Disorders of the biliary tract without complications
What 36 hospitals in the U.S. charged and were paid for a Medicare hospital stay for disorders of the biliary tract without complications (DRG 446), from 2024 Medicare claims.
Average charge
$49,237
Hospital list price billed
Average payment
$7,604
Medicare + patient + other payers
Medicare paid
$5,229
Average per stay
Volume
495
Medicare hospital stays
Hospitals in the U.S. billed an average of $49,237 for disorders of the biliary tract without complications, about 6.5 times the average total payment of $7,604.
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 $7,604Billed $49,237
About 15¢ 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
| Norton Healthcare PavilionLouisville, KY | $6,216 |
|---|---|
| Sarasota Memorial HospitalSarasota, FL | $6,404 |
| Methodist HospitalSan Antonio, TX | $7,351 |
| Adventhealth OrlandoOrlando, FL | $8,691 |
Highest
| Adventhealth OrlandoOrlando, FL | $8,691 |
|---|---|
| Methodist HospitalSan Antonio, TX | $7,351 |
| Sarasota Memorial HospitalSarasota, FL | $6,404 |
| Norton Healthcare PavilionLouisville, KY | $6,216 |
Disorders of the biliary tract without 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 | 1 | $37,904 | $6,968 | – |
| Arkansas | 1 | $38,660 | $5,809 | – |
| California | 1 | $55,574 | $8,950 | – |
| Colorado | 1 | $70,269 | $6,576 | – |
| Delaware | 1 | $25,912 | $8,135 | – |
| Florida | 5 | $71,909 | $7,780 | $6,404 – $8,823 |
| Illinois | 2 | $36,086 | $6,056 | $5,954 – $6,145 |
| Indiana | 2 | $37,417 | $7,902 | $7,036 – $9,004 |
| Iowa | 1 | $61,116 | $6,461 | – |
| Kentucky | 2 | $43,181 | $6,240 | $6,216 – $6,284 |
| Massachusetts | 4 | $26,825 | $9,088 | $6,806 – $11,090 |
| Missouri | 1 | $34,622 | $6,230 | – |
| Nevada | 2 | $62,719 | $8,495 | $7,945 – $8,926 |
| New Jersey | 1 | $63,767 | $7,572 | – |
| New Mexico | 1 | $25,001 | $6,361 | – |
| New York | 2 | $75,511 | $11,139 | $10,400 – $11,618 |
| Ohio | 1 | $50,792 | $7,098 | – |
| Pennsylvania | 2 | $49,787 | $6,698 | $6,334 – $7,292 |
| South Carolina | 1 | $35,598 | $7,605 | – |
| Tennessee | 2 | $42,016 | $7,112 | $6,946 – $7,333 |
| Texas | 1 | $56,520 | $7,351 | – |
| West Virginia | 1 | $26,612 | $7,996 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 22 | $82,788 | $8,691 |
| Norton Healthcare PavilionLouisville, KY | 22 | $44,830 | $6,216 |
| Sarasota Memorial HospitalSarasota, FL | 21 | $58,102 | $6,404 |
| Methodist HospitalSan Antonio, TX | 21 | $56,520 | $7,351 |
| Missouri Baptist Medical CenterTown and Country, MO | 19 | $34,622 | $6,230 |
| Chester County HospitalWest Chester, PA | 18 | $40,242 | $6,334 |
| University HospitalStony Brook, NY | 17 | $63,736 | $11,618 |
| Saint Thomas Rutherford HospitalMurfreesboro, TN | 16 | $36,371 | $6,946 |
| Baptist Health Medical Center-Little RockLittle Rock, AR | 15 | $38,660 | $5,809 |
| Northwest Community HospitalArlington Heights, IL | 15 | $27,358 | $6,145 |
| Christiana Care Health Services, INC.Newark, DE | 14 | $25,912 | $8,135 |
| Deaconess Hospital INCEvansville, IN | 14 | $25,571 | $7,036 |
| Renown Regional Medical CenterReno, NV | 14 | $38,745 | $8,926 |
| Edward HospitalNaperville, IL | 13 | $46,157 | $5,954 |
| Jersey Shore University Medical CenterNeptune City, NJ | 13 | $63,767 | $7,572 |
Questions
How much does disorders of the biliary tract without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract without complications (DRG 446) at 36 hospitals in the U.S. was billed at $49,237 on average, while the average total payment was $7,604, of which Medicare paid $5,229. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for disorders of the biliary tract without complications?
Among states with at least three hospitals reporting, the average total payment was highest in Massachusetts ($9,088), Florida ($7,780) and lowest in Florida ($7,780), Massachusetts ($9,088).
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 6.5 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.