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Stomach, Esophageal and Duodenal Procedures without with Complications/with major complications
Medicare DRG 328. What hospitals charge and what Medicare pays, 2024.
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 10 | $158,789 | $17,652 |
| Oklahoma | 1 | $133,396 | $12,605 |
| Illinois | 1 | $121,284 | $11,265 |
| Idaho | 1 | $121,044 | $11,352 |
| Georgia | 2 | $114,175 | $13,240 |
| Indiana | 2 | $111,583 | $12,665 |
| Arizona | 4 | $111,451 | $11,431 |
| Alabama | 1 | $101,675 | $8,331 |
| Texas | 5 | $100,133 | $9,756 |
| Wisconsin | 1 | $99,530 | $10,574 |
| New York | 9 | $97,278 | $15,634 |
| Florida | 10 | $93,761 | $11,116 |
| District of Columbia | 1 | $93,609 | $10,929 |
| Virginia | 6 | $93,396 | $11,716 |
| Pennsylvania | 9 | $90,695 | $11,891 |
| West Virginia | 2 | $85,812 | $9,934 |
| Ohio | 4 | $85,152 | $11,219 |
| South Carolina | 2 | $83,820 | $10,776 |
| Kentucky | 3 | $83,268 | $9,918 |
| Washington | 3 | $80,686 | $13,901 |
| Michigan | 2 | $74,670 | $11,797 |
| Iowa | 1 | $73,203 | $12,875 |
| Kansas | 3 | $72,766 | $10,451 |
| New Jersey | 3 | $71,498 | $13,309 |
| North Carolina | 6 | $69,743 | $12,515 |
| Minnesota | 1 | $67,762 | $12,575 |
| Maine | 1 | $66,386 | $12,100 |
| Arkansas | 1 | $66,155 | $9,394 |
| Louisiana | 1 | $65,453 | $8,311 |
| Utah | 2 | $62,336 | $12,761 |
| Missouri | 1 | $59,871 | $12,427 |
| Oregon | 3 | $58,908 | $13,260 |
| Tennessee | 4 | $53,253 | $10,774 |
| Nebraska | 1 | $50,105 | $10,171 |
| Delaware | 1 | $47,333 | $11,365 |
| Montana | 3 | $45,858 | $10,358 |
| Mississippi | 1 | $44,455 | $8,542 |
| Massachusetts | 5 | $42,423 | $14,230 |
| Maryland | 4 | $24,184 | $19,805 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.