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Malignancy of Hepatobiliary System or Pancreas with complications
Medicare DRG 436. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$65,375
Avg total payment
$12,579
Avg Medicare pays
$9,214
Hospitals reporting
64
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 | 6 | $139,694 | $13,416 |
| New York | 5 | $112,994 | $11,515 |
| Texas | 1 | $86,482 | $7,206 |
| Florida | 9 | $71,721 | $7,512 |
| New Jersey | 4 | $70,671 | $8,305 |
| Pennsylvania | 4 | $66,250 | $8,283 |
| Iowa | 1 | $64,527 | $7,869 |
| Tennessee | 3 | $58,350 | $7,740 |
| Missouri | 2 | $57,523 | $8,732 |
| Indiana | 2 | $52,501 | $7,007 |
| Massachusetts | 3 | $51,468 | $11,526 |
| Ohio | 4 | $50,640 | $7,272 |
| Kentucky | 2 | $47,139 | $7,509 |
| South Dakota | 1 | $46,620 | $7,791 |
| Minnesota | 1 | $46,434 | $8,619 |
| Wisconsin | 1 | $45,200 | $9,015 |
| Michigan | 1 | $43,783 | $6,811 |
| Arkansas | 1 | $37,963 | $6,157 |
| Illinois | 3 | $36,736 | $6,998 |
| Alabama | 1 | $36,255 | $8,025 |
| Delaware | 1 | $35,226 | $8,482 |
| North Carolina | 2 | $31,435 | $8,981 |
| Arizona | 1 | $31,422 | $8,088 |
| Virginia | 1 | $19,792 | $7,709 |
| Maryland | 4 | $18,649 | $14,893 |
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.