Disorders of Pancreas Except Malignancy with Major Complications — what U.S. hospitals charge
MS-DRG 438 · Inpatient stay · 169 U.S. hospitals publish a price
Cheapest quarter
under $49,832
Typical charge
$69,505
Dearest quarter
over $99,683
Actually paid
$17,610
The middle U.S. hospital bills $69,505 for Disorders of Pancreas Except Malignancy with Major Complications. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $17,610 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Disorders of Pancreas Except Malignancy with Major Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 3 | $36,823 | $30,865 – $45,394 |
| Massachusetts | 10 | $45,034 | $26,688 – $130,079 |
| North Carolina | 6 | $46,645 | $37,954 – $116,524 |
| Ohio | 4 | $50,906 | $39,457 – $70,832 |
| Michigan | 8 | $52,081 | $28,232 – $90,998 |
| Oregon | 3 | $53,404 | $51,502 – $101,064 |
| South Carolina | 4 | $56,982 | $44,160 – $75,099 |
| Indiana | 5 | $57,875 | $49,832 – $115,978 |
| Virginia | 7 | $58,640 | $28,523 – $190,103 |
| Tennessee | 4 | $59,972 | $24,288 – $62,883 |
| Minnesota | 5 | $64,705 | $44,655 – $83,722 |
| South Dakota | 3 | $69,505 | $57,442 – $92,256 |
| Missouri | 4 | $70,927 | $28,677 – $93,772 |
| Illinois | 7 | $71,506 | $27,668 – $86,266 |
| Florida | 14 | $71,970 | $40,942 – $146,923 |
| Texas | 13 | $82,132 | $46,077 – $191,192 |
| Arizona | 4 | $83,596 | $72,930 – $128,260 |
| California | 10 | $84,537 | $38,070 – $350,458 |
| Oklahoma | 5 | $104,083 | $39,271 – $174,601 |
| Pennsylvania | 5 | $109,550 | $46,361 – $183,789 |
| New Jersey | 4 | $130,148 | $106,048 – $154,562 |
| New York | 11 | $140,308 | $35,992 – $357,880 |
Where Disorders of Pancreas Except Malignancy with Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Fort Sanders Regional Medical Center
Knoxville, TN |
$24,288 | $12,379 |
|
South Shore Hospital
South Weymouth, MA |
$26,688 | $12,771 |
|
Saint Mary's Regional Medical Center
Reno, NV |
$27,086 | $13,617 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$27,668 | $11,682 |
|
Cape Cod Hospital
Hyannis, MA |
$28,215 | $20,513 |
|
Trinity Health Ann Arbor Hospital
Ann Arbor, MI |
$28,232 | $13,784 |
|
Winchester Medical Center
Winchester, VA |
$28,523 | $15,148 |
|
Boone Hospital Center
Columbia, MO |
$28,677 | $10,097 |
|
Suburban Hospital
Bethesda, MD |
$30,865 | $27,340 |
|
Owensboro Health Regional Hospital
Owensboro, KY |
$33,052 | $14,590 |
|
Baystate Medical Center
Springfield, MA |
$35,296 | $19,283 |
|
Strong Memorial Hospital
Rochester, NY |
$35,992 | $21,763 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Westchester Medical Center
Valhalla, NY |
$357,880 | $32,846 |
|
Stanford Health Care
Stanford, CA |
$350,458 | $37,339 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$279,435 | $25,167 |
|
New York-Presbyterian Hospital
New York, NY |
$194,419 | $31,691 |
|
Wesley Medical Center
Wichita, KS |
$191,508 | $15,141 |
|
Medical City Plano
Plano, TX |
$191,192 | $12,646 |
|
Cjw Medical Center
Richmond, VA |
$190,103 | $11,579 |
|
Montefiore Medical Center
Bronx, NY |
$186,926 | $26,604 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$185,609 | $16,577 |
|
Lehigh Valley Hospital
Allentown, PA |
$183,789 | $16,943 |
|
O U Medical Center
Oklahoma City, OK |
$174,601 | $29,963 |
|
Nyu Langone Hospitals
New York, NY |
$174,454 | $28,421 |
Questions people ask
What do U.S. hospitals charge for Disorders of Pancreas Except Malignancy with Major Complications?
Across 169 U.S. hospitals, the middle charge for Disorders of Pancreas Except Malignancy with Major Complications is $69,505. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $49,832 and the dearest quarter over $99,683.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Disorders of Pancreas Except Malignancy with Major Complications, the hospitals in the dearest tenth charge about 3.7x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $17,610 is roughly what Medicare actually paid per case, against an average charge of $84,355. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 438: “DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.