Laparoscopic Cholecystectomy without C.d.e. with Major Complications — what U.S. hospitals charge
MS-DRG 417 · Inpatient stay · 259 U.S. hospitals publish a price
Cheapest quarter
under $82,402
Typical charge
$105,138
Dearest quarter
over $145,352
Actually paid
$21,059
The middle U.S. hospital bills $105,138 for Laparoscopic Cholecystectomy without C.d.e. with Major Complications. The dearest hospitals charge about 3.7x what the cheapest do for the same coded work. Medicare actually paid about $21,059 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 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 | $29,164 | $27,228 – $31,739 |
| Massachusetts | 4 | $62,234 | $45,575 – $101,571 |
| Iowa | 4 | $70,363 | $51,119 – $104,347 |
| Michigan | 5 | $70,424 | $55,597 – $102,960 |
| Virginia | 8 | $73,089 | $44,541 – $317,453 |
| Missouri | 7 | $76,328 | $49,243 – $83,661 |
| Minnesota | 8 | $77,650 | $52,185 – $102,741 |
| Nebraska | 3 | $82,949 | $51,518 – $93,748 |
| Tennessee | 8 | $82,952 | $65,945 – $127,605 |
| Alabama | 3 | $83,814 | $70,728 – $294,136 |
| Kentucky | 3 | $84,140 | $74,004 – $102,830 |
| North Carolina | 8 | $87,596 | $47,907 – $150,993 |
| South Dakota | 3 | $88,019 | $70,895 – $92,989 |
| Oklahoma | 7 | $90,712 | $47,227 – $144,181 |
| New Mexico | 3 | $91,281 | $65,094 – $92,359 |
| Louisiana | 4 | $93,829 | $75,962 – $109,129 |
| Wisconsin | 3 | $96,344 | $54,212 – $103,661 |
| Arizona | 10 | $98,345 | $58,474 – $145,476 |
| Pennsylvania | 5 | $103,909 | $63,256 – $180,495 |
| Illinois | 11 | $108,012 | $48,933 – $169,218 |
| South Carolina | 4 | $112,063 | $89,957 – $217,354 |
| Indiana | 7 | $113,341 | $63,723 – $134,046 |
| Ohio | 10 | $114,610 | $64,989 – $130,677 |
| Colorado | 3 | $115,280 | $83,184 – $145,023 |
| Texas | 23 | $125,553 | $63,529 – $440,061 |
| New Jersey | 11 | $140,687 | $97,564 – $249,722 |
| Florida | 21 | $141,340 | $71,528 – $327,124 |
| New York | 11 | $143,971 | $61,360 – $227,110 |
| Washington | 5 | $146,697 | $104,147 – $227,596 |
| Georgia | 3 | $148,735 | $84,750 – $156,656 |
| California | 27 | $154,594 | $96,413 – $535,092 |
| Kansas | 3 | $224,875 | $77,432 – $233,408 |
| Nevada | 4 | $279,604 | $64,738 – $340,995 |
Where Laparoscopic Cholecystectomy without C.d.e. 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 |
|---|---|---|
|
Frederick Health Hospital
Frederick, MD |
$27,228 | $24,508 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$29,164 | $27,040 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$31,739 | $28,151 |
|
Billings Clinic Hospital
Billings, MT |
$33,249 | $18,433 |
|
Winchester Medical Center
Winchester, VA |
$44,541 | $18,725 |
|
Baystate Medical Center
Springfield, MA |
$45,575 | $25,392 |
|
Mercy Hospital Oklahoma City, Inc
Oklahoma City, OK |
$47,227 | $16,323 |
|
Rex Hospital
Raleigh, NC |
$47,907 | $17,376 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$48,933 | $17,001 |
|
Mercy Hospital St Louis
Saint Louis, MO |
$49,243 | $17,356 |
|
Mercy Hospital South
Saint Louis, MO |
$50,032 | $16,075 |
|
Genesis Medical Center-Davenport
Davenport, IA |
$51,119 | $16,966 |
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 |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$535,092 | $39,769 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$440,061 | $27,661 |
|
Good Samaritan Hospital
San Jose, CA |
$425,133 | $25,749 |
|
Northwest Texas Hospital
Amarillo, TX |
$353,541 | $33,447 |
|
Stanford Health Care
Stanford, CA |
$348,611 | $40,123 |
|
Centennial Hills Hospital Medical Center
Las Vegas, NV |
$340,995 | $20,635 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$328,545 | $30,681 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$328,487 | $21,285 |
|
Delray Medical Center
Delray Beach, FL |
$327,124 | $15,294 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$322,375 | $28,445 |
|
Cjw Medical Center
Richmond, VA |
$317,453 | $25,718 |
|
Hca Florida Gulf Coast Hospital
Panama City, FL |
$314,860 | $18,041 |
Questions people ask
What do U.S. hospitals charge for Laparoscopic Cholecystectomy without C.d.e. with Major Complications?
Across 259 U.S. hospitals, the middle charge for Laparoscopic Cholecystectomy without C.d.e. with Major Complications is $105,138. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $82,402 and the dearest quarter over $145,352.
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 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. $21,059 is roughly what Medicare actually paid per case, against an average charge of $128,966. 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 417: “LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. 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.