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Malignancy of Hepatobiliary System or Pancreas with major complications
Medicare DRG 435. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$96,347
Avg total payment
$18,571
Avg Medicare pays
$14,734
Hospitals reporting
390
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 |
|---|---|---|---|
| District of Columbia | 3 | $157,413 | $17,815 |
| California | 45 | $151,410 | $19,812 |
| New York | 26 | $136,423 | $17,408 |
| Nevada | 3 | $136,223 | $15,137 |
| Colorado | 2 | $133,266 | $14,866 |
| New Jersey | 21 | $129,959 | $14,807 |
| Texas | 23 | $127,001 | $13,192 |
| Pennsylvania | 20 | $119,516 | $13,964 |
| Kansas | 5 | $116,841 | $11,331 |
| Alabama | 3 | $114,678 | $11,512 |
| Oklahoma | 5 | $107,656 | $12,334 |
| Wisconsin | 4 | $106,502 | $13,294 |
| Hawaii | 1 | $97,141 | $10,856 |
| Florida | 31 | $96,286 | $12,474 |
| Georgia | 10 | $92,833 | $13,615 |
| Arizona | 10 | $81,623 | $12,711 |
| Washington | 9 | $81,195 | $13,712 |
| Illinois | 23 | $78,669 | $14,184 |
| Kentucky | 5 | $73,230 | $10,883 |
| South Carolina | 6 | $73,038 | $12,660 |
| Indiana | 5 | $72,863 | $13,267 |
| Tennessee | 9 | $71,273 | $11,211 |
| Vermont | 1 | $71,020 | $12,445 |
| Ohio | 12 | $70,468 | $11,235 |
| Connecticut | 4 | $70,266 | $16,015 |
| Iowa | 2 | $68,611 | $12,575 |
| Missouri | 4 | $68,522 | $13,377 |
| Virginia | 15 | $66,795 | $12,151 |
| North Carolina | 12 | $64,924 | $13,367 |
| New Hampshire | 1 | $64,642 | $17,792 |
| South Dakota | 1 | $64,512 | $11,857 |
| Utah | 1 | $63,524 | $16,176 |
| Arkansas | 3 | $59,472 | $12,791 |
| Delaware | 2 | $58,130 | $13,179 |
| Idaho | 3 | $57,780 | $12,959 |
| Nebraska | 2 | $56,805 | $11,046 |
| Oregon | 7 | $56,454 | $15,329 |
| Maine | 1 | $55,897 | $14,243 |
| Michigan | 9 | $55,845 | $13,453 |
| Minnesota | 6 | $54,701 | $13,737 |
| Mississippi | 1 | $54,403 | $9,347 |
| Louisiana | 4 | $54,354 | $11,007 |
| Rhode Island | 1 | $53,948 | $17,366 |
| West Virginia | 1 | $53,796 | $12,590 |
| Massachusetts | 13 | $51,371 | $16,130 |
| New Mexico | 1 | $47,810 | $11,424 |
| North Dakota | 1 | $38,501 | $11,772 |
| Maryland | 13 | $29,036 | $24,651 |
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.