facebook tracking Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications cost: hospital prices by state (DRG 442)

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications

What 239 hospitals in the U.S. charged and were paid for a Medicare hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications (DRG 442), from 2024 Medicare claims.

DRG 442 Inpatient 2024 Medicare data
Average charge $52,941 Hospital list price billed
Average payment $11,272 Medicare + patient + other payers
Medicare paid $8,007 Average per stay
Volume 4,126 Medicare hospital stays

Hospitals in the U.S. billed an average of $52,941 for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications, about 4.7 times the average total payment of $11,272.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $11,272Billed $52,941

About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them:

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Lowest and highest payments

Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Baptist Hospital EastLouisville, KY$5,933
Mississippi Baptist Medical CenterJackson, MS$6,322
Norton Healthcare PavilionLouisville, KY$6,741
Memorial Hospital CentralColorado Springs, CO$7,352
Methodist HospitalSan Antonio, TX$7,877
Wesley Medical CenterWichita, KS$7,947
Southcoast Hospital Group, INCFall River, MA$8,059
Riverside Methodist HospitalColumbus, OH$8,275
Jewish HospitalLouisville, KY$8,434
Integris Baptist Medical CenterOklahoma City, OK$8,616

Highest

UCLA Medical CenterLos Angeles, CA$22,826
Umdnj University HospitalNewark, NJ$22,640
University Health SystemSan Antonio, TX$22,061
Mayo Clinic - Saint Marys HospitalRochester, MN$21,242
Stanford HospitalPalo Alto, CA$19,255
UCSF Medical CenterSan Francisco, CA$18,118
Hospital of the Univ of PaPhiladelphia, PA$17,875
New York-Presbyterian HospitalNew York, NY$17,377
Barnes Jewish HospitalSt Louis, MO$16,785
USC University HospitalLos Angeles, CA$16,720

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications cost by state

Volume-weighted averages for each state's hospitals. Select a state to see every hospital.

State Hospitals Avg charge Avg payment Range
Alabama 2 $39,971 $11,324 $8,957 – $12,377
Arizona 6 $37,551 $10,273 $7,148 – $13,592
Arkansas 2 $23,824 $6,531 $6,324 – $6,787
California 35 $81,814 $13,264 $8,562 – $22,826
Colorado 2 $76,847 $9,858 $7,352 – $12,591
Connecticut 2 $38,601 $12,589 $12,326 – $12,852
Delaware 2 $37,637 $8,890 $8,187 – $9,210
Florida 12 $58,938 $10,439 $6,826 – $20,005
Georgia 4 $42,172 $11,938 $8,886 – $14,525
Hawaii 1 $66,182 $13,540 –
Idaho 1 $28,092 $7,520 –
Illinois 7 $52,276 $12,219 $8,014 – $15,028
Indiana 4 $41,484 $9,646 $6,285 – $12,261
Iowa 3 $36,846 $8,720 $6,174 – $11,220
Kansas 4 $65,744 $8,889 $6,174 – $10,803
Kentucky 5 $37,426 $7,885 $5,933 – $10,274
Louisiana 4 $46,170 $8,919 $6,688 – $9,817
Maryland 8 $16,408 $14,777 $9,913 – $24,521
Massachusetts 10 $35,562 $12,357 $7,834 – $17,777
Michigan 7 $34,368 $11,222 $7,328 – $16,466
Minnesota 3 $38,629 $13,550 $7,142 – $21,242
Mississippi 5 $28,968 $7,248 $6,322 – $10,917
Missouri 8 $44,436 $10,210 $7,286 – $16,785
Nebraska 2 $27,217 $11,066 $7,563 – $12,935
Nevada 2 $33,648 $8,985 $8,941 – $9,021
New Jersey 6 $81,441 $12,285 $8,883 – $22,640
New Mexico 1 $20,463 $12,569 –
New York 7 $106,306 $15,438 $11,640 – $20,337
North Carolina 12 $34,996 $11,621 $6,987 – $16,152
Ohio 7 $34,718 $10,751 $7,775 – $13,899
Oklahoma 4 $47,872 $8,789 $6,853 – $11,836
Oregon 1 $25,188 $9,616 –
Pennsylvania 10 $81,649 $11,445 $7,605 – $17,875
South Carolina 6 $31,139 $10,484 $8,419 – $12,794
South Dakota 1 $31,061 $8,424 –
Tennessee 4 $39,869 $10,802 $6,276 – $14,795
Texas 20 $52,188 $10,293 $6,324 – $22,061
Utah 2 $32,754 $11,588 $11,074 – $12,150
Vermont 2 $37,045 $7,660 $6,998 – $8,323
Virginia 6 $47,207 $11,804 $6,757 – $16,037
Washington 1 $45,787 $10,844 –
West Virginia 2 $40,216 $9,669 $9,171 – $10,303
Wisconsin 4 $45,200 $11,060 $8,379 – $12,414

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Duke University Medical CenterDurham, NC50$35,148$14,797
Methodist HospitalSan Antonio, TX48$66,259$7,877
Integris Baptist Medical CenterOklahoma City, OK47$55,980$8,616
Ochsner Foundation HospitalNew Orleans, LA45$49,792$9,817
Stanford HospitalPalo Alto, CA40$167,098$19,255
NYU Hospitals CenterNew York, NY35$122,059$14,896
Umass Memorial Medical Center INCWorcester, MA34$44,120$12,881
USC University HospitalLos Angeles, CA33$68,500$16,720
Christiana Care Health Services, INC.Newark, DE33$41,400$9,210
Beth Israel Deaconess Medical CenterBoston, MA33$28,378$14,899
Clovis Community Medical CenterClovis, CA32$43,554$10,163
University of Kentucky HospLexington, KY32$44,290$10,274
Adventhealth OrlandoOrlando, FL31$72,709$9,749
Tampa General HospitalTampa, FL31$69,014$11,719
Vanderbilt University HospitalNashville, TN31$52,001$14,795

Questions

How much does disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications (DRG 442) at 239 hospitals in the U.S. was billed at $52,941 on average, while the average total payment was $11,272, of which Medicare paid $8,007. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications?

Among states with at least three hospitals reporting, the average total payment was highest in New York ($15,438), Maryland ($14,777), Minnesota ($13,550) and lowest in Mississippi ($7,248), Kentucky ($7,885), Iowa ($8,720).

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 4.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.