Disorders of the biliary tract with complications
What 504 hospitals in the U.S. charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.
Average charge
$60,708
Hospital list price billed
Average payment
$10,996
Medicare + patient + other payers
Medicare paid
$8,459
Average per stay
Volume
9,692
Medicare hospital stays
Hospitals in the U.S. billed an average of $60,708 for disorders of the biliary tract with complications, about 5.5 times the average total payment of $10,996.
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 $10,996Billed $60,708
About 18¢ 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
| Missouri Baptist Medical CenterTown and Country, MO | $7,342 |
|---|---|
| Lafayette General Medical CenterLafayette, LA | $7,380 |
| Baptist Hospital EastLouisville, KY | $7,393 |
| Martin Memorial Health SystemsStuart, FL | $7,421 |
| St Bernards Medical CenterJonesboro, AR | $7,577 |
| Hillcrest HospitalCleveland, OH | $7,610 |
| Edward HospitalNaperville, IL | $7,632 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $7,759 |
| Willis Knighton Medical CenterShreveport, LA | $7,970 |
| Atrium Health PinevilleCharlotte, NC | $7,986 |
Highest
| The Johns Hopkins HospitalBaltimore, MD | $22,534 |
|---|---|
| UCI Health-OrangeOrange, CA | $19,764 |
| University of California Davis Medical CenterSacramento, CA | $19,436 |
| Stanford HospitalPalo Alto, CA | $18,797 |
| University of California San Diego Medical CenterSan Diego, CA | $18,461 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $18,158 |
| North Carolina Baptist HospitalWinston-Salem, NC | $17,987 |
| Strong Memorial HospitalRochester, NY | $17,857 |
| University of Virginia Medical CenterCharlottesville, VA | $17,076 |
| Rush University Medical CenterChicago, IL | $17,049 |
Disorders of the biliary tract 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 | 5 | $61,755 | $8,918 | $7,087 – $13,294 |
| Alaska | 1 | $57,648 | $12,155 | – |
| Arizona | 14 | $58,603 | $9,654 | $7,993 – $14,058 |
| Arkansas | 4 | $35,917 | $7,916 | $7,577 – $8,148 |
| California | 50 | $97,245 | $13,874 | $10,049 – $26,484 |
| Colorado | 4 | $77,188 | $10,157 | $8,682 – $12,068 |
| Connecticut | 6 | $50,223 | $13,775 | $11,717 – $16,683 |
| Delaware | 3 | $43,169 | $9,838 | $9,577 – $9,931 |
| Florida | 44 | $74,945 | $9,492 | $6,946 – $19,538 |
| Georgia | 6 | $68,674 | $11,280 | $8,886 – $13,893 |
| Hawaii | 2 | $49,026 | $12,470 | $12,346 – $12,651 |
| Idaho | 2 | $41,899 | $9,227 | $9,064 – $9,403 |
| Illinois | 24 | $51,361 | $10,398 | $7,632 – $19,813 |
| Indiana | 11 | $46,559 | $9,927 | $7,483 – $12,372 |
| Iowa | 7 | $44,735 | $8,796 | $7,163 – $11,519 |
| Kansas | 4 | $74,083 | $9,782 | $8,263 – $11,369 |
| Kentucky | 4 | $53,752 | $8,757 | $7,393 – $11,153 |
| Louisiana | 7 | $52,552 | $8,551 | $7,221 – $9,978 |
| Maine | 3 | $40,764 | $9,397 | $8,663 – $10,270 |
| Maryland | 16 | $16,193 | $14,616 | $11,928 – $22,534 |
| Massachusetts | 18 | $36,180 | $12,148 | $8,896 – $15,882 |
| Michigan | 10 | $40,749 | $11,223 | $7,708 – $14,593 |
| Minnesota | 8 | $35,056 | $10,779 | $7,703 – $14,493 |
| Mississippi | 3 | $39,910 | $7,909 | $7,389 – $8,402 |
