Inpatient stays / DRG 405
MS-DRG 405 · 88 hospitals · 3,492 stays
DRG 405: Pancreas, Liver and Shunt Procedures with MCC
Medicare patients had 3,492 stays in DRG 405 in 2024. Hospitals charged an average of $288,397 per stay and were paid $63,019 — a ratio of 4.6 to 1 — of which Medicare's own share averaged $51,007. Average charges ran from $52,213 at the least expensive hospital to $882,060 at the most; half of hospitals charged between $191,108 and $394,714.
- 1Average charge $288,397
- 2Average paid $63,019
- 3Reporting hospitals 88
- 4Medicare stays 3,492
By state
Average charges for DRG 405 were highest in Nevada ($535,663) and lowest in Maryland ($88,492). Payments vary far less than charges, because Medicare sets them: they range across states from $40,803 to $93,015.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 14 | $535,663 | $49,724 | 10.8× |
| California | 373 | $475,339 | $93,015 | 5.1× |
| District of Columbia | 45 | $436,376 | $73,354 | 5.9× |
| Alabama | 39 | $394,913 | $48,065 | 8.2× |
| Colorado | 57 | $386,995 | $57,372 | 6.7× |
| New York | 255 | $379,165 | $76,603 | 4.9× |
| New Jersey | 93 | $329,737 | $59,453 | 5.5× |
| Oklahoma | 57 | $327,827 | $53,505 | 6.1× |
| Pennsylvania | 149 | $325,509 | $53,904 | 6× |
| Texas | 265 | $308,221 | $53,443 | 5.8× |
| Florida | 291 | $296,399 | $48,991 | 6.1× |
| Georgia | 102 | $293,830 | $65,457 | 4.5× |
| Virginia | 91 | $280,369 | $59,419 | 4.7× |
| Louisiana | 28 | $277,340 | $54,384 | 5.1× |
| Washington | 76 | $271,647 | $62,621 | 4.3× |
| Arizona | 82 | $271,424 | $56,341 | 4.8× |
| South Carolina | 71 | $261,909 | $60,651 | 4.3× |
| Missouri | 63 | $257,276 | $63,564 | 4× |
| Indiana | 82 | $250,717 | $51,079 | 4.9× |
| Hawaii | 11 | $244,975 | $75,068 | 3.3× |
| Kansas | 40 | $237,582 | $46,489 | 5.1× |
| Illinois | 132 | $234,561 | $73,153 | 3.2× |
| Iowa | 28 | $233,971 | $54,065 | 4.3× |
| Tennessee | 73 | $230,722 | $50,004 | 4.6× |
| Michigan | 75 | $212,273 | $64,768 | 3.3× |
| Oregon | 48 | $212,268 | $69,785 | 3× |
| Ohio | 128 | $210,609 | $52,701 | 4× |
| Connecticut | 36 | $198,940 | $63,319 | 3.1× |
| New Hampshire | 23 | $194,651 | $61,361 | 3.2× |
| Montana | 12 | $194,205 | $54,452 | 3.6× |
| Massachusetts | 122 | $193,967 | $68,835 | 2.8× |
| Wisconsin | 44 | $192,062 | $58,368 | 3.3× |
| South Dakota | 16 | $191,888 | $43,856 | 4.4× |
| Kentucky | 48 | $190,437 | $52,762 | 3.6× |
| North Dakota | 14 | $172,724 | $56,611 | 3.1× |
| Minnesota | 74 | $164,693 | $68,080 | 2.4× |
| North Carolina | 76 | $164,475 | $52,300 | 3.1× |
| Nebraska | 36 | $152,744 | $49,839 | 3.1× |
| West Virginia | 14 | $150,087 | $45,525 | 3.3× |
| Mississippi | 15 | $148,796 | $40,803 | 3.6× |
| Arkansas | 19 | $146,015 | $41,765 | 3.5× |
| Utah | 36 | $144,991 | $45,370 | 3.2× |
| Maryland | 87 | $88,492 | $78,626 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 33 stays | $882,060 | $66,616 |
| Westchester Medical Center Valhalla, NY · 12 stays | $783,671 | $96,170 |
| Hoag Memorial Hospital Presbyterian Newport Beach, CA · 13 stays | $718,601 | $134,623 |
| Stanford Health Care Stanford, CA · 38 stays | $679,782 | $95,291 |
| Grandview Medical Center Birmingham, AL · 14 stays | $669,769 | $42,316 |
| George Washington Univ Hospital Washington, DC · 14 stays | $649,966 | $76,702 |
| UC San Diego Health Hillcrest - Hillcrest Med Ctr San Diego, CA · 13 stays | $591,614 | $141,945 |
| NYU Langone Hospitals New York, NY · 57 stays | $572,263 | $92,825 |
| OU Health University of Oklahoma Medical Center Oklahoma City, OK · 15 stays | $547,429 | $77,158 |
| UCSF Medical Center San Francisco, CA · 32 stays | $531,740 | $150,788 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| University of MD St Joseph Medical Center Towson, MD · 11 stays | $52,213 | $46,257 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 16 stays | $87,418 | $55,664 |
| Johns Hopkins Hospital, the Baltimore, MD · 44 stays | $96,083 | $84,315 |
| Essentia Health St Mary's Medical Center Duluth, MN · 11 stays | $102,293 | $53,080 |
| Inova Fairfax Hospital Falls Church, VA · 17 stays | $114,872 | $46,370 |
| Beth Israel Deaconess Medical Center Boston, MA · 22 stays | $121,824 | $79,453 |
| Baylor University Medical Center Dallas, TX · 13 stays | $130,205 | $66,555 |
| Intermountain Medical Center Murray, UT · 24 stays | $137,422 | $45,415 |
| Jupiter Medical Center Jupiter, FL · 11 stays | $139,000 | $32,229 |
| Deaconess Hospital Inc Evansville, IN · 11 stays | $142,586 | $38,310 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.