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Disorders of Pancreas Except Malignancy with major complications
Medicare DRG 438. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$83,249
Avg total payment
$17,610
Avg Medicare pays
$13,665
Hospitals reporting
169
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 |
|---|---|---|---|
| Kansas | 2 | $149,636 | $11,319 |
| New York | 11 | $145,025 | $19,737 |
| New Jersey | 4 | $130,227 | $13,917 |
| California | 10 | $129,617 | $18,124 |
| Colorado | 2 | $118,704 | $13,190 |
| Pennsylvania | 5 | $115,047 | $13,573 |
| Wisconsin | 2 | $98,033 | $17,416 |
| Texas | 13 | $97,754 | $11,503 |
| Oklahoma | 5 | $96,000 | $13,359 |
| Iowa | 2 | $94,058 | $10,716 |
| Arizona | 4 | $92,096 | $12,194 |
| District of Columbia | 1 | $91,575 | $15,823 |
| Rhode Island | 1 | $84,568 | $19,212 |
| West Virginia | 1 | $82,966 | $10,752 |
| Florida | 14 | $82,768 | $11,209 |
| Washington | 2 | $81,773 | $12,971 |
| Georgia | 2 | $80,093 | $11,436 |
| Connecticut | 2 | $80,006 | $15,053 |
| Idaho | 1 | $76,388 | $8,899 |
| Indiana | 5 | $76,223 | $13,052 |
| South Dakota | 3 | $73,068 | $12,845 |
| Virginia | 7 | $72,974 | $12,111 |
| Oregon | 3 | $68,656 | $17,809 |
| Missouri | 4 | $66,076 | $11,200 |
| Illinois | 7 | $62,603 | $14,648 |
| Minnesota | 5 | $62,184 | $12,865 |
| Massachusetts | 10 | $59,041 | $15,771 |
| North Carolina | 6 | $58,763 | $10,917 |
| South Carolina | 4 | $58,306 | $12,218 |
| Louisiana | 1 | $57,223 | $9,756 |
| Nebraska | 1 | $54,765 | $9,902 |
| Michigan | 8 | $53,181 | $12,928 |
| Ohio | 4 | $53,025 | $11,201 |
| Nevada | 2 | $52,252 | $11,719 |
| Tennessee | 4 | $51,779 | $10,723 |
| Arkansas | 2 | $51,762 | $9,594 |
| Kentucky | 2 | $49,038 | $9,903 |
| Delaware | 1 | $46,288 | $12,067 |
| Utah | 2 | $46,081 | $12,049 |
| North Dakota | 1 | $42,490 | $10,952 |
| Maryland | 3 | $37,694 | $26,842 |
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.