| Missouri | 12 | $46,244 | $9,058 | $6,981 – $13,164 |
| Montana | 3 | $25,002 | $10,079 | $8,740 – $12,826 |
| Nebraska | 3 | $41,924 | $9,531 | $8,640 – $11,889 |
| Nevada | 7 | $114,540 | $10,330 | $8,776 – $11,864 |
| New Hampshire | 5 | $53,663 | $9,752 | $8,339 – $13,912 |
| New Jersey | 20 | $83,582 | $10,758 | $8,279 – $15,561 |
| New Mexico | 2 | $58,866 | $7,917 | $7,629 – $8,294 |
| New York | 36 | $77,156 | $13,252 | $9,019 – $18,259 |
| North Carolina | 17 | $45,585 | $11,209 | $7,780 – $17,987 |
| North Dakota | 2 | $40,420 | $9,421 | $9,099 – $9,554 |
| Ohio | 16 | $45,401 | $10,078 | $7,610 – $14,501 |
| Oklahoma | 6 | $54,002 | $9,451 | $8,001 – $12,953 |
| Oregon | 5 | $45,214 | $11,664 | $9,490 – $15,232 |
| Pennsylvania | 28 | $71,716 | $10,529 | $7,420 – $14,711 |
| Rhode Island | 2 | $36,061 | $13,179 | $12,386 – $13,708 |
| South Carolina | 6 | $45,433 | $11,148 | $8,209 – $14,203 |
| South Dakota | 2 | $46,926 | $9,447 | $9,400 – $9,497 |
| Tennessee | 10 | $49,120 | $9,620 | $7,118 – $14,887 |
| Texas | 26 | $69,918 | $10,255 | $7,577 – $23,430 |
| Utah | 2 | $36,739 | $12,063 | $11,373 – $12,513 |
| Vermont | 1 | $41,413 | $7,705 | – |
| Virginia | 14 | $50,800 | $10,469 | $7,761 – $17,076 |
| Washington | 10 | $52,016 | $11,364 | $9,207 – $12,917 |
| West Virginia | 4 | $41,300 | $9,486 | $8,520 – $10,334 |
| Wisconsin | 6 | $49,967 | $10,369 | $8,703 – $13,120 |
| Wyoming | 1 | $34,721 | $10,080 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 84 | $92,924 | $11,453 |
| New York-Presbyterian HospitalNew York, NY | 73 | $98,430 | $15,736 |
| Lehigh Valley HospitalAllentown, PA | 64 | $94,296 | $10,102 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 62 | $190,903 | $14,768 |
| NYU Hospitals CenterNew York, NY | 61 | $132,263 | $16,026 |
| Methodist HospitalSan Antonio, TX | 57 | $77,814 | $8,946 |
| Clarian Health PartnersIndianapolis, IN | 47 | $56,327 | $12,372 |
| Missouri Baptist Medical CenterTown and Country, MO | 47 | $39,707 | $7,342 |
| MUSC Medical CenterCharleston, SC | 46 | $49,295 | $14,203 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 45 | $39,784 | $14,493 |
| UPMC Presbyterian ShadysidePittsburgh, PA | 45 | $105,811 | $12,152 |
| Beth Israel Deaconess Medical CenterBoston, MA | 44 | $30,346 | $14,325 |
| University HospitalStony Brook, NY | 44 | $85,602 | $14,722 |
| Brigham and Women's HosptialBoston, MA | 43 | $56,183 | $14,708 |
| Morristown Memorial HospitalMorristown, NJ | 43 | $82,809 | $10,585 |
Questions
How much does disorders of the biliary tract with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 504 hospitals in the U.S. was billed at $60,708 on average, while the average total payment was $10,996, of which Medicare paid $8,459. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for disorders of the biliary tract with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($14,616), California ($13,874), Connecticut ($13,775) and lowest in Mississippi ($7,909), Arkansas ($7,916), Louisiana ($8,551).
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 5.5 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.