Pancreas, liver and shunt procedures with major complications
What 88 hospitals in the U.S. charged and were paid for a Medicare hospital stay for pancreas, liver and shunt procedures with major complications (DRG 405), from 2024 Medicare claims.
Average charge
$311,752
Hospital list price billed
Average payment
$68,850
Medicare + patient + other payers
Medicare paid
$55,775
Average per stay
Volume
1,759
Medicare hospital stays
Hospitals in the U.S. billed an average of $311,752 for pancreas, liver and shunt procedures with major complications, about 4.5 times the average total payment of $68,850.
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 $68,850Billed $311,752
About 22¢ 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 | $36,129 |
|---|---|
| University of Kansas HospitalKansas City, KS | $44,769 |
| Lds HospitalSalt Lake City, UT | $45,415 |
| Cleveland Clinic - Main CampusCleveland, OH | $51,289 |
| UT Southwestern University HospitalDallas, TX | $52,125 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $56,025 |
| Piedmont HospitalAtlanta, GA | $56,176 |
| The Nebraska Medical CenterOmaha, NE | $57,448 |
| Clarian Health PartnersIndianapolis, IN | $59,476 |
| Mayo ClinicJacksonville, FL | $59,739 |
Highest
| UCSF Medical CenterSan Francisco, CA | $150,788 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $146,518 |
| Stanford HospitalPalo Alto, CA | $95,291 |
| NYU Hospitals CenterNew York, NY | $92,825 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $92,177 |
| USC University HospitalLos Angeles, CA | $84,687 |
| The Johns Hopkins HospitalBaltimore, MD | $84,315 |
| Beth Israel Deaconess Medical CenterBoston, MA | $79,453 |
| William Beaumont HospitalRoyal Oak, MI | $77,287 |
| Massachusetts General HospitalBoston, MA | $74,102 |
Pancreas, liver and shunt procedures 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 | 2 | $498,693 | $51,201 | $42,316 – $61,567 |
| Arizona | 3 | $241,722 | $63,489 | $56,868 – $68,531 |
| California | 9 | $534,218 | $108,812 | $66,616 – $150,788 |
| Colorado | 1 | $439,763 | $66,696 | – |
| Connecticut | 1 | $193,547 | $71,570 | – |
| Florida | 7 | $257,817 | $47,199 | $32,229 – $64,341 |
| Georgia | 2 | $255,486 | $72,847 | $56,176 – $103,411 |
| Illinois | 3 | $215,271 | $53,804 | $36,083 – $67,801 |
| Indiana | 2 | $248,234 | $55,462 | $38,310 – $59,476 |
| Iowa | 1 | $255,264 | $62,133 | – |
| Kansas | 1 | $206,268 | $44,769 | – |
| Kentucky | 2 | $201,583 | $51,152 | $39,921 – $67,063 |
| Maryland | 2 | $87,309 | $76,703 | $46,257 – $84,315 |
| Massachusetts | 4 | $204,058 | $68,942 | $55,664 – $79,453 |
| Michigan | 1 | $320,318 | $77,287 | – |
| Minnesota | 2 | $145,367 | $66,533 | $53,080 – $70,428 |
| Missouri | 2 | $253,838 | $70,171 | $67,472 – $71,521 |
| Nebraska | 1 | $186,476 | $57,448 | – |
| New Hampshire | 1 | $190,895 | $62,045 | – |
| New Jersey | 3 | $312,520 | $60,789 | $53,170 – $74,649 |
| New York | 5 | $447,082 | $81,959 | $69,377 – $96,170 |
| North Carolina | 2 | $172,431 | $56,932 | $53,118 – $60,970 |
| North Dakota | 1 | $186,998 | $60,277 | – |
| Ohio | 3 | $229,852 | $59,871 | $51,289 – $72,898 |
| Oklahoma | 2 | $409,822 | $59,725 | $44,342 – $77,158 |
| Oregon | 1 | $220,274 | $70,693 | – |
| Pennsylvania | 5 | $397,755 | $57,726 | $44,922 – $69,682 |
| South Carolina | 1 | $235,608 | $64,777 | – |
| Tennessee | 1 | $297,843 | $64,246 | – |
| Texas | 7 | $310,660 | $55,029 | $34,456 – $66,555 |
| Utah | 1 | $137,422 | $45,415 | – |
| Virginia | 2 | $157,908 | $62,100 | $46,370 – $81,200 |
| Washington | 4 | $285,049 | $64,596 | $48,593 – $83,636 |
| Wisconsin | 1 | $200,244 | $60,379 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 57 | $572,263 | $92,825 |
| New York-Presbyterian HospitalNew York, NY | 50 | $296,714 | $69,377 |
| Clarian Health PartnersIndianapolis, IN | 47 | $272,960 | $59,476 |
| The Johns Hopkins HospitalBaltimore, MD | 44 | $96,083 | $84,315 |
| Massachusetts General HospitalBoston, MA | 39 | $300,625 | $74,102 |
| Stanford HospitalPalo Alto, CA | 38 | $679,782 | $95,291 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 38 | $157,835 | $70,428 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | 36 | $262,204 | $92,177 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 33 | $882,060 | $66,616 |
| Piedmont HospitalAtlanta, GA | 33 | $239,250 | $56,176 |
| UCSF Medical CenterSan Francisco, CA | 32 | $531,740 | $150,788 |
| Mayo ClinicJacksonville, FL | 32 | $194,731 | $59,739 |
| Methodist Hospital,TheHouston, TX | 30 | $451,285 | $65,803 |
| Medstar Georgetown University HospitalWashington, DC | 28 | $332,476 | $71,533 |
| UPMC Presbyterian ShadysidePittsburgh, PA | 28 | $470,113 | $56,025 |
Questions
How much does pancreas, liver and shunt procedures with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for pancreas, liver and shunt procedures with major complications (DRG 405) at 88 hospitals in the U.S. was billed at $311,752 on average, while the average total payment was $68,850, of which Medicare paid $55,775. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($108,812), New York ($81,959), Massachusetts ($68,942) and lowest in Florida ($47,199), Illinois ($53,804), Texas ($55,029).
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 4.5 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.