CostGrade

Disorders of the Biliary Tract without Complications/mcc — what U.S. hospitals charge

MS-DRG 446 · Inpatient stay · 36 U.S. hospitals publish a price

Cheapest quarter

under $35,354

Typical charge

$45,493

Dearest quarter

over $61,771

Actually paid

$7,664

The middle U.S. hospital bills $45,493 for Disorders of the Biliary Tract without Complications/mcc. The dearest hospitals charge about 3.4x what the cheapest do for the same coded work. Medicare actually paid about $7,664 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 without Complications/mcc cost by state

The middle charge in each state where at least three hospitals publish a price, cheapest first.

State Hospitals Typical charge Range
Massachusetts 4 $22,448 $14,427 – $47,246
Florida 5 $82,788 $43,734 – $88,653

Where Disorders of the Biliary Tract without Complications/mcc is charged least

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

Hospital Charged Actually paid
Baystate Medical Center

Springfield, MA

$14,427 $8,797
Beth Israel Deaconess Hospital Plymouth

Plymouth, MA

$19,737 $6,806
Presbyterian Hospital

Albuquerque, NM

$25,001 $6,361
Lahey Hospital & Medical Center, Burlington

Burlington, MA

$25,159 $9,505
Deaconess Hospital Inc

Evansville, IN

$25,571 $7,036
Christiana Hospital

Newark, DE

$25,912 $8,135
West Virginia University Hospitals, Inc

Morgantown, WV

$26,612 $7,996
Northwest Community Hospital 1

Arlington Heights, IL

$27,358 $6,145
Missouri Baptist Medical Center

Saint Louis, MO

$34,622 $6,230
Spartanburg Medical Center

Spartanburg, SC

$35,598 $7,605
Saint Thomas Rutherford Hospital

Murfreesboro, TN

$36,371 $6,946
Banner Del E. Webb Medical Center

Sun City West, AZ

$37,904 $6,968

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
Long Island Jewish Medical Center

New Hyde Park, NY

$93,710 $10,400
Sunrise Hospital And Medical Center

Las Vegas, NV

$93,231 $7,945
Marion Communtiy Hospital

Ocala, FL

$88,653 $7,098
Orlando Health

Orlando, FL

$87,557 $8,823
Adventhealth Orlando

Orlando, FL

$82,788 $8,691
Uch-Memorial Health System

Colorado Springs, CO

$70,269 $6,576
Lehigh Valley Hospital

Allentown, PA

$65,406 $7,292
Jersey Shore University Medical Center

Neptune, NJ

$63,767 $7,572
Suny/Stony Brook University Hospital

Stony Brook, NY

$63,736 $11,618
Mercyone Des Moines Medical Center

Des Moines, IA

$61,116 $6,461
Sarasota Memorial Hospital

Sarasota, FL

$58,102 $6,404
Methodist Hospital

San Antonio, TX

$56,520 $7,351

Questions people ask

What do U.S. hospitals charge for Disorders of the Biliary Tract without Complications/mcc?

Across 36 U.S. hospitals, the middle charge for Disorders of the Biliary Tract without Complications/mcc is $45,493. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $35,354 and the dearest quarter over $61,771.

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 without Complications/mcc, 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. $7,664 is roughly what Medicare actually paid per case, against an average charge of $49,237. 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 446: “DISORDERS OF THE BILIARY TRACT WITHOUT CC/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.