CostGrade

Disorders of the Biliary Tract with Complications — what U.S. hospitals charge

MS-DRG 445 · Inpatient stay · 504 U.S. hospitals publish a price

Cheapest quarter

under $38,383

Typical charge

$51,393

Dearest quarter

over $73,295

Actually paid

$10,810

The middle U.S. hospital bills $51,393 for Disorders of the Biliary Tract with Complications. The dearest hospitals charge about 3.4x what the cheapest do for the same coded work. Medicare actually paid about $10,810 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 the Biliary Tract with 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 16 $15,579 $12,875 – $25,353
Montana 3 $20,635 $18,700 – $38,805
Minnesota 8 $30,923 $23,578 – $44,562
Massachusetts 18 $30,934 $13,912 – $76,549
Arkansas 4 $32,799 $25,516 – $46,120
Michigan 10 $33,754 $27,192 – $64,282
West Virginia 4 $36,660 $25,891 – $64,968
Iowa 7 $36,665 $20,400 – $69,570
Mississippi 3 $37,557 $35,037 – $49,364
New Hampshire 5 $39,193 $28,882 – $92,999
Maine 3 $40,799 $37,261 – $43,758
Virginia 14 $41,220 $26,701 – $131,456
Missouri 12 $42,186 $24,184 – $110,504
South Carolina 6 $42,445 $28,269 – $55,029
Nebraska 3 $43,056 $32,532 – $50,528
Ohio 16 $43,070 $27,822 – $79,030
North Carolina 17 $43,705 $34,436 – $70,949
Delaware 3 $43,930 $38,668 – $53,941
Oregon 5 $44,528 $38,147 – $58,781
Wisconsin 6 $45,542 $30,472 – $77,998
Indiana 11 $45,791 $26,052 – $68,565
Tennessee 10 $47,600 $20,387 – $89,096
Oklahoma 6 $48,387 $32,814 – $90,657
Alabama 5 $49,255 $31,499 – $96,242
Connecticut 6 $49,453 $38,100 – $68,276
Illinois 24 $50,916 $28,263 – $83,675
Louisiana 7 $50,999 $38,794 – $103,626
Washington 10 $52,896 $33,522 – $64,582
Arizona 14 $55,147 $36,252 – $86,838
Kansas 4 $55,483 $35,323 – $120,419
Kentucky 4 $57,015 $41,804 – $57,591
Florida 44 $62,826 $29,945 – $162,478
Pennsylvania 28 $63,809 $31,200 – $141,337
Georgia 6 $64,650 $60,739 – $81,528
Texas 26 $65,825 $31,465 – $136,451
New York 36 $69,102 $18,510 – $196,162
Colorado 4 $77,412 $47,434 – $93,682
California 50 $80,824 $33,517 – $207,517
New Jersey 20 $81,726 $40,682 – $132,081
Nevada 7 $137,434 $40,698 – $156,684

Where Disorders of the Biliary Tract with Complications is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
Meritus Medical Center

Hagerstown, MD

$12,875 $11,928
Johns Hopkins Howard County Medical Center

Columbia, MD

$13,359 $12,106
Frederick Health Hospital

Frederick, MD

$13,769 $12,643
Milford Regional Medical Center

Milford, MA

$13,912 $9,295
Medstar Southern Maryland Hospital Center

Clinton, MD

$14,314 $14,093
Luminis Health Anne Arundel Medical Center, Inc

Annapolis, MD

$14,775 $13,669
Medstar Franklin Square Medical Center

Rosedale, MD

$14,845 $13,113
Tidalhealth Peninsula Regional, Inc

Salisbury, MD

$14,913 $13,346
University Of Md St Joseph Medical Center

Towson, MD

$15,549 $13,822
University Of Md Shore Medical Center At Easton

Easton, MD

$15,608 $13,973
Umd Upper Chesapeake Medical Center

Bel Air, MD

$16,129 $14,260
Medstar Montgomery Medical Center

Olney, MD

$16,425 $14,561

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
Desert Regional Medical Center

Palm Springs, CA

$207,517 $12,944
Good Samaritan Hospital

San Jose, CA

$198,076 $12,106
Westchester Medical Center

Valhalla, NY

$196,162 $14,330
Cedars-Sinai Medical Center

Los Angeles, CA

$190,903 $14,768
Stanford Health Care

Stanford, CA

$184,040 $18,797
Manatee Memorial Hospital

Bradenton, FL

$162,478 $9,486
Centennial Hills Hospital Medical Center

Las Vegas, NV

$156,684 $9,244
Los Robles Hospital & Medical Center

Thousand Oaks, CA

$150,537 $11,506
Henderson Hospital

Henderson, NV

$150,008 $9,630
Sunrise Hospital And Medical Center

Las Vegas, NV

$147,639 $10,515
Hca Florida Largo Hospital

Largo, FL

$142,847 $11,220
Temple University Hospital

Philadelphia, PA

$141,337 $14,711

Questions people ask

What do U.S. hospitals charge for Disorders of the Biliary Tract with Complications?

Across 504 U.S. hospitals, the middle charge for Disorders of the Biliary Tract with Complications is $51,393. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $38,383 and the dearest quarter over $73,295.

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 the Biliary Tract with Complications, the hospitals in the dearest tenth charge about 3.4x 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. $10,810 is roughly what Medicare actually paid per case, against an average charge of $60,708. 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 445: “DISORDERS OF THE BILIARY TRACT WITH CC”. 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.