facebook tracking Disorders of pancreas except malignancy with complications cost: hospital prices by state (DRG 439)

Disorders of pancreas except malignancy with complications

What 387 hospitals in the U.S. charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy with complications (DRG 439), from 2024 Medicare claims.

DRG 439 Inpatient 2024 Medicare data
Average charge $44,940 Hospital list price billed
Average payment $9,024 Medicare + patient + other payers
Medicare paid $6,221 Average per stay
Volume 6,261 Medicare hospital stays

Hospitals in the U.S. billed an average of $44,940 for disorders of pancreas except malignancy with complications, about 5.0 times the average total payment of $9,024.

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 $9,024Billed $44,940

About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.

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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

Rex HospitalRaleigh, NC$6,110
Doylestown HospitalDoylestown, PA$6,170
Floyd Memorial Hospital and Health ServicesNew Albany, IN$6,180
Baptist Hospital EastLouisville, KY$6,366
Norton Healthcare PavilionLouisville, KY$6,541
Cjw Medical CenterRichmond, VA$6,603
Miami Valley HospitalDayton, OH$6,768
Martin Memorial Health SystemsStuart, FL$6,770
Gulf Coast Medical Center Lee HealthFort Myers, FL$6,842
Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ$6,886

Highest

New York-Presbyterian HospitalNew York, NY$19,809
The Johns Hopkins HospitalBaltimore, MD$18,484
University of Minnesota Medical Center, FairviewMinneapolis, MN$17,231
Mayo Clinic - Saint Marys HospitalRochester, MN$15,838
University of Virginia Medical CenterCharlottesville, VA$15,198
Duke University Medical CenterDurham, NC$14,522
Univ of Michigan HospitalsAnn Arbor, MI$14,013
North Carolina Baptist HospitalWinston-Salem, NC$13,746
MUSC Medical CenterCharleston, SC$13,668
Henry Ford HospitalDetroit, MI$13,307

Disorders of pancreas except malignancy 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 6 $50,567 $7,405 $5,333 – $10,432
Arizona 7 $39,041 $8,735 $6,659 – $12,055
Arkansas 4 $23,430 $6,503 $6,100 – $7,015
California 30 $81,357 $10,922 $8,012 – $17,068
Colorado 2 $64,017 $8,635 $6,870 – $10,752
Connecticut 3 $43,682 $10,328 $7,716 – $11,399
Delaware 2 $30,145 $8,143 $7,245 – $8,653
Florida 36 $52,641 $7,702 $5,668 – $11,624
Georgia 7 $39,295 $9,852 $8,092 – $11,347
Idaho 1 $23,366 $6,866 –
Illinois 15 $36,974 $8,226 $6,154 – $11,520
Indiana 16 $37,990 $7,653 $6,180 – $11,582
Iowa 4 $28,715 $7,390 $6,023 – $9,851
Kansas 3 $53,439 $8,005 $6,170 – $9,321
Kentucky 6 $31,920 $7,137 $5,565 – $9,797
Louisiana 4 $37,184 $7,163 $5,675 – $8,592
Maine 1 $33,976 $8,653 –
Maryland 17 $12,899 $11,782 $8,208 – $18,484
Massachusetts 17 $24,545 $9,355 $7,060 – $13,074
Michigan 12 $32,201 $9,631 $6,069 – $14,013
Minnesota 9 $33,336 $10,814 $7,144 – $17,231
Mississippi 2 $24,848 $6,876 $6,863 – $6,885
Missouri 8 $40,589 $7,760 $6,166 – $11,992
Montana 1 $18,470 $6,948 –
Nebraska 3 $25,331 $7,906 $6,520 – $9,414
Nevada 3 $93,018 $8,709 $8,397 – $9,095
New Hampshire 4 $35,842 $9,069 $7,927 – $11,875
New Jersey 17 $66,351 $9,036 $5,940 – $14,098
New Mexico 1 $26,043 $7,382 –
New York 20 $66,983 $12,502 $7,495 – $19,809
North Carolina 13 $33,071 $9,711 $6,110 – $14,522
North Dakota 1 $28,274 $7,682 –
Ohio 11 $30,216 $7,957 $3,779 – $12,995
Oklahoma 6 $43,778 $8,398 $6,791 – $12,533
Oregon 3 $25,218 $8,920 $8,388 – $9,418
Pennsylvania 18 $53,619 $7,883 $5,926 – $10,189
Rhode Island 3 $30,064 $9,442 $8,657 – $10,676
South Carolina 6 $34,934 $9,679 $7,432 – $13,668
South Dakota 3 $35,189 $8,339 $7,131 – $10,608
Tennessee 13 $34,519 $7,880 $6,067 – $13,041
Texas 21 $53,607 $8,998 $6,155 – $22,045
Utah 1 $23,919 $6,948 –
Vermont 1 $33,382 $9,182 –
Virginia 13 $43,087 $8,290 $6,603 – $15,198
Washington 6 $41,717 $9,207 $7,815 – $11,852
West Virginia 3 $37,234 $8,175 $7,940 – $8,610
Wisconsin 4 $36,233 $9,080 $6,812 – $10,916

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Adventhealth OrlandoOrlando, FL77$69,513$7,888
Cedars-Sinai Medical CenterLos Angeles, CA63$149,776$11,809
Sarasota Memorial HospitalSarasota, FL41$40,031$7,025
New York-Presbyterian HospitalNew York, NY39$103,229$19,809
NYU Hospitals CenterNew York, NY38$81,811$12,960
Christiana Care Health Services, INC.Newark, DE37$26,662$8,653
Umass Memorial Medical Center INCWorcester, MA35$37,168$11,516
Mayo ClinicJacksonville, FL34$30,966$11,624
Norton Healthcare PavilionLouisville, KY33$28,687$6,541
UPMC Presbyterian ShadysidePittsburgh, PA33$100,493$10,137
Mayo Clinic HospitalPhoenix, AZ30$28,221$12,055
Saint Francis Medical CenterPeoria, IL30$39,329$9,803
Lehigh Valley HospitalAllentown, PA30$68,502$8,171
Floyd Memorial Hospital and Health ServicesNew Albany, IN28$52,175$6,180
Carroll Hospital CenterWestminster, MD28$9,792$8,746

Questions

How much does disorders of pancreas except malignancy with complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy with complications (DRG 439) at 387 hospitals in the U.S. was billed at $44,940 on average, while the average total payment was $9,024, of which Medicare paid $6,221. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for disorders of pancreas except malignancy with complications?

Among states with at least three hospitals reporting, the average total payment was highest in New York ($12,502), Maryland ($11,782), California ($10,922) and lowest in Arkansas ($6,503), Kentucky ($7,137), Louisiana ($7,163).

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 5.0 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.