Inpatient stays / DRG 418
MS-DRG 418 · 597 hospitals · 18,353 stays
DRG 418: Laparoscopic Cholecystectomy without C.D.E. with CC
Medicare patients had 18,353 stays in DRG 418 in 2024. Hospitals charged an average of $93,210 per stay and were paid $15,160 — a ratio of 6.1 to 1 — of which Medicare's own share averaged $12,029. Average charges ran from $18,523 at the least expensive hospital to $412,963 at the most; half of hospitals charged between $59,402 and $109,522.
- 1Average charge $93,210
- 2Average paid $15,160
- 3Reporting hospitals 597
- 4Medicare stays 18,353
By state
Average charges for DRG 418 were highest in Nevada ($173,625) and lowest in Maryland ($24,381). Payments vary far less than charges, because Medicare sets them: they range across states from $11,799 to $21,905.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 174 | $173,625 | $16,113 | 10.8× |
| California | 1,602 | $142,669 | $19,998 | 7.1× |
| Florida | 1,715 | $140,303 | $13,472 | 10.4× |
| Alaska | 42 | $126,926 | $21,393 | 5.9× |
| Colorado | 256 | $116,565 | $13,541 | 8.6× |
| Texas | 1,419 | $114,067 | $14,157 | 8.1× |
| New Jersey | 587 | $113,450 | $16,015 | 7.1× |
| New York | 872 | $101,928 | $19,743 | 5.2× |
| Arizona | 471 | $99,573 | $14,647 | 6.8× |
| District of Columbia | 20 | $99,545 | $19,183 | 5.2× |
| Alabama | 272 | $98,139 | $12,608 | 7.8× |
| New Mexico | 91 | $96,827 | $14,665 | 6.6× |
| South Carolina | 356 | $94,864 | $14,171 | 6.7× |
| Kansas | 210 | $90,993 | $12,863 | 7.1× |
| Washington | 329 | $89,823 | $15,190 | 5.9× |
| Virginia | 507 | $88,626 | $13,618 | 6.5× |
| Pennsylvania | 735 | $88,218 | $14,199 | 6.2× |
| New Hampshire | 112 | $86,109 | $17,961 | 4.8× |
| Georgia | 449 | $85,804 | $15,203 | 5.6× |
| Louisiana | 291 | $82,354 | $12,549 | 6.6× |
| Illinois | 743 | $82,000 | $15,911 | 5.2× |
| Indiana | 463 | $79,090 | $13,438 | 5.9× |
| Oklahoma | 292 | $78,576 | $13,087 | 6× |
| Connecticut | 156 | $74,943 | $18,425 | 4.1× |
| Tennessee | 380 | $74,413 | $13,423 | 5.5× |
| Mississippi | 222 | $73,167 | $11,799 | 6.2× |
| Ohio | 611 | $73,043 | $13,253 | 5.5× |
| Missouri | 414 | $70,814 | $13,212 | 5.4× |
| Idaho | 115 | $69,532 | $14,622 | 4.8× |
| Kentucky | 290 | $68,667 | $12,256 | 5.6× |
| North Carolina | 620 | $66,890 | $14,211 | 4.7× |
| Wisconsin | 351 | $65,638 | $13,741 | 4.8× |
| Wyoming | 40 | $65,274 | $18,447 | 3.5× |
| West Virginia | 124 | $65,036 | $12,598 | 5.2× |
| South Dakota | 105 | $62,499 | $14,425 | 4.3× |
| Oregon | 168 | $61,943 | $16,621 | 3.7× |
| Vermont | 24 | $60,375 | $12,720 | 4.7× |
| Hawaii | 57 | $59,555 | $20,549 | 2.9× |
| Michigan | 477 | $59,541 | $14,807 | 4× |
| Iowa | 193 | $59,439 | $12,465 | 4.8× |
| Delaware | 84 | $58,371 | $14,321 | 4.1× |
| Nebraska | 179 | $58,330 | $13,733 | 4.2× |
| Maine | 67 | $57,413 | $14,694 | 3.9× |
| Arkansas | 205 | $57,349 | $12,207 | 4.7× |
| Utah | 92 | $53,863 | $13,945 | 3.9× |
| Minnesota | 314 | $52,147 | $14,993 | 3.5× |
| North Dakota | 74 | $48,609 | $13,215 | 3.7× |
| Massachusetts | 495 | $48,274 | $16,807 | 2.9× |
| Rhode Island | 53 | $47,123 | $16,301 | 2.9× |
| Montana | 83 | $45,406 | $13,772 | 3.3× |
| Maryland | 352 | $24,381 | $21,905 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| HCA Florida Oak Hill Hospital Brooksville, FL · 19 stays | $412,963 | $15,117 |
| Northbay Medical Center Fairfield, CA · 17 stays | $379,555 | $22,911 |
| Good Samaritan Hospital San Jose, CA · 18 stays | $315,174 | $19,462 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 21 stays | $296,624 | $17,376 |
| Cedars-Sinai Medical Center Los Angeles, CA · 31 stays | $288,264 | $21,103 |
| HCA Florida Bayonet Point Hospital Hudson, FL · 12 stays | $287,248 | $24,184 |
| Summerlin Hospital Medical Center Las Vegas, NV · 13 stays | $283,356 | $16,024 |
| Baldwin Health Foley, AL · 13 stays | $273,253 | $12,929 |
| HCA Florida Gulf Coast Hospital Panama City, FL · 15 stays | $272,404 | $12,320 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 12 stays | $264,159 | $13,769 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Adventist Healthcare Shady Grove Medical Center Rockville, MD · 12 stays | $18,523 | $16,363 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 27 stays | $18,786 | $17,286 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 18 stays | $19,765 | $18,435 |
| University of MD St Joseph Medical Center Towson, MD · 15 stays | $20,004 | $17,750 |
| Atlantic General Hospital Berlin, MD · 14 stays | $20,031 | $18,356 |
| Meritus Medical Center Hagerstown, MD · 22 stays | $20,260 | $18,663 |
| Umass Memorial Health-Milford Regional Medical Ctr Milford, MA · 11 stays | $21,212 | $14,487 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 12 stays | $22,697 | $21,249 |
| Carroll Hospital Center Westminster, MD · 14 stays | $22,905 | $20,200 |
| Greater Baltimore Medical Center Baltimore, MD · 15 stays | $23,358 | $20,860 |
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.