Disorders of pancreas except malignancy with major complications
What 169 hospitals in the U.S. charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy with major complications (DRG 438), from 2024 Medicare claims.
Average charge
$84,355
Hospital list price billed
Average payment
$17,913
Medicare + patient + other payers
Medicare paid
$13,710
Average per stay
Volume
2,641
Medicare hospital stays
Hospitals in the U.S. billed an average of $84,355 for disorders of pancreas except malignancy with major complications, about 4.7 times the average total payment of $17,913.
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 $17,913Billed $84,355
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
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
| Methodist HospitalSan Antonio, TX | $11,799 |
|---|---|
| Deaconess Hospital INCEvansville, IN | $12,477 |
| Sarasota Memorial HospitalSarasota, FL | $12,652 |
| New Hanover Regional Medical CenterWilmington, NC | $14,223 |
| Southcoast Hospital Group, INCFall River, MA | $14,514 |
| Winchester Medical Center INCWinchester, VA | $15,148 |
| Riverside Methodist HospitalColumbus, OH | $15,415 |
| William Beaumont HospitalRoyal Oak, MI | $15,509 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $16,396 |
| Oroville HospitalOroville, CA | $16,454 |
Highest
| New York-Presbyterian HospitalNew York, NY | $31,691 |
|---|---|
| NYU Hospitals CenterNew York, NY | $28,421 |
| University of Virginia Medical CenterCharlottesville, VA | $27,303 |
| Umass Memorial Medical Center INCWorcester, MA | $25,569 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $25,167 |
| Henry Ford HospitalDetroit, MI | $24,962 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $24,573 |
| Massachusetts General HospitalBoston, MA | $23,659 |
| Mayo ClinicJacksonville, FL | $23,592 |
| Hartford HospitalHartford, CT | $23,115 |
Disorders of pancreas except malignancy 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 |
|---|---|---|---|---|
| Arizona | 4 | $92,152 | $18,866 | $12,224 – $32,183 |
| Arkansas | 2 | $52,085 | $11,969 | $11,882 – $12,067 |
| California | 10 | $141,182 | $21,342 | $15,993 – $37,339 |
| Colorado | 2 | $127,326 | $19,603 | $16,538 – $21,539 |
| Connecticut | 2 | $82,193 | $23,615 | $23,115 – $24,240 |
| Delaware | 1 | $46,288 | $17,167 | – |
| Florida | 14 | $83,103 | $15,570 | $11,142 – $23,592 |
| Georgia | 2 | $78,383 | $17,393 | $15,128 – $19,173 |
| Idaho | 1 | $76,388 | $10,055 | – |
| Illinois | 7 | $63,489 | $18,502 | $11,682 – $26,191 |
| Indiana | 5 | $75,608 | $16,314 | $12,413 – $22,040 |
| Iowa | 2 | $97,870 | $14,166 | $13,076 – $14,916 |
| Kansas | 2 | $140,663 | $16,456 | $15,141 – $17,308 |
| Kentucky | 2 | $49,733 | $13,715 | $12,913 – $14,590 |
| Louisiana | 1 | $57,223 | $11,412 | – |
| Maryland | 3 | $37,889 | $34,637 | $27,340 – $41,049 |
| Massachusetts | 10 | $63,671 | $19,467 | $12,771 – $25,569 |
| Michigan | 8 | $54,955 | $18,090 | $11,854 – $29,459 |
| Minnesota | 5 | $61,650 | $18,248 | $12,797 – $24,573 |
| Missouri | 4 | $65,501 | $15,425 | $10,097 – $20,262 |
| Nebraska | 1 | $54,765 | $12,965 | – |
| Nevada | 2 | $50,772 | $15,184 | $13,617 – $16,946 |
| New Jersey | 4 | $130,177 | $15,875 | $14,228 – $18,943 |
| New York | 11 | $147,165 | $24,985 | $15,040 – $32,846 |
| North Carolina | 6 | $54,799 | $14,957 | $12,458 – $18,553 |
| North Dakota | 1 | $42,490 | $13,899 | – |
| Ohio | 4 | $53,564 | $14,980 | $12,005 – $16,834 |
| Oklahoma | 5 | $93,220 | $16,896 | $11,981 – $29,963 |
| Oregon | 3 | $72,371 | $23,843 | $15,651 – $29,445 |
| Pennsylvania | 5 | $128,940 | $16,675 | $14,504 – $17,971 |
| Rhode Island | 1 | $84,568 | $23,226 | – |
| South Carolina | 4 | $59,991 | $17,021 | $12,055 – $23,064 |
| South Dakota | 3 | $70,019 | $14,295 | $13,292 – $16,063 |
| Tennessee | 4 | $53,116 | $15,999 | $11,418 – $21,281 |
| Texas | 13 | $100,707 | $15,111 | $11,799 – $23,277 |
| Utah | 2 | $45,732 | $14,881 | $13,493 – $16,376 |
| Virginia | 7 | $67,053 | $17,388 | $11,579 – $27,303 |
| Washington | 2 | $81,176 | $17,433 | $17,283 – $17,559 |
| West Virginia | 1 | $82,966 | $18,505 | – |
| Wisconsin | 2 | $99,573 | $23,713 | $18,097 – $28,081 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 39 | $122,686 | $16,816 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 32 | $64,705 | $24,573 |
| Mayo ClinicJacksonville, FL | 31 | $47,061 | $23,592 |
| Clarian Health PartnersIndianapolis, IN | 31 | $103,612 | $22,040 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 29 | $279,435 | $25,167 |
| Deaconess Hospital INCEvansville, IN | 29 | $49,832 | $12,477 |
| UPMC Presbyterian ShadysidePittsburgh, PA | 28 | $151,988 | $17,582 |
| Oroville HospitalOroville, CA | 26 | $38,070 | $16,454 |
| New York-Presbyterian HospitalNew York, NY | 26 | $194,419 | $31,691 |
| Sarasota Memorial HospitalSarasota, FL | 24 | $58,391 | $12,652 |
| Umass Memorial Medical Center INCWorcester, MA | 24 | $93,649 | $25,569 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | 24 | $47,580 | $16,396 |
| MUSC Medical CenterCharleston, SC | 24 | $75,099 | $23,064 |
| Methodist Hospital,TheHouston, TX | 24 | $113,694 | $17,412 |
| Henry Ford HospitalDetroit, MI | 23 | $56,582 | $24,962 |
Questions
How much does disorders of pancreas except malignancy with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy with major complications (DRG 438) at 169 hospitals in the U.S. was billed at $84,355 on average, while the average total payment was $17,913, of which Medicare paid $13,710. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($34,637), New York ($24,985), Oregon ($23,843) and lowest in South Dakota ($14,295), North Carolina ($14,957), Ohio ($14,980).
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.