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Other Digestive System O.r. Procedures with major complications
Medicare DRG 356. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$216,233
Avg total payment
$43,529
Avg Medicare pays
$36,879
Hospitals reporting
135
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 |
|---|---|---|---|
| New York | 6 | $391,872 | $53,313 |
| California | 13 | $364,909 | $50,446 |
| Kansas | 2 | $311,367 | $33,214 |
| Connecticut | 1 | $299,477 | $51,543 |
| Pennsylvania | 7 | $284,354 | $35,286 |
| New Jersey | 3 | $273,684 | $41,130 |
| Texas | 9 | $246,093 | $33,170 |
| Colorado | 1 | $236,737 | $28,053 |
| District of Columbia | 1 | $229,548 | $36,439 |
| Florida | 11 | $229,351 | $32,215 |
| Oklahoma | 3 | $207,035 | $30,122 |
| Alabama | 1 | $202,744 | $30,977 |
| Iowa | 1 | $202,698 | $38,353 |
| Arizona | 3 | $198,827 | $34,046 |
| Illinois | 5 | $198,715 | $35,190 |
| Nevada | 1 | $193,988 | $35,006 |
| South Carolina | 3 | $192,238 | $36,413 |
| Kentucky | 2 | $185,995 | $31,019 |
| New Hampshire | 1 | $178,240 | $47,254 |
| Georgia | 1 | $173,867 | $33,430 |
| Indiana | 4 | $172,183 | $32,771 |
| Wisconsin | 2 | $170,732 | $35,711 |
| Missouri | 3 | $168,579 | $35,201 |
| West Virginia | 1 | $167,843 | $37,566 |
| Virginia | 5 | $166,483 | $33,968 |
| Michigan | 3 | $166,130 | $35,913 |
| Hawaii | 1 | $165,993 | $33,699 |
| Ohio | 5 | $161,377 | $30,648 |
| South Dakota | 2 | $159,076 | $32,953 |
| Tennessee | 4 | $155,831 | $27,488 |
| Massachusetts | 8 | $155,679 | $48,455 |
| Minnesota | 3 | $155,621 | $40,669 |
| Washington | 2 | $149,716 | $33,910 |
| Louisiana | 1 | $140,551 | $26,306 |
| Delaware | 1 | $133,695 | $37,490 |
| North Carolina | 7 | $132,249 | $29,874 |
| Nebraska | 2 | $131,939 | $32,341 |
| Vermont | 1 | $124,787 | $21,039 |
| Idaho | 1 | $115,362 | $25,821 |
| Mississippi | 2 | $114,924 | $30,311 |
| Oregon | 1 | $112,887 | $31,804 |
| Maryland | 1 | $39,876 | $32,068 |
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.