facebook tracking Laparoscopic cholecystectomy without c.d.e. with major complications cost: hospital prices by state (DRG 417)

Laparoscopic cholecystectomy without c.d.e. with major complications

What 259 hospitals in the U.S. charged and were paid for a Medicare hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417), from 2024 Medicare claims.

DRG 417 Inpatient 2024 Medicare data
Average charge $128,966 Hospital list price billed
Average payment $21,203 Medicare + patient + other payers
Medicare paid $17,873 Average per stay
Volume 4,116 Medicare hospital stays

Hospitals in the U.S. billed an average of $128,966 for laparoscopic cholecystectomy without c.d.e. with major complications, about 6.1 times the average total payment of $21,203.

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 $21,203Billed $128,966

About 16¢ 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

Martin Memorial Health SystemsStuart, FL$15,493
Franciscan Health IndianapolisIndianapolis, IN$15,765
Gulf Coast Medical Center Lee HealthFort Myers, FL$16,201
Willis Knighton Medical CenterShreveport, LA$16,505
Bsa HospitalAmarillo, TX$17,200
Covenant Medical CenterLubbock, TX$17,432
Naples Community HospitalNaples, FL$17,490
Sarasota Memorial HospitalSarasota, FL$17,570
Baptist Medical CenterJacksonville, FL$17,922
Avera McKennan Hospital & University Health CenterSioux Falls, SD$17,962

Highest

Cedars-Sinai Medical CenterLos Angeles, CA$39,769
New York-Presbyterian HospitalNew York, NY$37,522
University HospitalStony Brook, NY$31,397
NYU Hospitals CenterNew York, NY$31,310
Flagstaff Medical CenterFlagstaff, AZ$30,945
Mayo Clinic - Saint Marys HospitalRochester, MN$28,102
Eisenhower Memorial HospitalRancho Mirage, CA$26,054
Cjw Medical CenterRichmond, VA$25,718
Baystate Medical CenterSpringfield, MA$25,392
Lewisgale Medical CenterSalem, VA$24,900

Laparoscopic cholecystectomy without c.d.e. 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 3 $151,046 $19,863 $16,472 – $23,063
Arizona 10 $98,401 $21,152 $17,559 – $30,945
Arkansas 2 $93,948 $17,565 $16,948 – $18,095
California 27 $201,440 $26,760 $22,200 – $40,123
Colorado 3 $115,148 $19,609 $16,810 – $23,585
Connecticut 1 $114,743 $29,236 –
Delaware 1 $60,818 $20,919 –
Florida 21 $159,674 $18,166 $15,294 – $24,627
Georgia 3 $137,313 $22,319 $17,665 – $24,709
Hawaii 1 $105,138 $24,515 –
Idaho 2 $84,933 $18,451 $17,507 – $19,613
Illinois 11 $105,124 $20,127 $15,813 – $35,511
Indiana 7 $100,489 $18,568 $15,765 – $27,627
Iowa 4 $72,692 $17,741 $15,149 – $23,296
Kansas 3 $185,390 $22,929 $16,172 – $31,395
Kentucky 3 $88,607 $15,905 $14,986 – $17,068
Louisiana 4 $93,982 $18,724 $15,394 – $23,401
Maine 1 $101,816 $26,113 –
Maryland 3 $29,446 $26,613 $24,508 – $28,151
Massachusetts 4 $66,032 $24,230 $19,807 – $28,135
Michigan 5 $75,207 $20,118 $17,513 – $23,191
Minnesota 8 $76,177 $21,673 $16,677 – $28,102
Mississippi 2 $72,301 $15,790 $15,467 – $16,092
Missouri 7 $67,886 $17,028 $14,773 – $22,537
Montana 1 $33,249 $18,433 –
Nebraska 3 $80,839 $17,866 $15,581 – $18,636
Nevada 4 $243,976 $22,016 $20,635 – $24,586
New Hampshire 1 $91,189 $26,726 –
New Jersey 11 $150,041 $22,573 $19,003 – $26,970
New Mexico 3 $82,911 $22,784 $19,640 – $24,743
New York 11 $169,542 $28,962 $21,581 – $37,522
North Carolina 8 $91,596 $19,525 $17,047 – $22,762
North Dakota 2 $58,222 $19,065 $18,661 – $19,435
Ohio 10 $107,329 $18,909 $14,816 – $26,230
Oklahoma 7 $89,979 $17,807 $16,072 – $21,149
Oregon 2 $87,821 $25,523 $23,678 – $28,928
Pennsylvania 5 $123,438 $20,197 $16,337 – $25,945
South Carolina 4 $131,926 $20,752 $14,553 – $26,688
South Dakota 3 $83,285 $20,137 $17,962 – $22,523
Tennessee 8 $87,914 $19,572 $15,607 – $27,275
Texas 23 $164,099 $19,229 $15,887 – $33,447
Utah 1 $69,656 $17,605 –
Virginia 8 $125,837 $20,965 $16,224 – $25,718
Washington 5 $158,312 $24,935 $22,565 – $28,949
Wisconsin 3 $83,213 $20,586 $19,617 – $22,427

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Adventhealth OrlandoOrlando, FL50$157,039$18,033
Methodist HospitalSan Antonio, TX45$151,640$18,081
NYU Hospitals CenterNew York, NY44$227,110$31,310
Deaconess Hospital INCEvansville, IN36$63,723$18,057
New York-Presbyterian HospitalNew York, NY33$218,677$37,522
Toledo Hospital theToledo, OH31$117,384$18,142
Bryan Medical CenterLincoln, NE30$93,748$18,636
Bsa HospitalAmarillo, TX29$99,580$17,200
Scripps Memorial Hospital la JollaLa Jolla, CA28$234,125$23,756
Naples Community HospitalNaples, FL28$112,530$17,490
Mayo Clinic - Saint Marys HospitalRochester, MN28$78,908$28,102
Hoag Memorial Hospital PresbyterianNewport Beach, CA27$133,605$22,934
Gulf Coast Medical Center Lee HealthFort Myers, FL26$129,591$16,201
Northeast Georgia Medical Center, INCGainesville, GA26$156,656$22,707
Virtua West Jersey HospitalVoorhees, NJ26$209,005$21,108

Questions

How much does laparoscopic cholecystectomy without c.d.e. with major complications cost in the U.S.?

In 2024 Medicare data, a hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417) at 259 hospitals in the U.S. was billed at $128,966 on average, while the average total payment was $21,203, of which Medicare paid $17,873. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for laparoscopic cholecystectomy without c.d.e. with major complications?

Among states with at least three hospitals reporting, the average total payment was highest in New York ($28,962), California ($26,760), Maryland ($26,613) and lowest in Kentucky ($15,905), Missouri ($17,028), Iowa ($17,741).

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 6.1 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.