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Other Hepatobiliary or Pancreas O.r. Procedures with major complications
Medicare DRG 423. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$209,020
Avg total payment
$34,155
Avg Medicare pays
$27,135
Hospitals reporting
3
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 |
|---|---|---|---|
| Florida | 1 | $286,833 | $27,209 |
| Kansas | 1 | $234,457 | $28,841 |
| Tennessee | 1 | $105,769 | $25,355 |
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.