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Pancreas, Liver and Shunt Procedures without with Complications/with major complications
Medicare DRG 407. What hospitals charge and what Medicare pays, 2024.
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 | 1 | $300,843 | $28,052 |
| Pennsylvania | 1 | $191,205 | $20,437 |
| Florida | 2 | $155,240 | $14,501 |
| Washington | 2 | $114,459 | $16,742 |
| Massachusetts | 1 | $111,058 | $19,981 |
| Indiana | 1 | $99,046 | $18,504 |
| Missouri | 1 | $93,382 | $18,221 |
| Minnesota | 1 | $93,312 | $16,364 |
| Kentucky | 1 | $87,915 | $14,214 |
| Kansas | 1 | $85,812 | $13,733 |
| Virginia | 2 | $82,055 | $16,582 |
| Michigan | 1 | $77,362 | $16,635 |
| North Carolina | 1 | $53,623 | $16,810 |
| Maryland | 1 | $44,091 | $31,047 |
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.