Malignancy of hepatobiliary system or pancreas with complications in Indiana
What 2 hospitals in Indiana charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with complications (DRG 436), from 2024 Medicare claims.
Average charge
$51,706
Hospital list price billed
Average payment
$8,198
Medicare + patient + other payers
Medicare paid
$7,001
Average per stay
Volume
27
Medicare hospital stays
Hospitals in Indiana billed an average of $51,706 for malignancy of hepatobiliary system or pancreas with complications, about 6.3 times the average total payment of $8,198. That payment is 34% below the U.S. average of $12,472.
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 $8,198Billed $51,706
About 16¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: malignancy of hepatobiliary system or pancreas with complications
Every Indiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Deaconess Hospital INCEvansville | 15 | $45,350 | $8,311 | $6,951 |
| Community HospitalMunster | 12 | $59,652 | $8,056 | $7,063 |
Malignancy of hepatobiliary system or pancreas with complications in other states
Questions
How much does malignancy of hepatobiliary system or pancreas with complications cost in Indiana?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with complications (DRG 436) at 2 hospitals in Indiana was billed at $51,706 on average, while the average total payment was $8,198, of which Medicare paid $7,001. Your own cost depends on your insurance, deductible and the hospital.
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 Indiana, average charges were 6.3 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.