HealthCareAtlasUSA

This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.

Home / Procedures / Digestive Malignancy with major complications

Digestive Malignancy with major complications

Medicare DRG 374. What hospitals charge and what Medicare pays, 2024.

Avg hospital charge
$104,529
Avg total payment
$21,630
Avg Medicare pays
$17,383
Hospitals reporting
288

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.

StateHospitalsAvg chargeAvg Medicare payment
California35$180,825$23,054
Nevada3$171,163$16,986
New York22$167,066$21,825
New Jersey15$150,482$18,040
Hawaii1$135,378$16,186
Kansas3$129,562$13,746
Pennsylvania14$118,956$16,084
Alaska1$116,757$23,416
Texas18$114,594$14,316
New Hampshire1$111,738$23,815
Georgia5$111,017$16,028
South Dakota2$95,522$16,354
Florida17$95,397$14,422
Connecticut4$94,163$19,142
South Carolina4$87,635$14,032
Oregon3$86,305$19,957
District of Columbia3$85,979$17,350
Washington8$81,046$16,604
Wisconsin3$80,537$16,848
Illinois21$78,914$15,322
Iowa2$78,708$13,921
Missouri6$76,508$15,696
Ohio8$76,449$15,629
Oklahoma4$75,956$13,577
Minnesota6$75,808$16,422
Delaware1$73,880$15,576
Arizona3$73,869$16,942
Arkansas1$73,790$13,216
Indiana4$69,071$14,806
Tennessee7$68,078$12,973
North Carolina10$67,380$16,347
Kentucky2$64,744$13,681
Virginia11$64,343$14,264
Nebraska3$61,186$14,382
Idaho1$60,950$15,140
Michigan10$60,639$15,204
Alabama1$57,941$14,799
Massachusetts14$56,126$18,705
Utah1$53,221$17,076
New Mexico1$39,475$12,775
North Dakota1$34,671$12,749
Maryland7$31,234$25,915
Louisiana1$29,018$14,119

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.