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HCHospitalCostData

Updated April 2026

Esophagitis, Gastroenteritis with MCC in North Dakota

24 North Dakota hospitals report Medicare totals for this DRG, averaging $11,365 (below the $12,448 national mean), with a 3× spread from $6,696 to $18,587. 0 carry an A grade, 0 carry an F.

Esophagitis, Gastroenteritis with MCC (DRG 392) is a Digestive procedure tracked in CMS Inpatient Payment files. Across North Dakota, 3,052 hospitals report payment data for 633,256 total discharges, with an average Medicare payment of $12,448 (median $12,171). A $29,763 maximum and $4,333 minimum on the same DRG procedure is normal for the Medicare payment system — DRG codes bundle cases that may differ in complexity, and hospital wage-index adjustments alone can move payments by 30% across regions.

Within North Dakota, the 3,052 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($12,448) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Esophagitis, Gastroenteritis with MCC, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Digestive system DRGs cover appendectomy, bowel surgery, gallbladder, GI bleed, and hepatobiliary procedures. Laparoscopic vs. open approach, case complexity, and complication rates explain most cost variation.

Esophagitis, Gastroenteritis with MCC is Medicare DRG 392 in the Digestive category. National Medicare average for this DRG is $12,448 across 3,052 reporting hospitals. The state-level view here filters that universe down to North Dakota only.

Cost Picture in North Dakota

North Dakota's average for this DRG sits below the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 3× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in North Dakota Reporting Esophagitis, Gastroenteritis with MCC

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#HospitalPaymentGrade
1Sanford Medical Center Fargo
Fargo
$6,696B
2Chi Oakes Hospital
Oakes
$7,675C
3Sanford Mayville
Mayville
$8,442C
4Trinity Kenmare Community Hospital
Kenmare
$9,096C
5Altru Hospital
Grand Forks
$9,131B
6First Care Health Center
Park River
$9,761C
7Towner County Medical Center
Cando
$9,985C
8Chi St Alexius Health Dickinson
Dickinson
$10,251C
9Southwest Healthcare Services
Bowman
$10,515C
10Carrington Health Center
Carrington
$10,533B
11North Dakota State Hospital
Jamestown
$10,632B
12Jacobson Memorial Hospital Care Center
Elgin
$10,708C
13Cavalier County Memorial Hospital Association
Langdon
$11,095B
14Nelson County Health System
Mcville
$11,906C
15Heart Of America Medical Center
Rugby
$12,060B
16Presentation Medical Center
Rolla
$12,203C
17Chi St Alexius Health Devils Lake
Devils Lake
$12,228C
18Chi St Alexius Health
Bismarck
$12,401C
19Chi St Alexius Health Turtle Lake
Turtle Lake
$12,406C
20Cooperstown Medical Center
Cooperstown
$12,930C
21P H S Indian Hosp At Belcourt-Quentin N Burdick
Belcourt
$13,301B
22Mckenzie County Healthcare Systems Inc
Watford City
$14,213C
23Jamestown Regional Medical Center
Jamestown
$16,000C
24Prairie St John's
Fargo
$18,587C

Frequently Asked Questions

How much does esophagitis, gastroenteritis with mcc cost in North Dakota?

Esophagitis, Gastroenteritis with MCC (DRG 392) averages $11,365 in total Medicare payment across 24 North Dakota hospitals reporting this code. Within the state, payments span $6,696 to $18,587 — about 3× from cheapest to most expensive.

Is Esophagitis, Gastroenteritis with MCC more or less expensive in North Dakota than nationally?

North Dakota's state-level average of $11,365 sits below the national Medicare average of $12,448 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 3× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

  • CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
  • CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
  • CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
  • Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.