Disorders of the Biliary Tract with Major Complications — what U.S. hospitals charge
MS-DRG 444 · Inpatient stay · 346 U.S. hospitals publish a price
Cheapest quarter
under $54,389
Typical charge
$71,587
Dearest quarter
over $101,404
Actually paid
$16,706
The middle U.S. hospital bills $71,587 for Disorders of the Biliary Tract with Major Complications. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $16,706 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 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 | 12 | $22,142 | $18,003 – $42,432 |
| Massachusetts | 14 | $46,746 | $27,747 – $91,819 |
| Missouri | 7 | $50,698 | $40,340 – $66,113 |
| Virginia | 9 | $51,108 | $33,949 – $207,891 |
| West Virginia | 4 | $52,019 | $41,202 – $78,579 |
| Mississippi | 4 | $52,566 | $45,151 – $126,064 |
| Arkansas | 3 | $55,714 | $48,644 – $66,192 |
| North Carolina | 14 | $57,075 | $44,623 – $70,256 |
| Michigan | 10 | $59,390 | $42,098 – $86,893 |
| Kentucky | 5 | $60,156 | $43,235 – $82,727 |
| Kansas | 3 | $60,420 | $56,303 – $82,131 |
| Arizona | 8 | $61,216 | $47,264 – $89,940 |
| Ohio | 12 | $62,345 | $32,279 – $97,599 |
| South Carolina | 5 | $62,749 | $37,281 – $72,243 |
| Oregon | 4 | $63,027 | $59,453 – $84,266 |
| Wisconsin | 4 | $65,123 | $46,920 – $84,325 |
| Indiana | 7 | $65,520 | $45,365 – $106,140 |
| Louisiana | 3 | $66,749 | $54,480 – $67,615 |
| Delaware | 3 | $67,596 | $54,367 – $91,518 |
| Iowa | 4 | $68,047 | $55,667 – $69,384 |
| Tennessee | 8 | $73,699 | $51,555 – $98,127 |
| Illinois | 20 | $78,155 | $32,340 – $124,544 |
| Washington | 6 | $78,545 | $58,420 – $96,584 |
| Georgia | 4 | $82,755 | $52,890 – $114,415 |
| Texas | 20 | $89,605 | $59,164 – $228,601 |
| Oklahoma | 6 | $91,573 | $56,939 – $151,655 |
| Florida | 23 | $92,145 | $41,717 – $173,331 |
| Colorado | 4 | $105,400 | $50,927 – $130,489 |
| California | 33 | $106,462 | $48,839 – $396,642 |
| New Jersey | 13 | $110,440 | $79,536 – $138,185 |
| Pennsylvania | 16 | $113,752 | $61,203 – $174,808 |
| New York | 26 | $116,318 | $22,788 – $349,953 |
| Alabama | 4 | $121,318 | $70,213 – $181,079 |
| Nevada | 4 | $123,766 | $41,697 – $196,915 |
Where Disorders of the Biliary Tract 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 |
|---|---|---|
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$18,003 | $16,385 |
|
Calverthealth Medical Center
Prince Frederick, MD |
$18,619 | $16,709 |
|
University Of Md Shore Medical Center At Easton
Easton, MD |
$19,168 | $17,150 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$20,592 | $18,260 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$20,743 | $18,340 |
|
Frederick Health Hospital
Frederick, MD |
$21,276 | $19,092 |
|
United Health Services Hospitals, Inc
Binghamton, NY |
$22,788 | $15,520 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$23,008 | $20,440 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$23,156 | $21,421 |
|
Greater Baltimore Medical Center
Baltimore, MD |
$24,832 | $21,880 |
|
Beth Israel Deaconess Hospital Plymouth
Plymouth, MA |
$27,747 | $13,501 |
|
Baystate Medical Center
Springfield, MA |
$27,812 | $17,943 |
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 |
|---|---|---|
|
Stanford Health Care
Stanford, CA |
$396,642 | $41,491 |
|
Good Samaritan Hospital
San Jose, CA |
$360,452 | $18,874 |
|
Westchester Medical Center
Valhalla, NY |
$349,953 | $27,861 |
|
Doctors Medical Center
Modesto, CA |
$333,604 | $17,574 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$259,759 | $22,966 |
|
Ucsf Medical Center
San Francisco, CA |
$230,757 | $39,614 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$228,601 | $14,744 |
|
Medical City Plano
Plano, TX |
$226,102 | $14,153 |
|
Cjw Medical Center
Richmond, VA |
$207,891 | $13,110 |
|
New York-Presbyterian Hospital
New York, NY |
$202,020 | $29,125 |
|
Mountainview Hospital
Las Vegas, NV |
$196,915 | $17,862 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$193,376 | $15,309 |
Questions people ask
What do U.S. hospitals charge for Disorders of the Biliary Tract with Major Complications?
Across 346 U.S. hospitals, the middle charge for Disorders of the Biliary Tract with Major Complications is $71,587. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $54,389 and the dearest quarter over $101,404.
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 Major Complications, the hospitals in the dearest tenth charge about 3.2x 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. $16,706 is roughly what Medicare actually paid per case, against an average charge of $88,487. 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 444: “DISORDERS OF THE BILIARY TRACT 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.