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Inpatient stay · MS-DRG 446

Disorders of the biliary tract without CC/MCC

In 2024, Medicare and patients paid an average of $7,604 per stay at 36 hospitals. Half of hospitals averaged between $6,447 and $8,718.

National figures, 2024

Average payment per case
$7,604
Typical range (middle half of hospitals)
$6,447–$8,718
Medicare’s share
$5,22969% of the payment
Average billed charge
$49,237
Hospitals reporting
36495 stays

Hospitals in Pennsylvania

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Pennsylvania
Specific hospitals up to 10
Average payment across these 2 hospitals
$6,698National $7,604 · Pennsylvania $6,698
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare stays
29

2 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Disorders of the biliary tract without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Chester County HospitalWest Chester, PA · CCN 39017918$6,33417% below the national average$3,935$40,242
Lehigh Valley HospitalAllentown, PA · CCN 39013311$7,292About average$6,211$65,406

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 709 stays at 50 hospitals · 2021: 568 stays at 40 hospitals · 2022: 430 stays at 31 hospitals · 2023: 463 stays at 33 hospitals · 2024: 495 stays at 36 hospitals
View data as a table
National average payment and billed charge for Disorders of the biliary tract without CC/MCC
Year of careAverage paymentAverage billed charge
2020$7,259$35K
2021$7,560$37K
2022$7,398$39K
2023$7,410$46K
2024$7,604$49K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 22 states
Average payment by state for Disorders of the biliary tract without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Arkansas115$5,809$5,809–$5,809
Illinois228$6,056$6,001–$6,097
Missouri119$6,230$6,230–$6,230
Kentucky234$6,240$6,233–$6,267
New Mexico111$6,361$6,361–$6,361
Iowa111$6,461$6,461–$6,461
Colorado111$6,576$6,576–$6,576
Pennsylvania229$6,698$6,574–$7,053
Arizona111$6,968$6,968–$6,968
Ohio112$7,098$7,098–$7,098
Tennessee228$7,112$7,043–$7,236
Texas121$7,351$7,351–$7,351
New Jersey113$7,572$7,572–$7,572
South Carolina111$7,605$7,605–$7,605
Florida579$7,780$7,098–$8,691
Indiana225$7,902$7,528–$8,512
West Virginia112$7,996$7,996–$7,996
Delaware114$8,135$8,135–$8,135
Nevada225$8,495$8,191–$8,681
California112$8,950$8,950–$8,950
Massachusetts446$9,088$8,299–$9,901
New York228$11,139$10,705–$11,313

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.