Malignancy of hepatobiliary system or pancreas with major complications
What 391 hospitals in the U.S. charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.
Average charge
$103,233
Hospital list price billed
Average payment
$19,425
Medicare + patient + other payers
Medicare paid
$15,237
Average per stay
Volume
7,905
Medicare hospital stays
Hospitals in the U.S. billed an average of $103,233 for malignancy of hepatobiliary system or pancreas with major complications, about 5.3 times the average total payment of $19,425.
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 $19,425Billed $103,233
About 19¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 2 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 | $11,624 |
|---|---|
| Palos Community HospitalPalos Heights, IL | $12,054 |
| Cjw Medical CenterRichmond, VA | $12,477 |
| Rex HospitalRaleigh, NC | $12,854 |
| Gulf Coast Medical Center Lee HealthFort Myers, FL | $12,860 |
| Edward HospitalNaperville, IL | $13,151 |
| Baptist Memorial HospitalMemphis, TN | $13,223 |
| Presbyterian HospitalAlbuquerque, NM | $13,275 |
| Deaconess Hospital INCEvansville, IN | $13,358 |
| Norton Healthcare PavilionLouisville, KY | $13,387 |
Highest
| Mount Sinai HospitalNew York, NY | $49,123 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $45,983 |
| The Johns Hopkins HospitalBaltimore, MD | $45,141 |
| University of California Davis Medical CenterSacramento, CA | $44,453 |
| Stanford HospitalPalo Alto, CA | $37,237 |
| USC University HospitalLos Angeles, CA | $32,858 |
| Montefiore Medical CenterBronx, NY | $31,570 |
| UCSF Medical CenterSan Francisco, CA | $31,368 |
| New York-Presbyterian HospitalNew York, NY | $31,194 |
| University of California San Diego Medical CenterSan Diego, CA | $30,050 |
Malignancy of hepatobiliary system or pancreas 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 | $113,308 | $15,473 | $12,287 – $21,118 |
| Arizona | 10 | $77,422 | $17,169 | $12,784 – $24,691 |
| Arkansas | 3 | $63,480 | $15,427 | $12,899 – $18,148 |
| California | 45 | $171,424 | $25,062 | $15,730 – $45,983 |
| Colorado | 2 | $134,875 | $18,239 | $13,886 – $20,259 |
| Connecticut | 4 | $69,741 | $21,439 | $16,556 – $25,467 |
| Delaware | 2 | $59,049 | $15,827 | $14,139 – $16,376 |
| Florida | 31 | $102,616 | $14,777 | $11,563 – $22,295 |
| Georgia | 10 | $88,959 | $18,579 | $12,327 – $22,773 |
| Hawaii | 1 | $97,141 | $29,023 | – |
| Idaho | 3 | $61,146 | $15,326 | $13,586 – $15,882 |
| Illinois | 23 | $78,659 | $17,596 | $12,054 – $35,691 |
| Indiana | 5 | $72,246 | $15,890 | $13,358 – $19,907 |
| Iowa | 2 | $68,603 | $15,649 | $13,388 – $17,820 |
| Kansas | 5 | $123,465 | $17,567 | $13,531 – $20,512 |
| Kentucky | 5 | $75,185 | $15,537 | $13,387 – $18,493 |
| Louisiana | 4 | $52,943 | $14,993 | $12,800 – $19,585 |
| Maine | 1 | $55,897 | $17,040 | – |
| Maryland | 13 | $30,768 | $27,671 | $18,200 – $45,141 |
| Massachusetts | 13 | $60,530 | $21,495 | $13,885 – $26,192 |
| Michigan | 9 | $58,691 | $18,839 | $12,443 – $24,971 |
| Minnesota | 6 | $54,297 | $18,279 | $13,237 – $23,700 |
| Mississippi | 1 | $54,403 | $12,264 | – |
| Missouri | 4 | $74,410 | $17,441 | $11,624 – $24,019 |
| Nebraska | 2 | $56,409 | $13,405 | $13,359 – $13,455 |
| Nevada | 3 | $141,489 | $17,204 | $16,466 – $18,465 |
| New Hampshire | 1 | $64,642 | $21,529 | – |
| New Jersey | 21 | $129,538 | $18,952 | $13,856 – $25,094 |
| New Mexico | 1 | $47,810 | $13,275 | – |
| New York | 26 | $158,446 | $26,170 | $15,007 – $49,123 |
| North Carolina | 12 | $64,195 | $18,482 | $12,812 – $26,029 |
| North Dakota | 1 | $38,501 | $15,193 | – |
| Ohio | 12 | $73,067 | $16,367 | $7,162 – $23,891 |
| Oklahoma | 5 | $109,016 | $16,095 | $13,261 – $19,288 |
| Oregon | 7 | $57,148 | $17,729 | $15,133 – $19,590 |
| Pennsylvania | 21 | $127,067 | $17,852 | $11,762 – $26,335 |
| Rhode Island | 1 | $53,948 | $20,026 | – |
| South Carolina | 6 | $73,328 | $17,333 | $14,657 – $22,993 |
| South Dakota | 1 | $64,512 | $13,895 | – |
| Tennessee | 9 | $77,660 | $16,068 | $11,305 – $22,991 |
| Texas | 23 | $120,566 | $16,763 | $11,992 – $48,150 |
| Utah | 1 | $63,524 | $20,201 | – |
| Vermont | 1 | $71,020 | $16,644 | – |
| Virginia | 15 | $69,160 | $17,422 | $12,256 – $33,193 |
| Washington | 9 | $83,362 | $19,254 | $15,227 – $22,969 |
| West Virginia | 1 | $53,796 | $15,740 | – |
| Wisconsin | 4 | $104,175 | $19,145 | $13,614 – $21,530 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 88 | $210,319 | $26,984 |
| New York-Presbyterian HospitalNew York, NY | 75 | $202,939 | $31,194 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 73 | $318,110 | $27,158 |
| Adventhealth OrlandoOrlando, FL | 71 | $143,886 | $14,647 |
| Massachusetts General HospitalBoston, MA | 65 | $85,378 | $24,805 |
| Stanford HospitalPalo Alto, CA | 64 | $359,660 | $37,237 |
| Virginia Mason Medical CenterSeattle, WA | 63 | $89,205 | $19,696 |
| Brigham and Women's HosptialBoston, MA | 59 | $88,882 | $23,517 |
| Methodist HospitalSan Antonio, TX | 59 | $122,215 | $14,168 |
| Beth Israel Deaconess Medical CenterBoston, MA | 58 | $50,940 | $26,192 |
| Riverside Methodist HospitalColumbus, OH | 53 | $68,605 | $15,609 |
| Morristown Memorial HospitalMorristown, NJ | 48 | $163,323 | $20,962 |
| Inova Fairfax HospitalFalls Church, VA | 47 | $38,875 | $17,454 |
| UPMC Presbyterian ShadysidePittsburgh, PA | 45 | $192,876 | $19,591 |
| Christiana Care Health Services, INC.Newark, DE | 43 | $59,936 | $16,376 |
Questions
How much does malignancy of hepatobiliary system or pancreas with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 391 hospitals in the U.S. was billed at $103,233 on average, while the average total payment was $19,425, of which Medicare paid $15,237. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for malignancy of hepatobiliary system or pancreas with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($27,671), New York ($26,170), California ($25,062) and lowest in Florida ($14,777), Louisiana ($14,993), Idaho ($15,326).
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.