DRG 438 Medical
Disorders of Pancreas Except Malignancy with MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$10,596
National average
Avg Total Costs
$17,419
CMS Inpatient data
Avg Length of Stay
4.6 days
CMS MS-DRG
Est. Commercial Insurance
$15,894 — $26,491
1.5x — 2.5x Medicare
Annual Discharges
2,798
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
2,798
Total Discharges
$17,419
Avg Total Costs
$13,602
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for disorders of pancreas except malignancy with mcc cost?
The average Medicare payment for DRG 438 is $10,596. Average hospital costs are $17,419. Commercial insurance typically pays 150-250% of Medicare rates ($15,894 — $26,491).
How long is the hospital stay for DRG 438?
The average length of stay is 4.6 days. This varies by severity — patients with complications or comorbidities may stay longer.
How much does this hospital stay cost without insurance?
Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.