Laparoscopic Cholecystectomy without C.d.e. with Complications — what U.S. hospitals charge
MS-DRG 418 · Inpatient stay · 597 U.S. hospitals publish a price
Cheapest quarter
under $59,457
Typical charge
$82,409
Dearest quarter
over $109,458
Actually paid
$15,033
The middle U.S. hospital bills $82,409 for Laparoscopic Cholecystectomy without C.d.e. with Complications. The dearest hospitals charge about 3.5x what the cheapest do for the same coded work. Medicare actually paid about $15,033 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.
Laparoscopic Cholecystectomy without C.d.e. 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 | 14 | $22,801 | $18,523 – $42,038 |
| Montana | 3 | $42,664 | $32,624 – $47,745 |
| Massachusetts | 16 | $46,687 | $21,212 – $101,430 |
| North Dakota | 3 | $50,969 | $36,738 – $56,308 |
| Nebraska | 6 | $52,525 | $46,042 – $81,524 |
| Mississippi | 8 | $53,314 | $39,011 – $159,943 |
| Minnesota | 11 | $53,736 | $42,563 – $65,532 |
| Idaho | 4 | $55,621 | $49,201 – $94,600 |
| Arkansas | 9 | $56,076 | $35,752 – $72,758 |
| Iowa | 7 | $58,637 | $42,882 – $95,175 |
| Michigan | 13 | $59,457 | $41,352 – $79,926 |
| Missouri | 14 | $59,726 | $37,904 – $239,802 |
| South Dakota | 3 | $62,040 | $60,929 – $74,633 |
| West Virginia | 6 | $62,523 | $47,194 – $95,503 |
| Delaware | 3 | $62,732 | $44,368 – $78,669 |
| Wisconsin | 9 | $63,688 | $50,675 – $101,372 |
| Oregon | 4 | $66,442 | $55,779 – $88,600 |
| Tennessee | 15 | $66,643 | $28,546 – $113,893 |
| North Carolina | 22 | $68,610 | $42,635 – $103,542 |
| Oklahoma | 10 | $69,486 | $42,012 – $184,490 |
| Virginia | 18 | $71,191 | $35,875 – $237,990 |
| Kentucky | 8 | $71,491 | $45,703 – $93,274 |
| Alabama | 7 | $72,923 | $40,242 – $273,253 |
| Ohio | 17 | $73,805 | $43,393 – $132,970 |
| Indiana | 13 | $75,104 | $46,028 – $155,558 |
| Louisiana | 8 | $76,581 | $46,589 – $213,832 |
| Connecticut | 4 | $79,250 | $55,415 – $87,551 |
| Arizona | 18 | $79,620 | $58,778 – $142,537 |
| South Carolina | 13 | $83,601 | $58,671 – $174,458 |
| Illinois | 25 | $84,463 | $40,496 – $122,312 |
| Georgia | 14 | $85,271 | $29,800 – $120,467 |
| Kansas | 9 | $87,207 | $46,834 – $220,021 |
| Pennsylvania | 22 | $89,438 | $50,710 – $173,967 |
| Texas | 46 | $89,777 | $55,340 – $264,159 |
| Washington | 13 | $89,901 | $44,535 – $130,726 |
| New Hampshire | 4 | $92,867 | $54,313 – $150,675 |
| New Jersey | 22 | $93,451 | $67,270 – $159,501 |
| Colorado | 6 | $93,867 | $61,779 – $166,536 |
| New York | 27 | $99,866 | $37,276 – $216,192 |
| Florida | 54 | $102,689 | $63,165 – $412,963 |
| California | 50 | $126,600 | $51,002 – $379,555 |
| Nevada | 7 | $190,650 | $60,861 – $283,356 |
Where Laparoscopic Cholecystectomy without C.d.e. 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 |
|---|---|---|
|
Adventist Healthcare Shady Grove Medical Center
Rockville, MD |
$18,523 | $16,363 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$18,786 | $17,286 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$19,765 | $18,435 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$20,004 | $17,750 |
|
Atlantic General Hospital
Berlin, MD |
$20,031 | $18,356 |
|
Meritus Medical Center
Hagerstown, MD |
$20,260 | $18,663 |
|
Milford Regional Medical Center
Milford, MA |
$21,212 | $14,487 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$22,697 | $21,249 |
|
Carroll Hospital Center
Westminster, MD |
$22,905 | $20,200 |
|
Greater Baltimore Medical Center
Baltimore, MD |
$23,358 | $20,860 |
|
Suburban Hospital
Bethesda, MD |
$24,338 | $21,567 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$24,985 | $22,314 |
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 |
|---|---|---|
|
Hca Florida Oak Hill Hospital
Brooksville, FL |
$412,963 | $15,117 |
|
Northbay Medical Center
Fairfield, CA |
$379,555 | $22,911 |
|
Good Samaritan Hospital
San Jose, CA |
$315,174 | $19,462 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$296,624 | $17,376 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$288,264 | $21,103 |
|
Hca Florida Bayonet Point Hospital
Hudson, FL |
$287,248 | $24,184 |
|
Summerlin Hospital Medical Center
Las Vegas, NV |
$283,356 | $16,024 |
|
Baldwin Health
Foley, AL |
$273,253 | $12,929 |
|
Hca Florida Gulf Coast Hospital
Panama City, FL |
$272,404 | $12,320 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$264,159 | $13,769 |
|
Grandview Medical Center
Birmingham, AL |
$244,089 | $11,391 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$240,645 | $14,827 |
Questions people ask
What do U.S. hospitals charge for Laparoscopic Cholecystectomy without C.d.e. with Complications?
Across 597 U.S. hospitals, the middle charge for Laparoscopic Cholecystectomy without C.d.e. with Complications is $82,409. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $59,457 and the dearest quarter over $109,458.
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 Laparoscopic Cholecystectomy without C.d.e. with Complications, the hospitals in the dearest tenth charge about 3.5x 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. $15,033 is roughly what Medicare actually paid per case, against an average charge of $94,193. 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 418: “LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. 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.