Inpatient stays / DRG 436
MS-DRG 436 · 64 hospitals · 5,670 stays
DRG 436: Malignancy of Hepatobiliary System or Pancreas with CC
Medicare patients had 5,670 stays in DRG 436 in 2024. Hospitals charged an average of $60,432 per stay and were paid $11,406 — a ratio of 5.3 to 1 — of which Medicare's own share averaged $8,757. Average charges ran from $14,397 at the least expensive hospital to $233,900 at the most; half of hospitals charged between $39,250 and $78,942.
- 1Average charge $60,432
- 2Average paid $11,406
- 3Reporting hospitals 64
- 4Medicare stays 5,670
By state
Average charges for DRG 436 were highest in Nevada ($123,356) and lowest in Maryland ($18,621). Payments vary far less than charges, because Medicare sets them: they range across states from $8,230 to $16,795.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 53 | $123,356 | $11,006 | 11.2× |
| California | 607 | $98,761 | $14,509 | 6.8× |
| New Jersey | 252 | $89,082 | $11,362 | 7.8× |
| Colorado | 54 | $82,556 | $9,749 | 8.5× |
| Florida | 541 | $77,807 | $9,731 | 8× |
| New York | 324 | $77,348 | $14,806 | 5.2× |
| Texas | 349 | $75,294 | $11,557 | 6.5× |
| Pennsylvania | 286 | $61,785 | $10,648 | 5.8× |
| Alaska | 17 | $60,664 | $14,285 | 4.2× |
| Georgia | 145 | $56,359 | $11,919 | 4.7× |
| Arizona | 111 | $55,631 | $10,936 | 5.1× |
| Kansas | 50 | $53,357 | $8,940 | 6× |
| District of Columbia | 21 | $52,991 | $12,047 | 4.4× |
| Washington | 74 | $52,319 | $11,534 | 4.5× |
| Louisiana | 71 | $52,078 | $8,466 | 6.2× |
| Virginia | 156 | $51,370 | $9,924 | 5.2× |
| Alabama | 80 | $51,070 | $9,981 | 5.1× |
| South Carolina | 81 | $50,596 | $10,900 | 4.6× |
| Indiana | 132 | $50,539 | $9,344 | 5.4× |
| Oklahoma | 56 | $50,226 | $9,367 | 5.4× |
| Tennessee | 129 | $47,950 | $10,203 | 4.7× |
| Illinois | 275 | $47,912 | $11,147 | 4.3× |
| Connecticut | 58 | $47,720 | $12,966 | 3.7× |
| Missouri | 111 | $46,629 | $10,452 | 4.5× |
| Oregon | 36 | $44,298 | $12,003 | 3.7× |
| New Mexico | 17 | $42,166 | $9,581 | 4.4× |
| Kentucky | 74 | $41,910 | $8,999 | 4.7× |
| Maine | 23 | $41,682 | $9,693 | 4.3× |
| Nebraska | 33 | $41,436 | $9,523 | 4.4× |
| Wisconsin | 69 | $41,412 | $10,763 | 3.8× |
| Delaware | 37 | $41,065 | $10,134 | 4.1× |
| Ohio | 221 | $40,138 | $9,567 | 4.2× |
| West Virginia | 31 | $40,116 | $9,246 | 4.3× |
| Iowa | 47 | $39,580 | $9,046 | 4.4× |
| Hawaii | 14 | $39,427 | $12,895 | 3.1× |
| North Carolina | 179 | $38,797 | $10,512 | 3.7× |
| Minnesota | 83 | $38,453 | $11,337 | 3.4× |
| New Hampshire | 28 | $38,271 | $10,096 | 3.8× |
| Mississippi | 52 | $37,511 | $9,960 | 3.8× |
| South Dakota | 18 | $37,467 | $9,382 | 4× |
| Michigan | 137 | $36,506 | $10,599 | 3.4× |
| Rhode Island | 23 | $35,492 | $12,481 | 2.8× |
| Massachusetts | 194 | $33,886 | $12,000 | 2.8× |
| Idaho | 12 | $32,239 | $8,988 | 3.6× |
| Arkansas | 60 | $31,866 | $8,230 | 3.9× |
| Utah | 20 | $31,710 | $10,434 | 3× |
| Montana | 11 | $28,657 | $8,547 | 3.4× |
| North Dakota | 17 | $25,495 | $9,473 | 2.7× |
| Maryland | 189 | $18,621 | $16,795 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 19 stays | $233,900 | $15,169 |
| Stanford Health Care Stanford, CA · 13 stays | $181,390 | $23,949 |
| Montefiore Medical Center Bronx, NY · 12 stays | $161,687 | $17,566 |
| UCSF Medical Center San Francisco, CA · 14 stays | $148,006 | $20,796 |
| HCA Florida North Florida Hospital Gainesville, FL · 22 stays | $141,304 | $10,236 |
| El Camino Hospital Mountain View, CA · 12 stays | $128,206 | $12,572 |
| New York-Presbyterian Hospital New York, NY · 20 stays | $126,930 | $18,304 |
| North Shore University Hospital Manhasset, NY · 11 stays | $111,046 | $13,914 |
| NYU Langone Hospitals New York, NY · 20 stays | $108,487 | $16,181 |
| Adventhealth Orlando Orlando, FL · 32 stays | $98,305 | $11,041 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Frederick Health Hospital Frederick, MD · 12 stays | $14,397 | $13,044 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 12 stays | $15,516 | $14,294 |
| Winchester Medical Center Winchester, VA · 14 stays | $19,792 | $8,969 |
| Mercy Medical Center Inc Baltimore, MD · 11 stays | $21,154 | $18,271 |
| Johns Hopkins Hospital, the Baltimore, MD · 11 stays | $23,526 | $20,744 |
| Duke University Hospital Durham, NC · 14 stays | $30,312 | $14,637 |
| Mayo Clinic Hospital Phoenix, AZ · 12 stays | $31,422 | $14,464 |
| Silver Cross Hospital and Medical Centers New Lenox, IL · 11 stays | $32,048 | $8,947 |
| Novant Health New Hanover Regional Medical Center Wilmington, NC · 13 stays | $32,558 | $9,269 |
| Christianacare Newark, DE · 22 stays | $35,226 | $10,451 |
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.