Inpatient stays / DRG 394
MS-DRG 394 · 1,004 hospitals · 30,272 stays
DRG 394: Other Digestive System Diagnoses with CC
Medicare patients had 30,272 stays in DRG 394 in 2024. Hospitals charged an average of $47,064 per stay and were paid $9,479 — a ratio of 5 to 1 — of which Medicare's own share averaged $7,250. Average charges ran from $8,402 at the least expensive hospital to $273,633 at the most; half of hospitals charged between $28,608 and $57,932.
- 1Average charge $47,064
- 2Average paid $9,479
- 3Reporting hospitals 1,004
- 4Medicare stays 30,272
By state
Average charges for DRG 394 were highest in Nevada ($96,988) and lowest in Maryland ($14,512). Payments vary far less than charges, because Medicare sets them: they range across states from $6,914 to $13,016.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 294 | $96,988 | $9,971 | 9.7× |
| California | 2,923 | $78,109 | $11,973 | 6.5× |
| New Jersey | 1,136 | $69,251 | $9,729 | 7.1× |
| District of Columbia | 55 | $67,258 | $12,623 | 5.3× |
| Colorado | 307 | $62,767 | $8,656 | 7.3× |
| Alaska | 52 | $62,165 | $11,567 | 5.4× |
| Florida | 2,840 | $61,618 | $8,482 | 7.3× |
| New York | 1,963 | $60,476 | $12,176 | 5× |
| Texas | 1,946 | $55,217 | $9,096 | 6.1× |
| Pennsylvania | 1,567 | $49,273 | $8,627 | 5.7× |
| Kansas | 280 | $47,206 | $8,050 | 5.9× |
| Arizona | 560 | $45,836 | $9,037 | 5.1× |
| Georgia | 750 | $42,283 | $9,931 | 4.3× |
| Alabama | 390 | $40,955 | $7,766 | 5.3× |
| Washington | 475 | $40,792 | $9,392 | 4.3× |
| South Carolina | 491 | $39,899 | $8,836 | 4.5× |
| New Mexico | 100 | $39,441 | $8,182 | 4.8× |
| Connecticut | 339 | $39,384 | $11,153 | 3.5× |
| South Dakota | 127 | $39,275 | $8,342 | 4.7× |
| Illinois | 1,432 | $38,593 | $9,414 | 4.1× |
| Hawaii | 66 | $38,180 | $10,864 | 3.5× |
| Virginia | 872 | $37,263 | $8,526 | 4.4× |
| Tennessee | 640 | $37,242 | $8,341 | 4.5× |
| Indiana | 734 | $36,221 | $8,263 | 4.4× |
| Oklahoma | 286 | $36,126 | $8,303 | 4.4× |
| Missouri | 564 | $35,978 | $8,436 | 4.3× |
| Mississippi | 290 | $35,315 | $7,502 | 4.7× |
| Louisiana | 370 | $34,645 | $7,430 | 4.7× |
| Kentucky | 419 | $34,380 | $7,514 | 4.6× |
| Ohio | 1,098 | $33,840 | $8,345 | 4.1× |
| New Hampshire | 188 | $33,822 | $8,681 | 3.9× |
| Idaho | 109 | $33,666 | $8,058 | 4.2× |
| Wyoming | 36 | $32,387 | $10,460 | 3.1× |
| Wisconsin | 529 | $32,126 | $8,477 | 3.8× |
| Vermont | 56 | $32,024 | $6,914 | 4.6× |
| Oregon | 200 | $32,009 | $10,110 | 3.2× |
| Utah | 154 | $31,543 | $8,901 | 3.5× |
| North Carolina | 844 | $31,439 | $9,213 | 3.4× |
| Nebraska | 194 | $30,683 | $8,822 | 3.5× |
| Delaware | 122 | $30,394 | $8,985 | 3.4× |
| West Virginia | 199 | $29,401 | $7,843 | 3.7× |
| Arkansas | 237 | $29,131 | $7,259 | 4× |
| Maine | 105 | $29,127 | $9,334 | 3.1× |
| Minnesota | 498 | $29,076 | $9,221 | 3.2× |
| Michigan | 935 | $28,689 | $8,942 | 3.2× |
| Rhode Island | 113 | $28,270 | $9,843 | 2.9× |
| Iowa | 262 | $26,494 | $7,528 | 3.5× |
| Massachusetts | 1,232 | $25,823 | $10,008 | 2.6× |
| Montana | 82 | $23,728 | $8,160 | 2.9× |
| North Dakota | 85 | $22,527 | $7,921 | 2.8× |
| Maryland | 726 | $14,512 | $13,016 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Medical Center - Hopewell Pennington, NJ · 11 stays | $273,633 | $9,807 |
| Valley Hospital Medical Center Las Vegas, NV · 12 stays | $221,930 | $9,431 |
| Centennial Hills Hospital Medical Center Las Vegas, NV · 15 stays | $206,130 | $10,038 |
| Stanford Health Care Stanford, CA · 66 stays | $179,779 | $20,038 |
| Doctors Medical Center Modesto, CA · 28 stays | $163,763 | $9,869 |
| Cedars-Sinai Medical Center Los Angeles, CA · 86 stays | $162,798 | $14,476 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 27 stays | $155,950 | $17,601 |
| Good Samaritan Hospital San Jose, CA · 33 stays | $154,876 | $10,506 |
| Hudson Regional Hospital Secaucus, NJ · 14 stays | $147,584 | $8,334 |
| Spring Valley Hospital Medical Center Las Vegas, NV · 18 stays | $146,890 | $8,861 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Howard County Medical Center Columbia, MD · 34 stays | $8,402 | $7,708 |
| Frederick Health Hospital Frederick, MD · 29 stays | $9,502 | $8,652 |
| Union Hospital of Cecil County Elkton, MD · 21 stays | $9,631 | $8,621 |
| U P M C Western Maryland Cumberland, MD · 14 stays | $10,001 | $8,920 |
| Meritus Medical Center Hagerstown, MD · 22 stays | $10,486 | $9,660 |
| Unity Hospital of Rochester Rochester, NY · 11 stays | $10,531 | $9,541 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 22 stays | $10,570 | $9,747 |
| University of MD St Joseph Medical Center Towson, MD · 37 stays | $10,625 | $9,463 |
| Greater Baltimore Medical Center Baltimore, MD · 36 stays | $10,782 | $9,563 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 37 stays | $11,062 | $10,228 |
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.