Pancreas, liver and shunt procedures with complications
What 127 hospitals in the U.S. charged and were paid for a Medicare hospital stay for pancreas, liver and shunt procedures with complications (DRG 406), from 2024 Medicare claims.
Average charge
$162,197
Hospital list price billed
Average payment
$33,362
Medicare + patient + other payers
Medicare paid
$26,175
Average per stay
Volume
3,016
Medicare hospital stays
Hospitals in the U.S. billed an average of $162,197 for pancreas, liver and shunt procedures with complications, about 4.9 times the average total payment of $33,362.
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 $33,362Billed $162,197
About 21¢ 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
| Sarasota Memorial HospitalSarasota, FL | $20,533 |
|---|---|
| Northwest Community HospitalArlington Heights, IL | $21,568 |
| Methodist HospitalSan Antonio, TX | $21,922 |
| St Davids HospitalAustin, TX | $22,347 |
| Central Dupage HospitalWinfield, IL | $22,868 |
| University of Kansas HospitalKansas City, KS | $24,462 |
| St Lukes Episcopal HospitalHouston, TX | $24,736 |
| Lehigh Valley HospitalAllentown, PA | $24,778 |
| Lds HospitalSalt Lake City, UT | $25,538 |
| University of Kentucky HospLexington, KY | $25,760 |
Highest
| Stanford HospitalPalo Alto, CA | $54,405 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $52,224 |
| UCLA Medical CenterLos Angeles, CA | $51,782 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $51,293 |
| The Johns Hopkins HospitalBaltimore, MD | $51,285 |
| University of California San Diego Medical CenterSan Diego, CA | $44,216 |
| NYU Hospitals CenterNew York, NY | $43,515 |
| USC University HospitalLos Angeles, CA | $41,922 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $39,641 |
| New York-Presbyterian HospitalNew York, NY | $39,369 |
Pancreas, liver and shunt procedures with 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 | 2 | $229,154 | $25,519 | $20,456 – $28,759 |
| Arizona | 3 | $133,292 | $32,314 | $22,060 – $36,554 |
| Arkansas | 2 | $90,841 | $26,918 | $25,964 – $27,940 |
| California | 10 | $281,958 | $46,539 | $29,916 – $54,405 |
| Colorado | 1 | $230,992 | $30,146 | – |
| Connecticut | 2 | $108,993 | $38,853 | $34,047 – $43,980 |
| Florida | 9 | $214,139 | $30,906 | $19,761 – $36,696 |
| Georgia | 3 | $144,201 | $28,139 | $26,136 – $32,058 |
| Illinois | 6 | $148,822 | $30,284 | $21,568 – $39,567 |
| Indiana | 2 | $147,399 | $27,427 | $20,421 – $28,970 |
| Iowa | 2 | $144,956 | $25,685 | $22,421 – $27,679 |
| Kansas | 1 | $116,565 | $24,462 | – |
| Kentucky | 2 | $121,515 | $23,627 | $21,156 – $25,760 |
| Louisiana | 1 | $252,677 | $38,253 | – |
| Maryland | 3 | $59,196 | $52,646 | $37,267 – $71,107 |
| Massachusetts | 3 | $123,388 | $34,935 | $34,288 – $35,829 |
| Michigan | 4 | $122,288 | $33,170 | $28,101 – $39,104 |
| Minnesota | 4 | $118,599 | $37,024 | $20,706 – $44,122 |
| Missouri | 3 | $130,483 | $27,941 | $23,933 – $29,699 |
| Nebraska | 2 | $102,120 | $26,217 | $19,420 – $29,306 |
| New Hampshire | 1 | $182,006 | $37,759 | – |
| New Jersey | 5 | $168,587 | $30,663 | $25,232 – $35,654 |
| New York | 7 | $202,214 | $38,353 | $24,362 – $45,586 |
| North Carolina | 7 | $109,018 | $28,897 | $19,912 – $32,645 |
| Ohio | 4 | $139,118 | $33,013 | $27,324 – $38,910 |
| Oregon | 1 | $158,224 | $35,338 | – |
| Pennsylvania | 7 | $209,024 | $30,614 | $24,778 – $35,775 |
| South Carolina | 3 | $142,242 | $29,074 | $25,270 – $32,145 |
| Tennessee | 5 | $149,537 | $25,720 | $20,283 – $30,795 |
| Texas | 8 | $161,293 | $26,098 | $21,922 – $42,808 |
| Utah | 2 | $77,859 | $26,763 | $25,538 – $28,347 |
| Virginia | 4 | $111,425 | $30,681 | $21,288 – $37,571 |
| Washington | 3 | $128,128 | $30,338 | $27,319 – $31,692 |
| West Virginia | 1 | $140,198 | $26,255 | – |
| Wisconsin | 3 | $154,025 | $32,324 | $30,343 – $32,985 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| The Johns Hopkins HospitalBaltimore, MD | 95 | $58,090 | $51,285 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 82 | $124,756 | $39,641 |
| Stanford HospitalPalo Alto, CA | 73 | $406,480 | $54,405 |
| Massachusetts General HospitalBoston, MA | 62 | $135,211 | $34,288 |
| Hospital of the Univ of PaPhiladelphia, PA | 61 | $239,298 | $35,775 |
| Clarian Health PartnersIndianapolis, IN | 59 | $154,243 | $28,970 |
| Brigham and Women's HosptialBoston, MA | 58 | $158,372 | $34,917 |
| New York-Presbyterian HospitalNew York, NY | 55 | $186,316 | $39,369 |
| Mayo ClinicJacksonville, FL | 52 | $130,171 | $35,193 |
| Beth Israel Deaconess Medical CenterBoston, MA | 46 | $63,341 | $35,829 |
| NYU Hospitals CenterNew York, NY | 45 | $345,114 | $43,515 |
| UPMC Presbyterian ShadysidePittsburgh, PA | 45 | $267,843 | $28,025 |
| Thomas Jefferson University HospitalPhiladelphia, PA | 45 | $161,604 | $31,083 |
| Methodist HospitalSan Antonio, TX | 45 | $165,472 | $21,922 |
| Northwest Community HospitalArlington Heights, IL | 40 | $77,751 | $21,568 |
Questions
How much does pancreas, liver and shunt procedures with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for pancreas, liver and shunt procedures with complications (DRG 406) at 127 hospitals in the U.S. was billed at $162,197 on average, while the average total payment was $33,362, of which Medicare paid $26,175. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for pancreas, liver and shunt procedures with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($52,646), California ($46,539), New York ($38,353) and lowest in Tennessee ($25,720), Texas ($26,098), Missouri ($27,941).
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 4.9 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.