Disorders of the biliary tract with major complications
What 346 hospitals in the U.S. charged and were paid for a Medicare hospital stay for disorders of the biliary tract with major complications (DRG 444), from 2024 Medicare claims.
Average charge
$88,487
Hospital list price billed
Average payment
$17,218
Medicare + patient + other payers
Medicare paid
$13,672
Average per stay
Volume
6,191
Medicare hospital stays
Hospitals in the U.S. billed an average of $88,487 for disorders of the biliary tract with major complications, about 5.1 times the average total payment of $17,218.
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 $17,218Billed $88,487
About 19¢ 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 | $10,814 |
|---|---|
| Methodist Stone Oak HospitalSan Antonio, TX | $11,220 |
| Fletcher Allen Hospital of VermontBurlington, VT | $11,299 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $11,572 |
| Baptist Health Medical Center-Little RockLittle Rock, AR | $11,632 |
| Grandview Medical CenterBirmingham, AL | $11,714 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | $11,796 |
| Deaconess Hospital INCEvansville, IN | $12,083 |
| St Vincent Infirmary Medical CenterLittle Rock, AR | $12,107 |
| Kettering Medical CenterKettering, OH | $12,222 |
Highest
| Stanford HospitalPalo Alto, CA | $41,491 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $32,299 |
| The Nebraska Medical CenterOmaha, NE | $31,403 |
| New York-Presbyterian HospitalNew York, NY | $29,125 |
| University of California Davis Medical CenterSacramento, CA | $28,908 |
| Mount Sinai HospitalNew York, NY | $28,676 |
| University of California San Diego Medical CenterSan Diego, CA | $27,819 |
| North Carolina Baptist HospitalWinston-Salem, NC | $25,055 |
| NYU Hospitals CenterNew York, NY | $25,041 |
| Beth Israel Deaconess Medical CenterBoston, MA | $24,543 |
Disorders of the biliary tract 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 | 4 | $125,910 | $14,985 | $10,888 – $22,806 |
| Arizona | 8 | $65,931 | $14,962 | $11,955 – $21,586 |
| Arkansas | 3 | $55,907 | $12,472 | $11,632 – $14,725 |
| California | 33 | $161,006 | $22,867 | $15,253 – $41,491 |
| Colorado | 4 | $100,519 | $14,801 | $11,796 – $19,366 |
| Connecticut | 2 | $65,406 | $20,911 | $19,853 – $21,530 |
| Delaware | 3 | $63,872 | $16,215 | $14,776 – $19,504 |
| Florida | 23 | $101,448 | $14,541 | $11,191 – $22,690 |
| Georgia | 4 | $85,500 | $17,670 | $14,647 – $20,733 |
| Hawaii | 2 | $52,981 | $17,768 | $16,729 – $18,807 |
| Idaho | 1 | $76,545 | $14,209 | – |
| Illinois | 20 | $73,901 | $15,975 | $11,196 – $26,355 |
| Indiana | 7 | $63,294 | $13,934 | $11,682 – $17,284 |
| Iowa | 4 | $66,865 | $14,218 | $11,583 – $16,978 |
| Kansas | 3 | $71,782 | $14,017 | $11,567 – $15,135 |
| Kentucky | 5 | $67,645 | $14,156 | $12,288 – $16,271 |
| Louisiana | 3 | $63,263 | $13,445 | $11,085 – $15,401 |
| Maine | 2 | $72,117 | $17,187 | $12,475 – $20,590 |
| Maryland | 12 | $26,598 | $23,838 | $16,385 – $38,054 |
| Massachusetts | 14 | $56,268 | $18,904 | $13,475 – $24,543 |
| Michigan | 10 | $61,200 | $17,357 | $11,674 – $23,460 |
| Minnesota | 2 | $56,471 | $20,245 | $12,546 – $21,760 |
| Mississippi | 4 | $66,960 | $13,006 | $11,137 – $16,555 |
| Missouri | 7 | $53,164 | $14,005 | $10,814 – $19,376 |
| Montana | 1 | $65,821 | $16,779 | – |
| Nebraska | 2 | $81,582 | $24,131 | $12,704 – $31,403 |
| Nevada | 4 | $129,685 | $15,572 | $12,610 – $17,862 |
| New Hampshire | 1 | $61,620 | $19,655 | – |
| New Jersey | 13 | $109,165 | $16,860 | $10,604 – $20,893 |
| New Mexico | 2 | $85,138 | $11,851 | $11,368 – $12,298 |
| New York | 26 | $126,378 | $21,362 | $13,823 – $33,358 |
| North Carolina | 14 | $56,807 | $15,546 | $11,932 – $25,055 |
| North Dakota | 1 | $44,878 | $13,398 | – |
| Ohio | 12 | $61,824 | $14,503 | $9,612 – $19,080 |
| Oklahoma | 6 | $97,320 | $14,109 | $11,607 – $19,300 |
| Oregon | 4 | $67,224 | $17,152 | $14,028 – $21,755 |
| Pennsylvania | 16 | $115,587 | $17,176 | $12,106 – $21,687 |
| Rhode Island | 2 | $48,458 | $22,009 | $18,907 – $24,593 |
| South Carolina | 5 | $59,802 | $15,491 | $12,302 – $19,893 |
| South Dakota | 2 | $68,460 | $13,384 | $12,855 – $14,209 |
| Tennessee | 8 | $71,325 | $14,191 | $11,461 – $21,536 |
| Texas | 20 | $102,924 | $14,537 | $10,909 – $25,882 |
| Utah | 1 | $49,795 | $18,656 | – |
| Vermont | 1 | $46,136 | $11,299 | – |
| Virginia | 9 | $69,929 | $15,995 | $10,942 – $24,656 |
| Washington | 6 | $79,935 | $19,348 | $15,372 – $23,228 |
| West Virginia | 4 | $57,507 | $15,442 | $11,975 – $17,268 |
| Wisconsin | 4 | $69,095 | $15,916 | $12,092 – $18,341 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 71 | $113,697 | $13,913 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 61 | $58,958 | $21,760 |
| Massachusetts General HospitalBoston, MA | 49 | $82,356 | $21,389 |
| Brigham and Women's HosptialBoston, MA | 48 | $84,505 | $22,379 |
| NYU Hospitals CenterNew York, NY | 47 | $172,886 | $25,041 |
| Methodist HospitalSan Antonio, TX | 46 | $109,921 | $12,736 |
| Stanford HospitalPalo Alto, CA | 45 | $396,642 | $41,491 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 45 | $259,759 | $22,966 |
| Yale-New Haven HospitalNew Haven, CT | 41 | $53,141 | $21,530 |
| New York-Presbyterian HospitalNew York, NY | 41 | $202,020 | $29,125 |
| Christiana Care Health Services, INC.Newark, DE | 40 | $54,367 | $15,696 |
| Riverside Methodist HospitalColumbus, OH | 40 | $61,222 | $14,066 |
| University of Kansas HospitalKansas City, KS | 39 | $82,131 | $15,135 |
| Mem Hermann Southwest HospHouston, TX | 35 | $94,271 | $15,836 |
| Mayo Clinic HospitalPhoenix, AZ | 34 | $62,446 | $21,586 |
Questions
How much does disorders of the biliary tract with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with major complications (DRG 444) at 346 hospitals in the U.S. was billed at $88,487 on average, while the average total payment was $17,218, of which Medicare paid $13,672. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($23,838), California ($22,867), New York ($21,362) and lowest in Arkansas ($12,472), Mississippi ($13,006), Louisiana ($13,445).
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 5.1 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.