Inpatient stays / DRG 445
MS-DRG 445 · 504 hospitals · 16,645 stays
DRG 445: Disorders of The Biliary Tract with CC
Medicare patients had 16,645 stays in DRG 445 in 2024. Hospitals charged an average of $58,184 per stay and were paid $10,692 — a ratio of 5.4 to 1 — of which Medicare's own share averaged $8,337. Average charges ran from $12,875 at the least expensive hospital to $207,517 at the most; half of hospitals charged between $38,370 and $73,399.
- 1Average charge $58,184
- 2Average paid $10,692
- 3Reporting hospitals 504
- 4Medicare stays 16,645
By state
Average charges for DRG 445 were highest in Nevada ($108,693) and lowest in Maryland ($16,555). Payments vary far less than charges, because Medicare sets them: they range across states from $6,514 to $14,984.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 179 | $108,693 | $10,352 | 10.5× |
| California | 1,614 | $90,875 | $13,464 | 6.7× |
| New Jersey | 576 | $83,717 | $10,861 | 7.7× |
| Florida | 1,391 | $78,155 | $9,513 | 8.2× |
| Texas | 1,000 | $72,996 | $10,542 | 6.9× |
| Colorado | 193 | $71,915 | $9,609 | 7.5× |
| New York | 1,062 | $68,743 | $13,397 | 5.1× |
| Pennsylvania | 916 | $63,656 | $9,915 | 6.4× |
| Arizona | 357 | $60,822 | $9,967 | 6.1× |
| Kansas | 148 | $60,546 | $8,978 | 6.7× |
| Alaska | 36 | $58,151 | $13,751 | 4.2× |
| Alabama | 181 | $57,508 | $8,991 | 6.4× |
| Georgia | 365 | $56,101 | $10,654 | 5.3× |
| District of Columbia | 54 | $53,243 | $12,338 | 4.3× |
| Louisiana | 209 | $52,410 | $8,547 | 6.1× |
| New Mexico | 69 | $51,994 | $9,370 | 5.5× |
| Washington | 310 | $51,395 | $10,771 | 4.8× |
| Virginia | 446 | $49,426 | $9,742 | 5.1× |
| Tennessee | 288 | $49,098 | $9,129 | 5.4× |
| Kentucky | 218 | $49,037 | $8,390 | 5.8× |
| Connecticut | 203 | $48,614 | $12,594 | 3.9× |
| New Hampshire | 102 | $48,323 | $9,723 | 5× |
| South Carolina | 304 | $48,269 | $9,918 | 4.9× |
| Mississippi | 144 | $48,263 | $8,438 | 5.7× |
| Illinois | 735 | $48,214 | $10,755 | 4.5× |
| Oklahoma | 232 | $47,224 | $8,995 | 5.3× |
| South Dakota | 88 | $46,416 | $9,521 | 4.9× |
| Indiana | 400 | $44,507 | $9,342 | 4.8× |
| North Carolina | 529 | $43,583 | $10,398 | 4.2× |
| Missouri | 370 | $43,335 | $8,871 | 4.9× |
| Wisconsin | 251 | $42,185 | $9,345 | 4.5× |
| Ohio | 589 | $42,135 | $9,381 | 4.5× |
| Idaho | 52 | $41,990 | $9,328 | 4.5× |
| Utah | 82 | $41,931 | $10,739 | 3.9× |
| Delaware | 79 | $41,636 | $9,870 | 4.2× |
| Oregon | 151 | $40,678 | $11,691 | 3.5× |
| Iowa | 183 | $40,016 | $8,540 | 4.7× |
| Hawaii | 60 | $39,753 | $13,560 | 2.9× |
| Nebraska | 106 | $39,680 | $9,442 | 4.2× |
| North Dakota | 70 | $38,688 | $9,091 | 4.3× |
| West Virginia | 148 | $38,321 | $8,934 | 4.3× |
| Michigan | 426 | $36,976 | $10,409 | 3.6× |
| Maine | 81 | $36,759 | $9,806 | 3.7× |
| Rhode Island | 57 | $36,212 | $11,436 | 3.2× |
| Vermont | 28 | $35,943 | $6,514 | 5.5× |
| Minnesota | 208 | $35,205 | $10,709 | 3.3× |
| Arkansas | 161 | $34,464 | $8,050 | 4.3× |
| Massachusetts | 637 | $33,576 | $11,698 | 2.9× |
| Wyoming | 29 | $32,829 | $11,081 | 3× |
| Montana | 83 | $29,171 | $9,409 | 3.1× |
| Maryland | 445 | $16,555 | $14,984 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Desert Regional Medical Center Palm Springs, CA · 15 stays | $207,517 | $12,944 |
| Good Samaritan Hospital San Jose, CA · 14 stays | $198,076 | $12,106 |
| Westchester Medical Center Valhalla, NY · 12 stays | $196,162 | $14,330 |
| Cedars-Sinai Medical Center Los Angeles, CA · 62 stays | $190,903 | $14,768 |
| Stanford Health Care Stanford, CA · 35 stays | $184,040 | $18,797 |
| Manatee Memorial Hospital Bradenton, FL · 12 stays | $162,478 | $9,486 |
| Centennial Hills Hospital Medical Center Las Vegas, NV · 17 stays | $156,684 | $9,244 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 13 stays | $150,537 | $11,506 |
| Henderson Hospital Henderson, NV · 13 stays | $150,008 | $9,630 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 25 stays | $147,639 | $10,515 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Meritus Medical Center Hagerstown, MD · 12 stays | $12,875 | $11,928 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 29 stays | $13,359 | $12,106 |
| Frederick Health Hospital Frederick, MD · 24 stays | $13,769 | $12,643 |
| Umass Memorial Health-Milford Regional Medical Ctr Milford, MA · 17 stays | $13,912 | $9,295 |
| Medstar Southern Maryland Hospital Center Clinton, MD · 18 stays | $14,314 | $14,093 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 37 stays | $14,775 | $13,669 |
| Medstar Franklin Square Medical Center Rosedale, MD · 16 stays | $14,845 | $13,113 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 20 stays | $14,913 | $13,346 |
| University of MD St Joseph Medical Center Towson, MD · 15 stays | $15,549 | $13,822 |
| University of MD Shore Medical Center at Easton Easton, MD · 17 stays | $15,608 | $13,973 |
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.