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Pancreas, Liver and Shunt Procedures with complications
Medicare DRG 406. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$158,130
Avg total payment
$31,397
Avg Medicare pays
$24,556
Hospitals reporting
127
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 |
|---|---|---|---|
| Louisiana | 1 | $252,677 | $34,415 |
| Alabama | 2 | $252,544 | $16,279 |
| California | 10 | $249,309 | $33,668 |
| Florida | 9 | $248,005 | $22,464 |
| Colorado | 1 | $230,992 | $25,254 |
| Pennsylvania | 7 | $198,580 | $24,563 |
| New Hampshire | 1 | $182,006 | $31,747 |
| New Jersey | 5 | $177,484 | $25,190 |
| New York | 7 | $165,088 | $29,369 |
| Oregon | 1 | $158,224 | $29,908 |
| Texas | 8 | $157,376 | $20,643 |
| Illinois | 6 | $157,124 | $23,624 |
| Iowa | 2 | $148,842 | $22,037 |
| South Carolina | 3 | $147,858 | $20,501 |
| Tennessee | 5 | $146,497 | $19,889 |
| Ohio | 4 | $146,006 | $22,743 |
| Wisconsin | 3 | $145,913 | $21,311 |
| West Virginia | 1 | $140,199 | $19,947 |
| Missouri | 3 | $139,917 | $19,981 |
| Georgia | 3 | $139,141 | $20,939 |
| Indiana | 2 | $135,290 | $21,790 |
| Washington | 3 | $131,567 | $23,217 |
| Arizona | 3 | $127,016 | $24,497 |
| Kentucky | 2 | $121,373 | $19,567 |
| Michigan | 4 | $120,802 | $22,586 |
| District of Columbia | 1 | $119,472 | $26,075 |
| Massachusetts | 3 | $118,975 | $30,573 |
| Kansas | 1 | $116,565 | $20,896 |
| North Carolina | 7 | $111,156 | $21,555 |
| Connecticut | 2 | $108,496 | $24,659 |
| Minnesota | 4 | $108,372 | $22,182 |
| Virginia | 4 | $106,583 | $22,678 |
| Nebraska | 2 | $93,771 | $19,929 |
| Arkansas | 2 | $91,857 | $20,434 |
| Utah | 2 | $75,749 | $23,436 |
| Maryland | 3 | $59,269 | $50,240 |
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.