Inpatient stays / DRG 417
MS-DRG 417 · 259 hospitals · 10,845 stays
DRG 417: Laparoscopic Cholecystectomy without C.D.E. with MCC
Medicare patients had 10,845 stays in DRG 417 in 2024. Hospitals charged an average of $124,948 per stay and were paid $21,530 — a ratio of 5.8 to 1 — of which Medicare's own share averaged $18,012. Average charges ran from $27,228 at the least expensive hospital to $535,092 at the most; half of hospitals charged between $81,860 and $145,476.
- 1Average charge $124,948
- 2Average paid $21,530
- 3Reporting hospitals 259
- 4Medicare stays 10,845
By state
Average charges for DRG 417 were highest in Nevada ($236,827) and lowest in Maryland ($31,925). Payments vary far less than charges, because Medicare sets them: they range across states from $17,103 to $37,275.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 131 | $236,827 | $22,034 | 10.7× |
| Alaska | 20 | $233,599 | $37,275 | 6.3× |
| California | 1,095 | $191,092 | $27,975 | 6.8× |
| Florida | 908 | $186,509 | $19,097 | 9.8× |
| New Jersey | 364 | $164,982 | $23,183 | 7.1× |
| Texas | 943 | $149,325 | $20,050 | 7.4× |
| Colorado | 167 | $141,770 | $20,872 | 6.8× |
| New York | 466 | $137,026 | $27,515 | 5× |
| Kansas | 118 | $125,949 | $19,560 | 6.4× |
| Alabama | 162 | $125,392 | $18,380 | 6.8× |
| South Carolina | 186 | $122,953 | $19,200 | 6.4× |
| Washington | 220 | $120,995 | $23,465 | 5.2× |
| Georgia | 283 | $119,501 | $22,107 | 5.4× |
| Pennsylvania | 348 | $117,054 | $21,344 | 5.5× |
| Arizona | 282 | $114,844 | $20,664 | 5.6× |
| Virginia | 337 | $112,515 | $20,335 | 5.5× |
| Missouri | 251 | $106,721 | $19,222 | 5.6× |
| Louisiana | 156 | $105,413 | $18,472 | 5.7× |
| Illinois | 445 | $105,003 | $21,529 | 4.9× |
| Indiana | 270 | $102,046 | $18,613 | 5.5× |
| Mississippi | 113 | $101,790 | $17,235 | 5.9× |
| Ohio | 392 | $99,206 | $18,758 | 5.3× |
| Oklahoma | 180 | $97,475 | $18,511 | 5.3× |
| New Mexico | 72 | $96,355 | $21,388 | 4.5× |
| Connecticut | 77 | $92,698 | $26,172 | 3.5× |
| New Hampshire | 62 | $91,995 | $22,055 | 4.2× |
| North Carolina | 306 | $91,775 | $20,015 | 4.6× |
| Tennessee | 257 | $91,548 | $18,722 | 4.9× |
| Nebraska | 107 | $86,148 | $20,367 | 4.2× |
| Idaho | 82 | $85,583 | $18,512 | 4.6× |
| Hawaii | 47 | $85,337 | $27,133 | 3.1× |
| West Virginia | 69 | $83,813 | $19,462 | 4.3× |
| Oregon | 137 | $83,651 | $25,453 | 3.3× |
| Arkansas | 118 | $83,197 | $17,172 | 4.8× |
| Kentucky | 184 | $82,982 | $17,103 | 4.9× |
| Delaware | 41 | $80,453 | $19,807 | 4.1× |
| Wisconsin | 172 | $80,371 | $19,498 | 4.1× |
| Michigan | 242 | $80,341 | $20,661 | 3.9× |
| Rhode Island | 20 | $79,464 | $22,489 | 3.5× |
| Maine | 39 | $79,259 | $23,408 | 3.4× |
| South Dakota | 70 | $79,200 | $19,846 | 4× |
| Utah | 48 | $78,998 | $19,126 | 4.1× |
| Minnesota | 209 | $74,112 | $21,107 | 3.5× |
| Massachusetts | 224 | $66,874 | $23,531 | 2.8× |
| Iowa | 125 | $66,308 | $17,290 | 3.8× |
| Wyoming | 17 | $58,728 | $24,327 | 2.4× |
| North Dakota | 42 | $58,644 | $18,401 | 3.2× |
| Montana | 55 | $58,588 | $18,749 | 3.1× |
| Maryland | 165 | $31,925 | $28,923 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 21 stays | $535,092 | $39,769 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 11 stays | $440,061 | $27,661 |
| Good Samaritan Hospital San Jose, CA · 15 stays | $425,133 | $25,749 |
| Northwest Texas Hospital Amarillo, TX · 12 stays | $353,541 | $33,447 |
| Stanford Health Care Stanford, CA · 13 stays | $348,611 | $40,123 |
| Centennial Hills Hospital Medical Center Las Vegas, NV · 13 stays | $340,995 | $20,635 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 13 stays | $328,545 | $30,681 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 15 stays | $328,487 | $21,285 |
| Delray Medical Center Delray Beach, FL · 11 stays | $327,124 | $15,294 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 13 stays | $322,375 | $28,445 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Frederick Health Hospital Frederick, MD · 11 stays | $27,228 | $24,508 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 11 stays | $29,164 | $27,040 |
| University of MD St Joseph Medical Center Towson, MD · 12 stays | $31,739 | $28,151 |
| Billings Clinic Hospital Billings, MT · 11 stays | $33,249 | $18,433 |
| Winchester Medical Center Winchester, VA · 16 stays | $44,541 | $18,725 |
| Baystate Medical Center Springfield, MA · 22 stays | $45,574 | $25,392 |
| Mercy Hospital Oklahoma City, Inc Oklahoma City, OK · 18 stays | $47,227 | $16,323 |
| Rex Hospital Raleigh, NC · 16 stays | $47,907 | $17,376 |
| Silver Cross Hospital and Medical Centers New Lenox, IL · 17 stays | $48,933 | $17,001 |
| Mercy Hospital St Louis Saint Louis, MO · 12 stays | $49,243 | $17,356 |
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.