DRG 385 Medical

Inflammatory Bowel Disease with MCC

Hospital inpatient stay cost data from CMS

Avg Medicare Payment
$10,285
National average
Avg Total Costs
$21,412
CMS Inpatient data
Avg Length of Stay
4.8 days
CMS MS-DRG
Est. Commercial Insurance
$15,427 — $25,712
1.5x — 2.5x Medicare
Annual Discharges
252
Medicare beneficiaries

CMS Inpatient National Data

From CMS Medicare Provider Utilization & Payment Data (FY 2023)

252
Total Discharges
$21,412
Avg Total Costs
$15,051
Avg Medicare Payment

Cost by Severity Level

NY SPARCS hospital discharge data (2022) — costs reflect New York State hospitals

Severity Discharges Avg LOS Avg Charges Avg Costs Median Costs
Extreme 65 15 days $105,258 $38,561 $22,584
Major 569 5.5 days $38,746 $12,503 $9,246
Minor 1,597 2.6 days $19,168 $7,131 $5,450
Moderate 1,295 3.6 days $26,792 $8,965 $6,641

Frequently Asked Questions

How much does a hospital stay for inflammatory bowel disease with mcc cost?

The average Medicare payment for DRG 385 is $10,285. Average hospital costs are $21,412. Commercial insurance typically pays 150-250% of Medicare rates ($15,427 — $25,712).

How long is the hospital stay for DRG 385?

The average length of stay is 4.8 days. This varies by severity — NY data shows stays from 2.6 to 15.0 days depending on severity.

How much does this hospital stay cost without insurance?

Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.

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