Inpatient stays / DRG 356
MS-DRG 356 · 135 hospitals · 6,780 stays
DRG 356: Other Digestive System O.R. Procedures with MCC
Medicare patients had 6,780 stays in DRG 356 in 2024. Hospitals charged an average of $209,071 per stay and were paid $40,861 — a ratio of 5.1 to 1 — of which Medicare's own share averaged $35,372. Average charges ran from $39,876 at the least expensive hospital to $699,078 at the most; half of hospitals charged between $140,551 and $262,225.
- 1Average charge $209,071
- 2Average paid $40,861
- 3Reporting hospitals 135
- 4Medicare stays 6,780
By state
Average charges for DRG 356 were highest in California ($345,531) and lowest in Maryland ($57,561). Payments vary far less than charges, because Medicare sets them: they range across states from $27,429 to $56,765.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 648 | $345,531 | $54,075 | 6.4× |
| Nevada | 62 | $336,001 | $40,078 | 8.4× |
| Colorado | 98 | $297,047 | $37,331 | 8× |
| New Jersey | 221 | $287,139 | $43,824 | 6.6× |
| District of Columbia | 26 | $284,582 | $56,765 | 5× |
| New York | 337 | $269,811 | $54,781 | 4.9× |
| Texas | 516 | $252,009 | $35,459 | 7.1× |
| Florida | 544 | $245,233 | $33,966 | 7.2× |
| Kansas | 63 | $234,844 | $35,757 | 6.6× |
| Kentucky | 86 | $233,338 | $51,265 | 4.6× |
| Connecticut | 65 | $229,573 | $56,719 | 4× |
| Pennsylvania | 299 | $226,776 | $37,284 | 6.1× |
| Arizona | 159 | $204,947 | $38,049 | 5.4× |
| South Carolina | 123 | $204,848 | $37,333 | 5.5× |
| Alaska | 24 | $203,658 | $49,853 | 4.1× |
| Georgia | 140 | $202,893 | $40,278 | 5× |
| Oklahoma | 96 | $197,784 | $33,550 | 5.9× |
| Alabama | 66 | $195,198 | $34,514 | 5.7× |
| Virginia | 215 | $187,871 | $36,869 | 5.1× |
| Illinois | 278 | $181,502 | $39,653 | 4.6× |
| Washington | 170 | $181,402 | $42,765 | 4.2× |
| Indiana | 147 | $178,323 | $34,094 | 5.2× |
| Missouri | 157 | $177,971 | $36,883 | 4.8× |
| Minnesota | 126 | $166,066 | $49,928 | 3.3× |
| Tennessee | 156 | $162,042 | $33,424 | 4.8× |
| Hawaii | 23 | $159,844 | $44,943 | 3.6× |
| Idaho | 35 | $156,995 | $40,820 | 3.8× |
| New Hampshire | 42 | $153,725 | $44,892 | 3.4× |
| Ohio | 270 | $150,848 | $37,269 | 4× |
| Oregon | 81 | $148,470 | $45,583 | 3.3× |
| Iowa | 69 | $147,722 | $34,688 | 4.3× |
| West Virginia | 53 | $147,706 | $37,065 | 4× |
| South Dakota | 35 | $147,142 | $33,866 | 4.3× |
| Louisiana | 79 | $143,979 | $29,464 | 4.9× |
| Wisconsin | 121 | $137,798 | $37,737 | 3.7× |
| Massachusetts | 217 | $136,358 | $50,399 | 2.7× |
| New Mexico | 31 | $132,622 | $43,010 | 3.1× |
| Utah | 48 | $131,412 | $36,574 | 3.6× |
| North Carolina | 236 | $129,211 | $36,203 | 3.6× |
| Mississippi | 76 | $128,975 | $29,951 | 4.3× |
| Delaware | 22 | $128,304 | $38,995 | 3.3× |
| Nebraska | 57 | $124,059 | $32,733 | 3.8× |
| Michigan | 173 | $123,007 | $37,964 | 3.2× |
| Vermont | 14 | $118,918 | $27,429 | 4.3× |
| Rhode Island | 14 | $111,664 | $45,784 | 2.4× |
| Arkansas | 68 | $105,473 | $29,527 | 3.6× |
| North Dakota | 28 | $98,529 | $32,167 | 3.1× |
| Montana | 24 | $98,039 | $33,570 | 2.9× |
| Maryland | 125 | $57,561 | $50,275 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 21 stays | $699,078 | $65,336 |
| Stanford Health Care Stanford, CA · 15 stays | $602,013 | $79,106 |
| Westchester Medical Center Valhalla, NY · 13 stays | $576,252 | $53,337 |
| Sharp Memorial Hospital San Diego, CA · 11 stays | $575,045 | $73,087 |
| Mount Sinai Hospital New York, NY · 14 stays | $534,757 | $110,681 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 18 stays | $442,936 | $43,596 |
| Montefiore Medical Center Bronx, NY · 13 stays | $405,636 | $76,323 |
| El Camino Hospital Mountain View, CA · 15 stays | $399,007 | $47,521 |
| Orlando Health Orlando Regional Medical Center Orlando, FL · 17 stays | $389,804 | $43,403 |
| Integris Baptist Medical Center, Inc Oklahoma City, OK · 13 stays | $385,954 | $44,241 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 16 stays | $39,876 | $36,889 |
| South Shore Hospital South Weymouth, MA · 13 stays | $63,991 | $32,780 |
| Baystate Medical Center Springfield, MA · 17 stays | $66,114 | $44,220 |
| Winchester Medical Center Winchester, VA · 17 stays | $69,035 | $34,203 |
| Rex Hospital Raleigh, NC · 15 stays | $81,550 | $27,931 |
| Corewell Health Grand Rapids Hospitals Butterworth Grand Rapids, MI · 12 stays | $81,849 | $34,727 |
| St Dominic-Jackson Memorial Hospital Jackson, MS · 12 stays | $99,088 | $29,577 |
| Memorial Healthcare System, Inc Chattanooga, TN · 17 stays | $100,164 | $26,451 |
| Deaconess Hospital Inc Evansville, IN · 19 stays | $100,227 | $30,211 |
| Mercy Hospital Oklahoma City, Inc Oklahoma City, OK · 14 stays | $105,827 | $26,567 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.