Inpatient stays / DRG 446
MS-DRG 446 · 36 hospitals · 5,020 stays
DRG 446: Disorders of The Biliary Tract without CC/MCC
Medicare patients had 5,020 stays in DRG 446 in 2024. Hospitals charged an average of $45,756 per stay and were paid $7,988 — a ratio of 5.7 to 1 — of which Medicare's own share averaged $5,710. Average charges ran from $14,427 at the least expensive hospital to $93,710 at the most; half of hospitals charged between $34,866 and $63,081.
- 1Average charge $45,756
- 2Average paid $7,988
- 3Reporting hospitals 36
- 4Medicare stays 5,020
By state
Average charges for DRG 446 were highest in Nevada ($77,946) and lowest in Maryland ($12,946). Payments vary far less than charges, because Medicare sets them: they range across states from $5,892 to $11,710.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 59 | $77,946 | $8,315 | 9.4× |
| California | 490 | $68,333 | $10,169 | 6.7× |
| Florida | 441 | $63,909 | $7,135 | 9× |
| New Jersey | 177 | $60,879 | $8,256 | 7.4× |
| Colorado | 62 | $60,026 | $6,962 | 8.6× |
| Texas | 306 | $58,184 | $7,644 | 7.6× |
| Alaska | 14 | $57,818 | $10,160 | 5.7× |
| Alabama | 72 | $50,031 | $6,848 | 7.3× |
| New Hampshire | 32 | $49,018 | $7,454 | 6.6× |
| New York | 289 | $48,132 | $10,031 | 4.8× |
| Arizona | 134 | $47,148 | $7,419 | 6.4× |
| Pennsylvania | 256 | $45,545 | $7,288 | 6.2× |
| Virginia | 124 | $42,627 | $7,229 | 5.9× |
| Kansas | 41 | $41,861 | $6,661 | 6.3× |
| Washington | 78 | $41,635 | $8,208 | 5.1× |
| Kentucky | 86 | $41,304 | $6,135 | 6.7× |
| New Mexico | 35 | $41,290 | $7,253 | 5.7× |
| South Carolina | 111 | $41,277 | $7,525 | 5.5× |
| Oklahoma | 52 | $40,849 | $7,291 | 5.6× |
| Idaho | 21 | $40,690 | $7,277 | 5.6× |
| Connecticut | 53 | $40,471 | $10,755 | 3.8× |
| Tennessee | 117 | $39,848 | $6,648 | 6× |
| Missouri | 117 | $38,738 | $6,617 | 5.9× |
| Mississippi | 37 | $38,671 | $6,463 | 6× |
| Illinois | 231 | $38,441 | $7,755 | 5× |
| West Virginia | 48 | $37,709 | $6,884 | 5.5× |
| Georgia | 119 | $37,432 | $8,702 | 4.3× |
| Indiana | 118 | $36,697 | $7,212 | 5.1× |
| South Dakota | 24 | $36,232 | $7,570 | 4.8× |
| North Carolina | 155 | $35,382 | $7,602 | 4.7× |
| Maine | 22 | $35,145 | $9,209 | 3.8× |
| Iowa | 49 | $35,033 | $6,297 | 5.6× |
| Louisiana | 66 | $33,868 | $7,009 | 4.8× |
| Wisconsin | 73 | $33,409 | $7,002 | 4.8× |
| Ohio | 182 | $33,106 | $6,932 | 4.8× |
| Michigan | 114 | $33,000 | $7,860 | 4.2× |
| Vermont | 13 | $32,779 | $6,713 | 4.9× |
| Delaware | 24 | $32,678 | $7,735 | 4.2× |
| Utah | 28 | $30,686 | $7,353 | 4.2× |
| Rhode Island | 21 | $30,522 | $8,968 | 3.4× |
| Nebraska | 28 | $29,590 | $6,724 | 4.4× |
| Minnesota | 43 | $28,438 | $8,383 | 3.4× |
| Arkansas | 54 | $28,212 | $5,892 | 4.8× |
| Montana | 19 | $27,372 | $6,383 | 4.3× |
| Oregon | 29 | $25,552 | $8,201 | 3.1× |
| Massachusetts | 204 | $23,441 | $8,501 | 2.8× |
| North Dakota | 18 | $21,567 | $6,663 | 3.2× |
| Maryland | 116 | $12,946 | $11,710 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Long Island Jewish Medical Center New Hyde Park, NY · 11 stays | $93,710 | $10,400 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 11 stays | $93,231 | $7,945 |
| HCA Florida Ocala Hospital Ocala, FL · 12 stays | $88,653 | $7,098 |
| Orlando Health Orlando Regional Medical Center Orlando, FL · 12 stays | $87,557 | $8,823 |
| Adventhealth Orlando Orlando, FL · 22 stays | $82,788 | $8,691 |
| University Colo Health Memorial Hospital Central Colorado Springs, CO · 11 stays | $70,269 | $6,576 |
| Lehigh Valley Hospital Allentown, PA · 11 stays | $65,406 | $7,292 |
| Jersey Shore University Medical Center Neptune, NJ · 13 stays | $63,767 | $7,572 |
| Stony Brook University Hospital Stony Brook, NY · 17 stays | $63,736 | $11,618 |
| Mercyone Des Moines Medical Center Des Moines, IA · 11 stays | $61,116 | $6,461 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Baystate Medical Center Springfield, MA · 12 stays | $14,427 | $8,797 |
| Beth Israel Deaconess Hospital - Plymouth Plymouth, MA · 11 stays | $19,737 | $6,806 |
| Presbyterian Hospital Albuquerque, NM · 11 stays | $25,001 | $6,361 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 11 stays | $25,159 | $9,505 |
| Deaconess Hospital Inc Evansville, IN · 14 stays | $25,571 | $7,036 |
| Christianacare Newark, DE · 14 stays | $25,912 | $8,135 |
| West Virginia University Hospitals, Inc Morgantown, WV · 12 stays | $26,612 | $7,996 |
| Northwest Community Hospital 1 Arlington Heights, IL · 15 stays | $27,358 | $6,145 |
| Missouri Baptist Medical Center Town And Country, MO · 19 stays | $34,622 | $6,230 |
| Spartanburg Medical Center Spartanburg, SC · 11 stays | $35,598 | $7,605 |
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.