical Center
Nashville, TN |
$495,333 | $52,588 |
|
Medical City Plano
Plano, TX |
$493,621 | $42,447 |
Questions people ask
What do U.S. hospitals charge for Stomach, Esophageal and Duodenal Procedures with Major Complications?
Across 207 U.S. hospitals, the middle charge for Stomach, Esophageal and Duodenal Procedures with Major Complications is $223,247. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $162,425 and the dearest quarter over $304,142.
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 Stomach, Esophageal and Duodenal Procedures with Major Complications, the hospitals in the dearest tenth charge about 3.6x 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. $55,346 is roughly what Medicare actually paid per case, against an average charge of $263,485. 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 326: “STOMACH, ESOPHAGEAL AND DUODENAL 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.