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Pancreas, Liver and Shunt Procedures with major complications
Medicare DRG 405. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$303,559
Avg total payment
$65,924
Avg Medicare pays
$53,647
Hospitals reporting
88
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 9 | $529,017 | $86,345 |
| District of Columbia | 2 | $491,221 | $62,872 |
| Alabama | 2 | $484,437 | $40,642 |
| New York | 5 | $467,076 | $70,919 |
| Colorado | 1 | $439,763 | $59,499 |
| Oklahoma | 2 | $417,917 | $52,214 |
| Pennsylvania | 5 | $368,754 | $47,343 |
| Michigan | 1 | $320,318 | $50,137 |
| New Jersey | 3 | $313,070 | $54,418 |
| Texas | 7 | $312,496 | $43,382 |
| Tennessee | 1 | $297,843 | $46,362 |
| Missouri | 2 | $289,911 | $50,271 |
| Washington | 4 | $280,520 | $54,034 |
| Florida | 7 | $268,032 | $39,234 |
| Georgia | 2 | $262,251 | $43,032 |
| Iowa | 1 | $255,265 | $55,565 |
| Arizona | 3 | $251,119 | $52,206 |
| South Carolina | 1 | $235,608 | $46,338 |
| Ohio | 3 | $234,520 | $40,118 |
| Oregon | 1 | $220,274 | $63,618 |
| Indiana | 2 | $207,773 | $44,136 |
| Illinois | 3 | $206,947 | $48,862 |
| Kansas | 1 | $206,268 | $40,927 |
| Kentucky | 2 | $202,689 | $37,787 |
| Wisconsin | 1 | $200,244 | $52,260 |
| Connecticut | 1 | $193,547 | $57,866 |
| New Hampshire | 1 | $190,895 | $57,579 |
| North Dakota | 1 | $186,998 | $50,295 |
| Nebraska | 1 | $186,476 | $50,460 |
| Massachusetts | 4 | $177,287 | $57,704 |
| North Carolina | 2 | $172,107 | $43,920 |
| Virginia | 2 | $162,519 | $49,118 |
| Utah | 1 | $137,423 | $38,504 |
| Minnesota | 2 | $130,064 | $48,162 |
| Maryland | 2 | $74,148 | $63,353 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.