Inpatient stays / DRG 395
MS-DRG 395 · 38 hospitals · 5,211 stays
DRG 395: Other Digestive System Diagnoses without CC/MCC
Medicare patients had 5,211 stays in DRG 395 in 2024. Hospitals charged an average of $34,600 per stay and were paid $6,874 — a ratio of 5 to 1 — of which Medicare's own share averaged $4,644. Average charges ran from $5,830 at the least expensive hospital to $85,071 at the most; half of hospitals charged between $21,314 and $50,704.
- 1Average charge $34,600
- 2Average paid $6,874
- 3Reporting hospitals 38
- 4Medicare stays 5,211
By state
Average charges for DRG 395 were highest in Nevada ($67,993) and lowest in Maryland ($9,102). Payments vary far less than charges, because Medicare sets them: they range across states from $3,977 to $8,946.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 63 | $67,993 | $6,705 | 10.1× |
| California | 500 | $55,809 | $8,640 | 6.5× |
| Florida | 563 | $48,571 | $6,261 | 7.8× |
| New Jersey | 203 | $47,278 | $6,864 | 6.9× |
| Colorado | 46 | $43,403 | $5,794 | 7.5× |
| Texas | 375 | $39,876 | $7,692 | 5.2× |
| New York | 366 | $39,439 | $8,838 | 4.5× |
| Arizona | 115 | $36,537 | $6,410 | 5.7× |
| Hawaii | 17 | $35,562 | $8,946 | 4× |
| Pennsylvania | 251 | $33,858 | $6,105 | 5.5× |
| South Carolina | 89 | $30,949 | $6,203 | 5× |
| Missouri | 87 | $30,400 | $6,315 | 4.8× |
| Georgia | 118 | $29,916 | $7,190 | 4.2× |
| Idaho | 15 | $28,851 | $6,090 | 4.7× |
| Alabama | 79 | $28,711 | $5,466 | 5.3× |
| New Mexico | 28 | $28,123 | $6,285 | 4.5× |
| Kansas | 43 | $28,095 | $6,178 | 4.5× |
| Louisiana | 81 | $28,079 | $5,144 | 5.5× |
| Tennessee | 102 | $28,075 | $6,334 | 4.4× |
| Oklahoma | 51 | $28,067 | $6,457 | 4.3× |
| Virginia | 108 | $28,029 | $6,166 | 4.5× |
| Indiana | 114 | $27,186 | $6,389 | 4.3× |
| Washington | 61 | $26,896 | $6,619 | 4.1× |
| Mississippi | 50 | $26,848 | $5,325 | 5× |
| Illinois | 204 | $26,721 | $6,581 | 4.1× |
| Ohio | 189 | $26,541 | $6,200 | 4.3× |
| Wisconsin | 57 | $26,537 | $5,866 | 4.5× |
| New Hampshire | 35 | $24,907 | $6,265 | 4× |
| South Dakota | 23 | $24,577 | $5,428 | 4.5× |
| Kentucky | 84 | $24,574 | $4,986 | 4.9× |
| North Carolina | 150 | $24,410 | $6,999 | 3.5× |
| Delaware | 25 | $24,246 | $6,450 | 3.8× |
| Connecticut | 43 | $23,605 | $7,216 | 3.3× |
| Michigan | 137 | $23,508 | $6,440 | 3.7× |
| Oregon | 31 | $22,831 | $8,101 | 2.8× |
| West Virginia | 52 | $22,123 | $5,881 | 3.8× |
| Utah | 19 | $22,016 | $6,493 | 3.4× |
| Nebraska | 35 | $21,799 | $5,909 | 3.7× |
| Vermont | 11 | $21,567 | $3,977 | 5.4× |
| Rhode Island | 33 | $21,361 | $6,681 | 3.2× |
| Maine | 22 | $20,633 | $6,707 | 3.1× |
| Arkansas | 49 | $20,504 | $5,092 | 4× |
| Minnesota | 56 | $20,165 | $6,357 | 3.2× |
| Iowa | 43 | $19,333 | $5,138 | 3.8× |
| Massachusetts | 203 | $17,528 | $6,956 | 2.5× |
| Montana | 21 | $15,826 | $5,374 | 2.9× |
| Maryland | 141 | $9,102 | $8,264 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| HCA Florida Jfk Hospital Atlantis, FL · 17 stays | $85,071 | $6,274 |
| Orlando Health Orlando Regional Medical Center Orlando, FL · 24 stays | $74,247 | $8,356 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 14 stays | $68,866 | $6,693 |
| NYU Langone Hospitals New York, NY · 13 stays | $67,820 | $10,559 |
| HCA Florida West Hospital Pensacola, FL · 12 stays | $66,682 | $5,403 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 13 stays | $59,098 | $6,603 |
| West Jersey Hospital Voorhees, NJ · 11 stays | $54,410 | $5,312 |
| Long Island Jewish Medical Center New Hyde Park, NY · 21 stays | $54,216 | $9,092 |
| HCA Florida Ocala Hospital Ocala, FL · 12 stays | $51,674 | $5,736 |
| Geisinger Medical Center Danville, PA · 11 stays | $50,381 | $8,111 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medstar Franklin Square Medical Center Rosedale, MD · 11 stays | $5,830 | $5,356 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 13 stays | $11,428 | $6,981 |
| South Shore Hospital South Weymouth, MA · 15 stays | $12,114 | $5,312 |
| Northwest Community Hospital 1 Arlington Heights, IL · 12 stays | $15,826 | $4,915 |
| Rex Hospital Raleigh, NC · 11 stays | $17,023 | $5,469 |
| Beverly Hospital Corporation Beverly, MA · 12 stays | $17,448 | $5,545 |
| Northshore University Healthsystem Evanston Hosp Evanston, IL · 14 stays | $18,669 | $7,363 |
| Christianacare Newark, DE · 11 stays | $19,918 | $7,506 |
| West Virginia University Hospitals, Inc Morgantown, WV · 12 stays | $20,715 | $8,285 |
| Norton Hospital / Norton Healthcare Pavilion / Nor Louisville, KY · 13 stays | $21,513 | $4,567 |
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.