Inpatient stays / DRG 406
MS-DRG 406 · 127 hospitals · 4,671 stays
DRG 406: Pancreas, Liver and Shunt Procedures with CC
Medicare patients had 4,671 stays in DRG 406 in 2024. Hospitals charged an average of $161,923 per stay and were paid $31,740 — a ratio of 5.1 to 1 — of which Medicare's own share averaged $24,981. Average charges ran from $42,687 at the least expensive hospital to $553,306 at the most; half of hospitals charged between $112,373 and $182,006.
- 1Average charge $161,923
- 2Average paid $31,740
- 3Reporting hospitals 127
- 4Medicare stays 4,671
By state
Average charges for DRG 406 were highest in California ($260,689) and lowest in Maryland ($54,816). Payments vary far less than charges, because Medicare sets them: they range across states from $21,533 to $48,839.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 457 | $260,689 | $44,684 | 5.8× |
| Colorado | 76 | $224,968 | $28,907 | 7.8× |
| Florida | 287 | $209,701 | $28,407 | 7.4× |
| New York | 263 | $204,282 | $37,692 | 5.4× |
| Alabama | 55 | $202,691 | $25,800 | 7.9× |
| New Jersey | 119 | $195,539 | $29,552 | 6.6× |
| Pennsylvania | 280 | $194,041 | $30,571 | 6.3× |
| Oklahoma | 44 | $190,398 | $23,426 | 8.1× |
| Texas | 303 | $177,773 | $27,452 | 6.5× |
| New Hampshire | 25 | $176,941 | $37,148 | 4.8× |
| Louisiana | 56 | $173,967 | $29,404 | 5.9× |
| Georgia | 123 | $159,787 | $27,445 | 5.8× |
| Arizona | 112 | $157,248 | $29,274 | 5.4× |
| Virginia | 148 | $155,083 | $29,001 | 5.3× |
| District of Columbia | 38 | $154,670 | $37,143 | 4.2× |
| Washington | 93 | $153,545 | $29,691 | 5.2× |
| Indiana | 99 | $143,343 | $26,043 | 5.5× |
| South Carolina | 84 | $142,914 | $27,266 | 5.2× |
| Wisconsin | 89 | $142,439 | $30,954 | 4.6× |
| Idaho | 12 | $142,099 | $29,310 | 4.8× |
| Illinois | 208 | $139,708 | $30,197 | 4.6× |
| Iowa | 32 | $139,627 | $25,166 | 5.5× |
| Ohio | 176 | $137,180 | $28,126 | 4.9× |
| Tennessee | 117 | $135,446 | $25,026 | 5.4× |
| Oregon | 38 | $134,343 | $32,741 | 4.1× |
| Kansas | 60 | $131,126 | $23,595 | 5.6× |
| Missouri | 99 | $126,557 | $27,084 | 4.7× |
| Kentucky | 63 | $122,375 | $23,358 | 5.2× |
| South Dakota | 13 | $121,624 | $23,007 | 5.3× |
| Connecticut | 56 | $116,899 | $35,481 | 3.3× |
| Massachusetts | 201 | $115,592 | $34,559 | 3.3× |
| Minnesota | 135 | $113,717 | $35,898 | 3.2× |
| Michigan | 109 | $112,467 | $30,663 | 3.7× |
| West Virginia | 27 | $111,326 | $24,899 | 4.5× |
| Delaware | 13 | $109,845 | $28,231 | 3.9× |
| North Carolina | 155 | $108,014 | $27,717 | 3.9× |
| Nebraska | 55 | $106,102 | $25,750 | 4.1× |
| Hawaii | 16 | $96,763 | $33,458 | 2.9× |
| Arkansas | 35 | $93,825 | $25,683 | 3.7× |
| Utah | 47 | $93,025 | $27,568 | 3.4× |
| Maine | 18 | $87,790 | $26,174 | 3.4× |
| Rhode Island | 15 | $75,941 | $36,082 | 2.1× |
| North Dakota | 11 | $74,594 | $24,090 | 3.1× |
| Montana | 11 | $68,837 | $21,533 | 3.2× |
| Mississippi | 14 | $59,975 | $24,171 | 2.5× |
| Maryland | 155 | $54,816 | $48,839 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| HCA Florida North Florida Hospital Gainesville, FL · 11 stays | $553,306 | $34,434 |
| Cedars-Sinai Medical Center Los Angeles, CA · 26 stays | $510,002 | $32,863 |
| Stanford Health Care Stanford, CA · 73 stays | $406,480 | $54,405 |
| Grandview Medical Center Birmingham, AL · 16 stays | $359,097 | $20,456 |
| NYU Langone Hospitals New York, NY · 45 stays | $345,114 | $43,515 |
| Tampa General Hospital Tampa, FL · 18 stays | $333,280 | $36,696 |
| Adventhealth Orlando Orlando, FL · 18 stays | $295,117 | $36,590 |
| UCSF Medical Center San Francisco, CA · 36 stays | $281,039 | $52,224 |
| Adventhealth Tampa Tampa, FL · 11 stays | $279,125 | $19,999 |
| St David's Medical Center Austin, TX · 24 stays | $274,046 | $22,347 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Mercy Medical Center Inc Baltimore, MD · 12 stays | $42,687 | $37,267 |
| Johns Hopkins Hospital, the Baltimore, MD · 95 stays | $58,090 | $51,285 |
| University of Utah Hospital and Clinics Salt Lake City, UT · 17 stays | $59,295 | $28,347 |
| Uams Medical Center Little Rock, AR · 15 stays | $62,367 | $25,964 |
| Beth Israel Deaconess Medical Center Boston, MA · 46 stays | $63,341 | $35,829 |
| UNC Hospitals Chapel Hill, NC · 12 stays | $66,322 | $32,611 |
| St Peter's Hospital Albany, NY · 12 stays | $69,220 | $24,362 |
| Rex Hospital Raleigh, NC · 11 stays | $71,234 | $19,912 |
| Methodist Hospital Omaha, NE · 15 stays | $71,506 | $19,420 |
| Baylor Regional Medical Center at Plano Plano, TX · 11 stays | $72,821 | $23,635 |
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.