OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
Medicare inpatient claims for MS-DRG 394. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 394?
MS-DRG 394 is the Medicare Severity Diagnosis-Related Group for OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 1,167 hospitals reported 47,213 discharges for MS-DRG 394. The average hospital submitted charge was $46K, while the average amount Medicare actually paid was $7K — a 6.6× gap between list price and reimbursement, which is typical for Medicare inpatient claims.