facebook tracking Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major complications cost: hospital prices by state (DRG 441)

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

What 392 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 major complications (DRG 441), from 2024 Medicare claims.

DRG 441 Inpatient 2024 Medicare data
Average charge $98,809 Hospital list price billed
Average payment $21,252 Medicare + patient + other payers
Medicare paid $16,564 Average per stay
Volume 7,597 Medicare hospital stays

Hospitals in the U.S. billed an average of $98,809 for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major complications, about 4.6 times the average total payment of $21,252.

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 $21,252Billed $98,809

About 22¢ 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

Texoma Healthcare SystemDenison, TX$12,226
Norton Healthcare PavilionLouisville, KY$12,419
Deaconess Hospital INCEvansville, IN$12,442
Saint Francis Hospital, INCTulsa, OK$12,739
Methodist HospitalSan Antonio, TX$13,108
Houston Methodist the Woodlands HospitalThe Woodlands, TX$13,311
Jackson-Madison Cnty Gen HospJackson, TN$13,473
St Joseph Regional Health CenterBryan, TX$13,595
Huntsville HospitalHuntsville, AL$13,701
Memorial Hospital CentralColorado Springs, CO$13,815

Highest

UCLA Medical CenterLos Angeles, CA$54,547
The Johns Hopkins HospitalBaltimore, MD$51,129
University HospitalStony Brook, NY$45,866
The University of Chicago Medical CenterChicago, IL$44,888
Stanford HospitalPalo Alto, CA$42,685
UNC HospitalsChapel Hill, NC$41,410
New York-Presbyterian HospitalNew York, NY$39,781
Thomas Jefferson University HospitalPhiladelphia, PA$39,395
University of Virginia Medical CenterCharlottesville, VA$39,073
Los Angeles General Medical CenterLos Angeles, CA$38,981

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major 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 $68,067 $18,679 $13,701 – $22,694
Arizona 9 $83,449 $22,524 $12,875 – $28,996
Arkansas 2 $36,458 $14,210 $10,837 – $17,302
California 57 $144,357 $26,291 $15,748 – $73,540
Colorado 5 $121,056 $17,324 $13,815 – $22,914
Connecticut 2 $86,876 $23,285 $21,403 – $24,539
Delaware 2 $66,575 $16,534 $14,312 – $17,604
Florida 25 $104,682 $18,814 $10,499 – $46,664
Georgia 5 $83,698 $23,763 $16,516 – $28,450
Hawaii 1 $68,448 $25,558 –
Idaho 2 $47,685 $13,931 $13,745 – $14,038
Illinois 15 $85,226 $21,779 $13,213 – $44,888
Indiana 11 $62,852 $14,542 $11,670 – $21,580
Iowa 4 $54,715 $15,353 $12,638 – $20,709
Kansas 3 $142,858 $22,924 $14,390 – $27,049
Kentucky 4 $57,220 $14,566 $12,086 – $18,277
Louisiana 5 $73,540 $15,157 $12,135 – $16,758
Maine 1 $66,576 $26,788 –
Maryland 8 $46,212 $41,014 $14,604 – $112,379
Massachusetts 15 $63,484 $22,922 $13,868 – $34,778
Michigan 8 $67,530 $21,617 $14,222 – $30,049
Minnesota 6 $74,242 $20,567 $13,737 – $30,406
Mississippi 5 $50,405 $15,054 $12,108 – $24,374
Missouri 8 $79,704 $20,076 $11,938 – $24,791
Montana 1 $28,727 $14,770 –
Nebraska 2 $50,318 $19,387 $15,590 – $20,743
Nevada 3 $86,439 $17,521 $16,999 – $18,437
New Hampshire 3 $61,944 $17,186 $14,610 – $19,612
New Jersey 16 $125,304 $19,821 $14,625 – $34,515
New Mexico 4 $45,798 $17,552 $14,652 – $20,261
New York 17 $182,599 $29,267 $15,612 – $45,866
North Carolina 12 $60,488 $20,918 $13,438 – $41,410
North Dakota 2 $39,415 $15,342 $13,898 – $16,979
Ohio 8 $85,430 $20,743 $13,918 – $31,464
Oklahoma 7 $86,946 $15,603 $11,446 – $23,898
Oregon 5 $66,056 $18,135 $14,283 – $25,627
Pennsylvania 21 $126,377 $21,379 $13,608 – $39,395
South Carolina 8 $52,276 $16,427 $10,842 – $22,287
South Dakota 2 $66,157 $15,765 $14,123 – $17,736
Tennessee 8 $66,459 $18,015 $12,647 – $25,685
Texas 39 $107,478 $18,170 $11,768 – $33,565
Utah 2 $60,712 $20,012 $17,202 – $22,492
Vermont 1 $47,786 $12,033 –
Virginia 11 $85,034 $21,608 $12,585 – $39,073
Washington 6 $78,842 $19,891 $16,790 – $25,019
West Virginia 2 $70,884 $15,424 $13,097 – $17,596
Wisconsin 5 $79,467 $18,733 $13,829 – $25,304
Wyoming 1 $29,238 $17,222 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Adventhealth OrlandoOrlando, FL92$105,705$19,865
Mayo Clinic HospitalPhoenix, AZ83$80,823$28,996
University of Kansas HospitalKansas City, KS65$161,953$27,049
Methodist HospitalSan Antonio, TX62$115,844$13,108
Stanford HospitalPalo Alto, CA61$347,895$42,685
New York-Presbyterian HospitalNew York, NY59$288,988$39,781
Methodist Hospital,TheHouston, TX56$255,150$32,917
Vanderbilt University HospitalNashville, TN55$107,456$25,685
Barnes Jewish HospitalSt Louis, MO51$75,570$24,791
Medical College of Virginia HospitalsRichmond, VA51$135,479$33,409
NYU Hospitals CenterNew York, NY49$245,459$30,733
Beth Israel Deaconess Medical CenterBoston, MA48$54,155$28,279
Mayo ClinicJacksonville, FL47$72,351$21,233
Massachusetts General HospitalBoston, MA46$104,994$26,501
Shands Hospital at the University of FloridaGainesville, FL45$141,748$28,939

Questions

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

In 2024 Medicare data, a hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major complications (DRG 441) at 392 hospitals in the U.S. was billed at $98,809 on average, while the average total payment was $21,252, of which Medicare paid $16,564. 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 major complications?

Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($41,014), New York ($29,267), California ($26,291) and lowest in Indiana ($14,542), Kentucky ($14,566), Mississippi ($15,054).

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 4.6 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.