Inpatient stays / DRG 435
MS-DRG 435 · 391 hospitals · 13,345 stays
DRG 435: Malignancy of Hepatobiliary System or Pancreas with MCC
Medicare patients had 13,345 stays in DRG 435 in 2024. Hospitals charged an average of $94,481 per stay and were paid $18,294 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $14,647. Average charges ran from $19,594 at the least expensive hospital to $373,999 at the most; half of hospitals charged between $59,885 and $121,384.
- 1Average charge $94,481
- 2Average paid $18,294
- 3Reporting hospitals 391
- 4Medicare stays 13,345
By state
Average charges for DRG 435 were highest in California ($154,910) and lowest in Maryland ($29,390). Payments vary far less than charges, because Medicare sets them: they range across states from $12,979 to $26,546.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 1,471 | $154,910 | $23,713 | 6.5× |
| Nevada | 116 | $149,981 | $16,968 | 8.8× |
| District of Columbia | 61 | $142,883 | $25,442 | 5.6× |
| New York | 903 | $138,013 | $24,801 | 5.6× |
| New Jersey | 579 | $137,620 | $18,765 | 7.3× |
| Colorado | 135 | $114,107 | $16,169 | 7.1× |
| Texas | 852 | $113,191 | $17,325 | 6.5× |
| Florida | 1,062 | $109,440 | $14,709 | 7.4× |
| Pennsylvania | 612 | $108,365 | $16,713 | 6.5× |
| Kansas | 140 | $105,116 | $16,738 | 6.3× |
| Oklahoma | 153 | $93,660 | $15,177 | 6.2× |
| Georgia | 358 | $87,698 | $17,402 | 5× |
| Alabama | 145 | $87,196 | $15,464 | 5.6× |
| Hawaii | 40 | $83,842 | $26,546 | 3.2× |
| Arizona | 252 | $83,819 | $16,950 | 4.9× |
| Washington | 301 | $79,830 | $18,077 | 4.4× |
| Wisconsin | 181 | $76,269 | $16,517 | 4.6× |
| Illinois | 674 | $75,653 | $17,403 | 4.3× |
| Tennessee | 293 | $73,037 | $15,414 | 4.7× |
| Missouri | 258 | $72,719 | $16,060 | 4.5× |
| South Carolina | 202 | $72,673 | $15,722 | 4.6× |
| Virginia | 414 | $69,984 | $16,121 | 4.3× |
| Indiana | 275 | $68,201 | $14,821 | 4.6× |
| Connecticut | 154 | $67,724 | $20,084 | 3.4× |
| Kentucky | 178 | $66,642 | $14,620 | 4.6× |
| South Dakota | 39 | $65,737 | $15,066 | 4.4× |
| Utah | 61 | $65,428 | $17,218 | 3.8× |
| New Hampshire | 61 | $63,818 | $16,789 | 3.8× |
| Ohio | 497 | $63,532 | $15,640 | 4.1× |
| North Carolina | 355 | $61,777 | $17,067 | 3.6× |
| Louisiana | 137 | $60,911 | $14,214 | 4.3× |
| Oregon | 141 | $60,501 | $18,477 | 3.3× |
| Idaho | 62 | $57,736 | $15,704 | 3.7× |
| New Mexico | 61 | $57,006 | $16,674 | 3.4× |
| Arkansas | 108 | $56,702 | $14,007 | 4× |
| Nebraska | 63 | $56,628 | $14,839 | 3.8× |
| Delaware | 68 | $56,547 | $15,710 | 3.6× |
| Vermont | 28 | $56,408 | $16,028 | 3.5× |
| Maine | 31 | $55,845 | $16,772 | 3.3× |
| Michigan | 378 | $55,382 | $17,376 | 3.2× |
| West Virginia | 64 | $55,324 | $15,095 | 3.7× |
| Massachusetts | 502 | $54,569 | $20,420 | 2.7× |
| Minnesota | 195 | $54,198 | $16,833 | 3.2× |
| Mississippi | 89 | $54,003 | $12,979 | 4.2× |
| Iowa | 120 | $53,577 | $14,014 | 3.8× |
| Rhode Island | 33 | $51,393 | $17,522 | 2.9× |
| Montana | 39 | $44,855 | $16,678 | 2.7× |
| North Dakota | 38 | $44,629 | $14,701 | 3× |
| Maryland | 330 | $29,390 | $26,432 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Good Samaritan Hospital San Jose, CA · 15 stays | $373,999 | $20,390 |
| Stanford Health Care Stanford, CA · 64 stays | $359,660 | $37,237 |
| Cedars-Sinai Medical Center Los Angeles, CA · 73 stays | $318,110 | $27,158 |
| Medical City Plano Plano, TX · 13 stays | $307,178 | $15,921 |
| University of California Davis Medical Center Sacramento, CA · 26 stays | $303,239 | $44,453 |
| George Washington Univ Hospital Washington, DC · 13 stays | $292,377 | $31,283 |
| Saint Peter's University Hospital New Brunswick, NJ · 12 stays | $260,802 | $18,344 |
| Montefiore Medical Center Bronx, NY · 28 stays | $260,510 | $31,570 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 17 stays | $238,540 | $18,705 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 23 stays | $233,891 | $26,335 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Beth Israel Deaconess Hospital - Plymouth Plymouth, MA · 15 stays | $19,594 | $13,885 |
| Adventist Healthcare White Oak Medical Center Silver Spring, MD · 11 stays | $20,320 | $18,200 |
| University of MD St Joseph Medical Center Towson, MD · 14 stays | $21,705 | $19,329 |
| Adventist Healthcare Shady Grove Medical Center Rockville, MD · 12 stays | $24,322 | $21,520 |
| Luminis Health Doctors Community Medical Ctr, Inc Lanham, MD · 11 stays | $24,586 | $23,181 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 12 stays | $25,080 | $22,482 |
| Mercy Medical Center Inc Baltimore, MD · 13 stays | $25,161 | $21,858 |
| University of MD Upper Chesapeake Medical Center Bel Air, MD · 15 stays | $25,256 | $23,089 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 14 stays | $25,530 | $23,080 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 26 stays | $25,938 | $24,093 |
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.