Inpatient stays / DRG 381
MS-DRG 381 · 34 hospitals · 5,213 stays
DRG 381: Complicated Peptic Ulcer with CC
Medicare patients had 5,213 stays in DRG 381 in 2024. Hospitals charged an average of $55,717 per stay and were paid $10,152 — a ratio of 5.5 to 1 — of which Medicare's own share averaged $8,082. Average charges ran from $22,223 at the least expensive hospital to $195,452 at the most; half of hospitals charged between $38,668 and $68,234.
- 1Average charge $55,717
- 2Average paid $10,152
- 3Reporting hospitals 34
- 4Medicare stays 5,213
By state
Average charges for DRG 381 were highest in Nevada ($101,334) and lowest in Maryland ($13,617). Payments vary far less than charges, because Medicare sets them: they range across states from $7,167 to $16,458.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 50 | $101,334 | $10,229 | 9.9× |
| California | 650 | $85,551 | $12,650 | 6.8× |
| New Jersey | 189 | $80,856 | $11,282 | 7.2× |
| Florida | 445 | $77,396 | $9,137 | 8.5× |
| New York | 238 | $76,156 | $12,586 | 6.1× |
| Colorado | 56 | $74,742 | $9,166 | 8.2× |
| Alaska | 12 | $73,250 | $16,458 | 4.5× |
| Texas | 309 | $63,726 | $10,018 | 6.4× |
| Arizona | 96 | $60,499 | $9,755 | 6.2× |
| Alabama | 70 | $58,841 | $8,808 | 6.7× |
| Kansas | 52 | $57,297 | $9,010 | 6.4× |
| District of Columbia | 14 | $56,414 | $10,458 | 5.4× |
| Mississippi | 47 | $55,661 | $8,033 | 6.9× |
| Pennsylvania | 240 | $55,320 | $9,598 | 5.8× |
| Georgia | 129 | $54,653 | $10,077 | 5.4× |
| Oklahoma | 67 | $52,242 | $8,915 | 5.9× |
| Tennessee | 97 | $51,780 | $9,173 | 5.6× |
| South Carolina | 100 | $48,297 | $9,147 | 5.3× |
| New Hampshire | 24 | $47,978 | $9,743 | 4.9× |
| Washington | 86 | $45,835 | $10,374 | 4.4× |
| New Mexico | 34 | $45,204 | $9,061 | 5× |
| Illinois | 230 | $44,381 | $9,334 | 4.8× |
| Connecticut | 44 | $42,505 | $11,982 | 3.5× |
| Louisiana | 57 | $42,391 | $7,905 | 5.4× |
| Iowa | 54 | $42,308 | $8,770 | 4.8× |
| Indiana | 155 | $42,063 | $8,609 | 4.9× |
| Kentucky | 77 | $41,161 | $7,946 | 5.2× |
| Virginia | 134 | $40,888 | $9,883 | 4.1× |
| Missouri | 110 | $40,792 | $9,062 | 4.5× |
| South Dakota | 18 | $38,634 | $9,105 | 4.2× |
| Ohio | 180 | $38,193 | $9,202 | 4.2× |
| Minnesota | 76 | $37,552 | $9,850 | 3.8× |
| West Virginia | 34 | $37,199 | $8,441 | 4.4× |
| Idaho | 26 | $37,159 | $8,738 | 4.3× |
| North Carolina | 156 | $37,157 | $10,064 | 3.7× |
| Wisconsin | 111 | $36,339 | $9,008 | 4× |
| Vermont | 13 | $35,415 | $7,167 | 4.9× |
| Michigan | 151 | $34,512 | $10,001 | 3.5× |
| Arkansas | 67 | $34,364 | $7,949 | 4.3× |
| Oregon | 39 | $34,347 | $11,140 | 3.1× |
| Wyoming | 12 | $33,734 | $12,469 | 2.7× |
| Hawaii | 11 | $32,957 | $12,202 | 2.7× |
| Rhode Island | 15 | $32,740 | $9,791 | 3.3× |
| Maine | 17 | $32,346 | $9,792 | 3.3× |
| Nebraska | 36 | $31,907 | $9,132 | 3.5× |
| Massachusetts | 172 | $29,605 | $11,029 | 2.7× |
| Delaware | 23 | $29,005 | $9,822 | 3× |
| Utah | 34 | $27,880 | $9,744 | 2.9× |
| North Dakota | 23 | $27,548 | $8,598 | 3.2× |
| Montana | 26 | $21,785 | $8,617 | 2.5× |
| Maryland | 107 | $13,617 | $12,260 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 18 stays | $195,452 | $14,285 |
| NYU Langone Hospitals New York, NY · 19 stays | $142,817 | $17,216 |
| New York-Presbyterian Hospital New York, NY · 16 stays | $140,714 | $16,339 |
| Torrance Memorial Medical Center Torrance, CA · 11 stays | $95,656 | $10,157 |
| Morristown Medical Center Morristown, NJ · 17 stays | $88,926 | $10,935 |
| Hackensack University Medical Center Hackensack, NJ · 12 stays | $87,169 | $15,241 |
| Adventhealth Orlando Orlando, FL · 17 stays | $79,649 | $11,682 |
| Methodist Hospital San Antonio, TX · 23 stays | $72,128 | $8,819 |
| Lehigh Valley Hospital Allentown, PA · 11 stays | $66,936 | $9,754 |
| John T Mather Memorial Hospital of Port Jefferson Port Jefferson, NY · 12 stays | $66,897 | $12,206 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Riverside Regional Medical Center Newport News, VA · 11 stays | $22,223 | $8,491 |
| Silver Cross Hospital and Medical Centers New Lenox, IL · 13 stays | $28,328 | $8,818 |
| Southcoast Hospital Group, Inc Fall River, MA · 14 stays | $29,910 | $9,201 |
| Christianacare Newark, DE · 13 stays | $31,012 | $9,994 |
| Presbyterian Hospital Albuquerque, NM · 15 stays | $32,176 | $8,541 |
| Norton Hospital / Norton Healthcare Pavilion / Nor Louisville, KY · 16 stays | $34,632 | $7,922 |
| Mississippi Baptist Medical Center Jackson, MS · 11 stays | $36,329 | $6,772 |
| Palos Community Hospital Palos Heights, IL · 15 stays | $36,496 | $7,064 |
| Maury Regional Hospital Columbia, TN · 11 stays | $39,392 | $7,329 |
| Miami Valley Hospital Dayton, OH · 16 stays | $39,979 | $8,719 |
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.