CostGrade

Stomach, Esophageal and Duodenal Procedures without Complications/mcc — what U.S. hospitals charge

MS-DRG 328 · Inpatient stay · 121 U.S. hospitals publish a price

Cheapest quarter

under $56,644

Typical charge

$75,967

Dearest quarter

over $101,960

Actually paid

$16,706

The middle U.S. hospital bills $75,967 for Stomach, Esophageal and Duodenal Procedures without Complications/mcc. The dearest hospitals charge about 3.0x what the cheapest do for the same coded work. Medicare actually paid about $16,706 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 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
Maryland 4 $24,611 $13,713 – $33,801
Massachusetts 5 $28,872 $17,402 – $95,807
Montana 3 $49,288 $33,928 – $54,359
Tennessee 4 $55,752 $31,437 – $70,073
North Carolina 6 $56,849 $42,418 – $134,331
Oregon 3 $57,488 $52,195 – $67,041
Washington 3 $67,192 $56,128 – $118,738
Kansas 3 $68,885 $58,935 – $90,477
New Jersey 3 $71,756 $68,350 – $74,389
Ohio 4 $78,142 $75,544 – $108,780
Texas 5 $78,185 $45,776 – $206,018
New York 9 $80,579 $47,645 – $181,055
Virginia 6 $82,349 $41,056 – $189,199
Pennsylvania 9 $83,609 $54,014 – $131,659
Florida 10 $88,126 $49,124 – $165,690
Kentucky 3 $96,368 $52,643 – $100,792
Arizona 4 $113,366 $74,714 – $144,357
California 10 $125,632 $78,254 – $311,644

Where Stomach, Esophageal and Duodenal Procedures 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
Meritus Medical Center

Hagerstown, MD

$13,713 $12,912
South Shore Hospital

South Weymouth, MA

$17,402 $12,998
Luminis Health Anne Arundel Medical Center, Inc

Annapolis, MD

$20,012 $18,507
Lahey Hospital & Medical Center, Burlington

Burlington, MA

$21,501 $16,225
Beth Israel Deaconess Medical Center

Boston, MA

$28,872 $19,467
Johns Hopkins Bayview Medical Center

Baltimore, MD

$29,210 $25,364
Fort Sanders Regional Medical Center

Knoxville, TN

$31,437 $11,094
Johns Hopkins Hospital, The

Baltimore, MD

$33,801 $29,581
Billings Clinic Hospital

Billings, MT

$33,928 $13,666
Winchester Medical Center

Winchester, VA

$41,056 $12,837
Duke Regional Hospital

Durham, NC

$42,418 $14,254
Mississippi Baptist Medical Center

Jackson, MS

$44,455 $10,184

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

$311,644 $20,009
Stanford Health Care

Stanford, CA

$243,030 $25,814
University Of California Davis Medical Center

Sacramento, CA

$214,434 $22,707
Medical City Plano

Plano, TX

$206,018 $18,914
John Muir Medical Center - Concord Campus

Concord, CA

$201,346 $19,197
Lewisgale Medical Center

Salem, VA

$189,199 $15,620
Westchester Medical Center

Valhalla, NY

$181,055 $21,797
Nyu Langone Hospitals

New York, NY

$169,144 $22,710
Tampa General Hospital

Tampa, FL

$165,690 $15,650
Northwest Medical Center

Tucson, AZ

$144,357 $12,523
Ucsf Medical Center

San Francisco, CA

$137,197 $25,262
Carolinas Medical Center/Behav Health

Charlotte, NC

$134,331 $20,106

Questions people ask

What do U.S. hospitals charge for Stomach, Esophageal and Duodenal Procedures without Complications/mcc?

Across 121 U.S. hospitals, the middle charge for Stomach, Esophageal and Duodenal Procedures without Complications/mcc is $75,967. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $56,644 and the dearest quarter over $101,960.

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 without Complications/mcc, 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. $16,706 is roughly what Medicare actually paid per case, against an average charge of $87,700. 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 328: “STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 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.