Malignancy of Hepatobiliary System or Pancreas with Major Complications — what U.S. hospitals charge
MS-DRG 435 · Inpatient stay · 391 U.S. hospitals publish a price
Cheapest quarter
under $59,901
Typical charge
$81,674
Dearest quarter
over $120,839
Actually paid
$18,578
The middle U.S. hospital bills $81,674 for Malignancy of Hepatobiliary System or Pancreas with Major Complications. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $18,578 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 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 | 13 | $25,256 | $20,320 – $51,020 |
| Massachusetts | 13 | $42,716 | $19,594 – $89,621 |
| Michigan | 9 | $52,363 | $39,033 – $86,045 |
| Idaho | 3 | $57,021 | $34,585 – $81,733 |
| Minnesota | 6 | $57,491 | $33,582 – $71,562 |
| Virginia | 15 | $58,933 | $35,257 – $147,515 |
| North Carolina | 12 | $59,489 | $40,990 – $102,900 |
| Louisiana | 4 | $60,177 | $31,765 – $65,296 |
| Oregon | 7 | $60,747 | $30,948 – $78,297 |
| Arkansas | 3 | $61,812 | $39,400 – $77,203 |
| Connecticut | 4 | $62,830 | $58,383 – $97,023 |
| South Carolina | 6 | $62,939 | $48,317 – $132,625 |
| Missouri | 4 | $63,209 | $39,553 – $108,117 |
| Ohio | 12 | $66,952 | $42,028 – $107,458 |
| Tennessee | 9 | $73,486 | $27,316 – $143,745 |
| Arizona | 10 | $74,503 | $61,186 – $130,719 |
| Kentucky | 5 | $74,682 | $46,987 – $99,015 |
| Indiana | 5 | $76,216 | $56,086 – $84,412 |
| Illinois | 23 | $79,884 | $47,367 – $113,526 |
| Florida | 31 | $81,566 | $41,526 – $233,014 |
| Washington | 9 | $82,223 | $51,201 – $98,163 |
| Wisconsin | 4 | $88,649 | $51,364 – $197,347 |
| Georgia | 10 | $90,902 | $57,423 – $126,932 |
| Alabama | 3 | $95,275 | $83,075 – $165,684 |
| Kansas | 5 | $97,088 | $74,514 – $192,148 |
| Pennsylvania | 21 | $109,310 | $59,415 – $233,891 |
| New Jersey | 21 | $114,926 | $84,808 – $260,802 |
| District of Columbia | 3 | $115,057 | $64,805 – $292,377 |
| Oklahoma | 5 | $116,770 | $65,599 – $142,454 |
| Texas | 23 | $122,215 | $62,801 – $307,178 |
| California | 45 | $126,661 | $68,982 – $373,999 |
| New York | 26 | $131,568 | $36,920 – $260,510 |
| Nevada | 3 | $163,728 | $57,224 – $187,715 |
Where Malignancy of Hepatobiliary System or Pancreas 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 |
|---|---|---|
|
Beth Israel Deaconess Hospital Plymouth
Plymouth, MA |
$19,594 | $13,885 |
|
Adventist Healthcare White Oak Medical Center
Silver Spring, MD |
$20,320 | $18,200 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$21,705 | $19,329 |
|
Adventist Healthcare Shady Grove Medical Center
Rockville, MD |
$24,322 | $21,520 |
|
Luminis Health Doctors Community Medical Ctr, Inc
Lanham, MD |
$24,586 | $23,181 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$25,080 | $22,482 |
|
Mercy Medical Center Inc
Baltimore, MD |
$25,161 | $21,858 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$25,256 | $23,089 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$25,530 | $23,080 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$25,938 | $24,093 |
|
Parkwest Medical Center
Knoxville, TN |
$27,316 | $11,305 |
|
South Shore Hospital
South Weymouth, MA |
$27,758 | $14,186 |
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 |
|---|---|---|
|
Good Samaritan Hospital
San Jose, CA |
$373,999 | $20,390 |
|
Stanford Health Care
Stanford, CA |
$359,660 | $37,237 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$318,110 | $27,158 |
|
Medical City Plano
Plano, TX |
$307,178 | $15,921 |
|
University Of California Davis Medical Center
Sacramento, CA |
$303,239 | $44,453 |
|
George Washington Univ Hospital
Washington, DC |
$292,377 | $31,283 |
|
Saint Peter's University Hospital
New Brunswick, NJ |
$260,802 | $18,344 |
|
Montefiore Medical Center
Bronx, NY |
$260,510 | $31,570 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$238,540 | $18,705 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$233,891 | $26,335 |
|
Hca Florida Oak Hill Hospital
Brooksville, FL |
$233,014 | $16,276 |
|
Torrance Memorial Medical Center
Torrance, CA |
$222,369 | $21,790 |
Questions people ask
What do U.S. hospitals charge for Malignancy of Hepatobiliary System or Pancreas with Major Complications?
Across 391 U.S. hospitals, the middle charge for Malignancy of Hepatobiliary System or Pancreas with Major Complications is $81,674. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $59,901 and the dearest quarter over $120,839.
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 Major Complications, the hospitals in the dearest tenth charge about 3.8x 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. $18,578 is roughly what Medicare actually paid per case, against an average charge of $103,233. 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 435: “MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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.