facebook tracking Liver transplant with major complications or intestinal transplant cost: hospital prices by state (DRG 005)

Liver transplant with major complications or intestinal transplant

What 53 hospitals in the U.S. charged and were paid for a Medicare hospital stay for liver transplant with major complications or intestinal transplant (DRG 005), from 2024 Medicare claims.

DRG 005 Inpatient 2024 Medicare data
Average charge $819,999 Hospital list price billed
Average payment $155,730 Medicare + patient + other payers
Medicare paid $116,001 Average per stay
Volume 1,043 Medicare hospital stays

Hospitals in the U.S. billed an average of $819,999 for liver transplant with major complications or intestinal transplant, about 5.3 times the average total payment of $155,730.

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.

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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

Lds HospitalSalt Lake City, UT$88,436
Ohio State University HospitalsColumbus, OH$98,497
Mayo ClinicJacksonville, FL$104,261
Clarian Health PartnersIndianapolis, IN$118,764
Cleveland Clinic - Main CampusCleveland, OH$120,821
Lahey Clinic HospitalBurlington, MA$127,936
Piedmont HospitalAtlanta, GA$130,814
Tampa General HospitalTampa, FL$131,331
Vanderbilt University HospitalNashville, TN$133,939
Duke University Medical CenterDurham, NC$137,594

Highest

UCLA Medical CenterLos Angeles, CA$333,202
UPMC Presbyterian ShadysidePittsburgh, PA$256,407
UCSF Medical CenterSan Francisco, CA$232,573
California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA$211,433
New York-Presbyterian HospitalNew York, NY$180,090
Mayo Clinic - Saint Marys HospitalRochester, MN$171,829
Beth Israel Deaconess Medical CenterBoston, MA$168,749
University of California San Diego Medical CenterSan Diego, CA$158,076
Methodist Hospital,TheHouston, TX$157,867
Mayo Clinic HospitalPhoenix, AZ$153,938

Liver transplant with major complications or intestinal transplant 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 1 $722,885 $157,533 –
Arizona 1 $644,226 $153,938 –
California 7 $1,494,257 $225,707 $156,311 – $333,202
Florida 3 $743,927 $119,981 $104,261 – $143,435
Georgia 2 $626,981 $141,476 $130,814 – $156,136
Illinois 1 $860,363 $120,291 –
Indiana 1 $614,020 $118,764 –
Kansas 1 $745,258 $109,271 –
Kentucky 1 $844,699 $176,159 –
Louisiana 1 $524,545 $115,430 –
Maryland 1 $330,341 $302,510 –
Massachusetts 4 $491,120 $145,408 $127,936 – $168,749
Michigan 1 $661,570 $162,912 –
Minnesota 2 $634,810 $172,987 $171,829 – $175,303
Missouri 1 $522,096 $139,285 –
Nebraska 1 $777,584 $123,641 –
New York 4 $1,061,133 $174,459 $114,782 – $199,774
North Carolina 2 $489,770 $148,638 $137,594 – $164,099
Ohio 4 $574,831 $114,802 $98,497 – $136,635
Oklahoma 1 $640,784 $79,098 –
Oregon 1 $449,734 $121,045 –
Pennsylvania 2 $1,225,101 $190,093 $120,288 – $256,407
South Carolina 1 $598,641 $148,736 –
Tennessee 1 $886,706 $133,939 –
Texas 3 $913,116 $142,927 $110,785 – $157,867
Utah 1 $550,988 $88,436 –
Virginia 1 $1,062,005 $197,035 –
Washington 1 $714,595 $197,989 –
Wisconsin 1 $704,435 $122,849 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
Mayo ClinicJacksonville, FL49$410,484$104,261
Mayo Clinic HospitalPhoenix, AZ43$644,226$153,938
Tampa General HospitalTampa, FL41$1,139,525$131,331
Methodist Hospital,TheHouston, TX36$1,309,160$157,867
Ohio State University HospitalsColumbus, OH34$490,000$98,497
Cleveland Clinic - Main CampusCleveland, OH32$555,905$120,821
Barnes Jewish HospitalSt Louis, MO30$522,096$139,285
Lahey Clinic HospitalBurlington, MA27$391,564$127,936
Mayo Clinic - Saint Marys HospitalRochester, MN26$484,632$171,829
Vanderbilt University HospitalNashville, TN26$886,706$133,939
Clarian Health PartnersIndianapolis, IN25$614,020$118,764
New York-Presbyterian HospitalNew York, NY25$951,204$180,090
UCSF Medical CenterSan Francisco, CA24$1,422,038$232,573
California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA22$837,983$211,433
Piedmont HospitalAtlanta, GA22$695,118$130,814

Questions

How much does liver transplant with major complications or intestinal transplant cost in the U.S.?

In 2024 Medicare data, a hospital stay for liver transplant with major complications or intestinal transplant (DRG 005) at 53 hospitals in the U.S. was billed at $819,999 on average, while the average total payment was $155,730, of which Medicare paid $116,001. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for liver transplant with major complications or intestinal transplant?

Among states with at least three hospitals reporting, the average total payment was highest in California ($225,707), New York ($174,459), Massachusetts ($145,408) and lowest in Ohio ($114,802), Florida ($119,981), Texas ($142,927).

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 5.3 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.