Inpatient stays / DRG 441
MS-DRG 441 · 392 hospitals · 14,551 stays
DRG 441: Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC
Medicare patients had 14,551 stays in DRG 441 in 2024. Hospitals charged an average of $86,228 per stay and were paid $18,915 — a ratio of 4.6 to 1 — of which Medicare's own share averaged $15,414. Average charges ran from $16,145 at the least expensive hospital to $380,422 at the most; half of hospitals charged between $53,623 and $113,713.
- 1Average charge $86,228
- 2Average paid $18,915
- 3Reporting hospitals 392
- 4Medicare stays 14,551
By state
Average charges for DRG 441 were highest in Nevada ($148,443) and lowest in Maryland ($35,955). Payments vary far less than charges, because Medicare sets them: they range across states from $13,133 to $31,800.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 124 | $148,443 | $17,278 | 8.6× |
| New York | 741 | $138,082 | $25,904 | 5.3× |
| California | 1,783 | $131,827 | $24,107 | 5.5× |
| New Jersey | 402 | $129,369 | $19,645 | 6.6× |
| Kansas | 157 | $109,164 | $19,430 | 5.6× |
| Florida | 902 | $105,287 | $16,701 | 6.3× |
| Colorado | 202 | $104,998 | $15,967 | 6.6× |
| Pennsylvania | 648 | $102,879 | $18,351 | 5.6× |
| Texas | 1,301 | $100,232 | $17,662 | 5.7× |
| District of Columbia | 57 | $98,228 | $24,516 | 4× |
| Alaska | 27 | $88,733 | $23,151 | 3.8× |
| Arizona | 323 | $84,025 | $20,069 | 4.2× |
| Georgia | 314 | $78,324 | $18,652 | 4.2× |
| Washington | 294 | $78,253 | $18,948 | 4.1× |
| Oklahoma | 247 | $77,772 | $14,532 | 5.4× |
| Illinois | 559 | $74,271 | $18,921 | 3.9× |
| Connecticut | 123 | $71,704 | $19,817 | 3.6× |
| Maine | 39 | $70,043 | $22,045 | 3.2× |
| Alabama | 191 | $69,265 | $14,490 | 4.8× |
| Virginia | 423 | $68,908 | $18,207 | 3.8× |
| Missouri | 312 | $66,821 | $17,520 | 3.8× |
| Louisiana | 182 | $64,399 | $14,210 | 4.5× |
| Minnesota | 216 | $64,127 | $19,126 | 3.4× |
| Delaware | 56 | $63,575 | $16,367 | 3.9× |
| Tennessee | 352 | $62,158 | $15,466 | 4× |
| Wisconsin | 236 | $62,155 | $16,200 | 3.8× |
| Ohio | 460 | $61,151 | $16,368 | 3.7× |
| Indiana | 349 | $60,867 | $14,441 | 4.2× |
| South Dakota | 59 | $60,109 | $15,715 | 3.8× |
| North Carolina | 408 | $56,778 | $17,985 | 3.2× |
| Oregon | 172 | $56,589 | $18,171 | 3.1× |
| South Carolina | 261 | $56,532 | $14,674 | 3.9× |
| Kentucky | 230 | $55,793 | $14,025 | 4× |
| Massachusetts | 485 | $55,448 | $20,918 | 2.7× |
| Idaho | 63 | $54,243 | $14,341 | 3.8× |
| Michigan | 370 | $54,230 | $18,064 | 3× |
| New Hampshire | 81 | $53,998 | $16,007 | 3.4× |
| Wyoming | 29 | $53,795 | $18,711 | 2.9× |
| New Mexico | 107 | $52,545 | $17,093 | 3.1× |
| Hawaii | 47 | $52,397 | $23,126 | 2.3× |
| Utah | 115 | $51,843 | $17,246 | 3× |
| North Dakota | 57 | $51,798 | $15,534 | 3.3× |
| Arkansas | 123 | $49,229 | $13,133 | 3.7× |
| Nebraska | 119 | $48,744 | $16,929 | 2.9× |
| Vermont | 28 | $48,518 | $13,250 | 3.7× |
| West Virginia | 97 | $48,029 | $14,253 | 3.4× |
| Mississippi | 157 | $46,290 | $13,631 | 3.4× |
| Iowa | 141 | $45,274 | $14,020 | 3.2× |
| Montana | 68 | $44,843 | $15,756 | 2.8× |
| Rhode Island | 25 | $37,761 | $17,255 | 2.2× |
| Maryland | 289 | $35,955 | $31,800 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cedars-Sinai Medical Center Los Angeles, CA · 41 stays | $380,422 | $29,923 |
| Stanford Health Care Stanford, CA · 61 stays | $347,895 | $42,685 |
| Doctors Medical Center Modesto, CA · 12 stays | $338,343 | $17,833 |
| New York-Presbyterian Hospital New York, NY · 59 stays | $288,988 | $39,781 |
| Temple University Hospital Philadelphia, PA · 14 stays | $287,876 | $29,103 |
| Stony Brook University Hospital Stony Brook, NY · 25 stays | $285,893 | $45,866 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 37 stays | $256,313 | $33,238 |
| Houston Methodist Hospital Houston, TX · 56 stays | $255,150 | $32,917 |
| NYU Langone Hospitals New York, NY · 49 stays | $245,459 | $30,733 |
| Montefiore Medical Center Bronx, NY · 25 stays | $244,493 | $32,360 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Howard County Medical Center Columbia, MD · 13 stays | $16,145 | $14,604 |
| Carroll Hospital Center Westminster, MD · 12 stays | $19,863 | $17,538 |
| Frederick Health Hospital Frederick, MD · 11 stays | $20,719 | $18,664 |
| St Lukes Hospital Cedar Rapids, IA · 13 stays | $22,642 | $12,715 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 13 stays | $22,826 | $21,091 |
| Mercyone Genesis Davenport, IA · 12 stays | $22,830 | $12,638 |
| Brown University Health Morton Hospital Taunton, MA · 15 stays | $23,145 | $14,076 |
| Southeast Georgia Health System- Brunswick Campus Brunswick, GA · 11 stays | $24,362 | $16,516 |
| Baton Rouge General Medical Center Baton Rouge, LA · 12 stays | $24,557 | $13,235 |
| Umass Memorial Health-Milford Regional Medical Ctr Milford, MA · 15 stays | $25,394 | $13,868 |
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.