Malignancy of Hepatobiliary System or Pancreas with Complications — what U.S. hospitals charge
MS-DRG 436 · Inpatient stay · 64 U.S. hospitals publish a price
Cheapest quarter
under $39,579
Typical charge
$54,100
Dearest quarter
over $78,574
Actually paid
$12,579
The middle U.S. hospital bills $54,100 for Malignancy of Hepatobiliary System or Pancreas with Complications. The dearest hospitals charge about 3.9x what the cheapest do for the same coded work. Medicare actually paid about $12,579 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.
Malignancy of Hepatobiliary System or Pancreas 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 | 4 | $18,335 | $14,397 – $23,526 |
| Illinois | 3 | $39,075 | $32,048 – $39,085 |
| Massachusetts | 3 | $49,529 | $35,695 – $69,180 |
| Ohio | 4 | $53,061 | $39,743 – $56,694 |
| Tennessee | 3 | $56,354 | $43,167 – $75,529 |
| Florida | 9 | $57,184 | $45,134 – $141,304 |
| Pennsylvania | 4 | $64,944 | $49,317 – $85,797 |
| New Jersey | 4 | $76,490 | $50,577 – $79,127 |
| New York | 5 | $111,046 | $56,821 – $161,687 |
| California | 6 | $138,107 | $59,654 – $233,900 |
Where Malignancy of Hepatobiliary System or Pancreas 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 |
|---|---|---|
|
Frederick Health Hospital
Frederick, MD |
$14,397 | $13,044 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$15,516 | $14,294 |
|
Winchester Medical Center
Winchester, VA |
$19,792 | $8,969 |
|
Mercy Medical Center Inc
Baltimore, MD |
$21,154 | $18,271 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$23,526 | $20,744 |
|
Duke University Hospital
Durham, NC |
$30,312 | $14,637 |
|
Mayo Clinic Hospital
Phoenix, AZ |
$31,422 | $14,464 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$32,048 | $8,947 |
|
Novant Health New Hanover Regional Medical Center
Wilmington, NC |
$32,558 | $9,269 |
|
Christiana Hospital
Newark, DE |
$35,226 | $10,451 |
|
Missouri Baptist Medical Center
Saint Louis, MO |
$35,544 | $8,122 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$35,695 | $15,149 |
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 |
$233,900 | $15,169 |
|
Stanford Health Care
Stanford, CA |
$181,390 | $23,949 |
|
Montefiore Medical Center
Bronx, NY |
$161,687 | $17,566 |
|
Ucsf Medical Center
San Francisco, CA |
$148,007 | $20,796 |
|
Hca Florida North Florida Hospital
Gainesville, FL |
$141,304 | $10,236 |
|
El Camino Health
Mountain View, CA |
$128,207 | $12,572 |
|
New York-Presbyterian Hospital
New York, NY |
$126,930 | $18,304 |
|
North Shore University Hospital
Manhasset, NY |
$111,046 | $13,914 |
|
Nyu Langone Hospitals
New York, NY |
$108,487 | $16,181 |
|
Adventhealth Orlando
Orlando, FL |
$98,305 | $11,041 |
|
Uc San Diego Health Hillcrest - Hillcrest Med Ctr
San Diego, CA |
$87,008 | $20,751 |
|
Methodist Hospital
San Antonio, TX |
$86,482 | $9,291 |
Questions people ask
What do U.S. hospitals charge for Malignancy of Hepatobiliary System or Pancreas with Complications?
Across 64 U.S. hospitals, the middle charge for Malignancy of Hepatobiliary System or Pancreas with Complications is $54,100. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $39,579 and the dearest quarter over $78,574.
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 Malignancy of Hepatobiliary System or Pancreas with Complications, the hospitals in the dearest tenth charge about 3.9x 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. $12,579 is roughly what Medicare actually paid per case, against an average charge of $68,480. 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 436: “MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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.