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Other Digestive System Diagnoses without with Complications/with major complications
Medicare DRG 395. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$37,905
Avg total payment
$7,051
Avg Medicare pays
$4,534
Hospitals reporting
38
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 |
|---|---|---|---|
| Nevada | 1 | $59,098 | $4,949 |
| Texas | 2 | $57,635 | $4,354 |
| New York | 6 | $48,878 | $5,705 |
| Florida | 10 | $48,795 | $4,359 |
| New Jersey | 2 | $47,364 | $4,812 |
| Arizona | 1 | $40,407 | $3,119 |
| Pennsylvania | 3 | $37,468 | $3,912 |
| Kentucky | 1 | $21,513 | $3,335 |
| West Virginia | 1 | $20,715 | $3,644 |
| North Carolina | 2 | $20,541 | $4,425 |
| Delaware | 1 | $19,918 | $4,198 |
| Massachusetts | 5 | $18,740 | $4,977 |
| Illinois | 2 | $17,248 | $3,900 |
| Maryland | 1 | $5,830 | $3,608 |
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.