CostGrade

Pancreas, Liver and Shunt Procedures with Major Complications — what U.S. hospitals charge

MS-DRG 405 · Inpatient stay · 88 U.S. hospitals publish a price

Cheapest quarter

under $191,536

Typical charge

$261,513

Dearest quarter

over $391,429

Actually paid

$65,924

The middle U.S. hospital bills $261,513 for Pancreas, Liver and Shunt Procedures with Major Complications. The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $65,924 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.

Pancreas, Liver and Shunt Procedures 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
Massachusetts 4 $160,552 $87,418 – $300,625
Illinois 3 $168,921 $163,167 – $288,752
Florida 7 $217,394 $139,000 – $510,625
Ohio 3 $227,866 $211,837 – $263,858
New Jersey 3 $260,822 $237,735 – $440,652
Washington 4 $274,434 $176,857 – $396,356
Arizona 3 $276,636 $191,749 – $284,971
Texas 7 $300,648 $130,205 – $525,768
New York 5 $416,276 $266,454 – $783,671
Pennsylvania 5 $458,140 $205,044 – $470,113
California 9 $531,740 $262,204 – $882,060

Where Pancreas, Liver and Shunt Procedures 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
University Of Md St Joseph Medical Center

Towson, MD

$52,213 $46,257
Lahey Hospital & Medical Center, Burlington

Burlington, MA

$87,418 $55,664
Johns Hopkins Hospital, The

Baltimore, MD

$96,083 $84,315
Essentia Health St Mary's Medical Center

Duluth, MN

$102,293 $53,080
Inova Fairfax Hospital

Falls Church, VA

$114,872 $46,370
Beth Israel Deaconess Medical Center

Boston, MA

$121,824 $79,453
Baylor University Medical Center

Dallas, TX

$130,205 $66,555
Intermountain Medical Center

Murray, UT

$137,423 $45,415
Jupiter Medical Center

Jupiter, FL

$139,000 $32,229
Deaconess Hospital Inc

Evansville, IN

$142,586 $38,310
Mayo Clinic Hospital Rochester

Rochester, MN

$157,835 $70,428
Duke University Hospital

Durham, NC

$160,783 $60,970

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

$882,060 $66,616
Westchester Medical Center

Valhalla, NY

$783,671 $96,170
Hoag Memorial Hospital Presbyterian

Newport Beach, CA

$718,601 $134,623
Stanford Health Care

Stanford, CA

$679,782 $95,291
Grandview Medical Center

Birmingham, AL

$669,769 $42,316
George Washington Univ Hospital

Washington, DC

$649,967 $76,702
Uc San Diego Health Hillcrest - Hillcrest Med Ctr

San Diego, CA

$591,614 $141,945
Nyu Langone Hospitals

New York, NY

$572,263 $92,825
O U Medical Center

Oklahoma City, OK

$547,429 $77,158
Ucsf Medical Center

San Francisco, CA

$531,740 $150,788
Medical City Plano

Plano, TX

$525,768 $34,456
Adventhealth Orlando

Orlando, FL

$510,625 $43,352

Questions people ask

What do U.S. hospitals charge for Pancreas, Liver and Shunt Procedures with Major Complications?

Across 88 U.S. hospitals, the middle charge for Pancreas, Liver and Shunt Procedures with Major Complications is $261,513. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $191,536 and the dearest quarter over $391,429.

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 Pancreas, Liver and Shunt Procedures 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. $65,924 is roughly what Medicare actually paid per case, against an average charge of $311,752. 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 405: “PANCREAS, LIVER AND SHUNT PROCEDURES 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.