Whipple procedure (pancreas) Cost — Compare Hospital Prices

Whipple procedure (pancreas) is a surgical procedure. Prices are from 884 US hospitals across 49 states, from their machine-readable files.

$6,033median cash price · 884 hospitals, 49 statestypically $1,597–$10,040 depending on the hospital

≈ 2.1× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$9,547

Cash / self-pay

$6,033

Insurer-negotiated

$3,981

Medicare pays

$2,871

$1,597$10,040

Median cash $6,033 · Medicare $2,871 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $6,033 — about 2.1× the Medicare rate ($2,871). On the higher side. A fair cash price is usually within ~2× Medicare ($5,742).

💡 Asking for the cash price instead of the $9,547 list price could save about $3,514 (37%).

Estimate what you’ll pay

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
Rochester General Hospital	Rochester, NY	$1,041	$3,265	★ 2/5	233 min	—
Holy Cross Hospital	Nogales, AZ	$1,077	$1,077	—	144 min	—
Holy Cross Hospital	Silver Spring, MD	$1,077	$1,077	★ 2/5	314 min	—
O'connor Hospital	Delhi, NY	$1,529	$2,061	—	95 min	—
Little Falls Hospital	Little Falls, NY	$1,529	$1,705	★ 2/5	109 min	—
Cobleskill Regional Hospital	Cobleskill, NY	$1,529	$1,939	★ 4/5	111 min	—
Unity Health-Jacksonville	Jacksonville, AR	$1,567	—	—	130 min	—
Unity Health-Newport	Newport, AR	$1,567	—	—	103 min	—
Saint Vincent Hospital	Erie, PA	$1,571	$2,023	★ 4/5	219 min	—
Jefferson Hospital	Louisville, GA	$1,658	$2,023	—	99 min	—
Jefferson Hospital	Jefferson Hills, PA	$1,658	$2,023	★ 4/5	170 min	—
Nacogdoches Memorial Hospital	Nacogdoches, TX	$1,709	$4,557	★ 2/5	174 min	—
Bassett Healthcare	Cooperstown, NY	$1,770	$837	★ 2/5	199 min	—
Westfield Memorial Hospital, Inc	Westfield, NY	$1,920	$2,023	—	120 min	—
Canonsburg General Hospital	Canonsburg, PA	$1,920	$2,023	★ 3/5	155 min	—
Forbes Hospital	Monroeville, PA	$1,920	$2,023	★ 3/5	261 min	—
Grove City Medical Center	Grove City, PA	$2,007	$2,023	★ 4/5	150 min	—
Allegheny Valley Hospital	Natrona, PA	$2,094	$2,023	★ 4/5	203 min	—
Allegheny General Hospital	Pittsburgh, PA	$2,094	$2,023	★ 3/5	274 min	—
Hospital Pavia Caguas	Caguas, PR	$2,160	$2,144	—	—	—
Ahn Wexford Hospital	Wexford, PA	$2,269	$1,450	★ 5/5	184 min	—
West Penn Hospital	Pittsburgh, PA	$2,356	$1,450	★ 3/5	208 min	—
Huntington Hospital	Pasadena, CA	$2,671	$5,268	—	268 min	—
Boulder Community Health	Boulder, CO	$3,038	$4,253	★ 4/5	135 min	—
Bayside Community Hospital	Anahuac, TX	$3,254	$1,871	—	106 min	—

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Whipple procedure (pancreas)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $6,033; Medicare pays $2,871.

Insurer	Hospitals	Negotiated median
Medicaid	55	$997 $159 – $2,147
AmeriHealth	58	$1,077 $210 – $3,963
Medicare	68	$1,077 $204 – $3,265
Centene / Ambetter	194	$1,150 $219 – $5,718
Health Net	43	$1,177 $171 – $6,767
Tricare / VA	44	$1,370 $219 – $6,734
Geisinger	20	$1,450 $290 – $10,746
Highmark	35	$1,539 $223 – $4,805
Kaiser Permanente	47	$2,079 $222 – $8,156
Univera	7	$2,248 $250 – $3,254
Amerigroup	44	$2,401 $1,620 – $2,962
MVP Health Care	23	$2,583 $963 – $5,573
Medica	39	$2,675 $1,077 – $9,764
Molina Healthcare	175	$2,702 $841 – $6,556
Workers' Comp / No-Fault	10	$2,706 $1,077 – $10,328
Security Health Plan	18	$2,709 $1,077 – $13,261
Priority Health	24	$2,863 $1,077 – $7,613
Blue Cross Blue Shield	367	$2,890 $260 – $38,398
UCare	23	$2,926 $1,148 – $7,718
HealthPartners	54	$2,970 $559 – $14,155
Devoted Health	32	$3,015 $2,871 – $13,780
Independent Health	9	$3,051 $1,077 – $4,407
Sanford Health Plan	23	$3,102 $1,077 – $23,928
Coventry	16	$3,593 $624 – $7,211
EmblemHealth	31	$3,690 $963 – $18,107
Oscar Health	65	$3,718 $3,346 – $6,587
MultiPlan / PHCS network	63	$3,760 $339 – $9,917
Anthem	197	$3,825 $399 – $10,063
Aetna	338	$3,825 $1,014 – $12,096
UnitedHealthcare	549	$4,147 $1,149 – $10,868
Humana	255	$4,274 $1,077 – $6,734
SelectHealth	17	$4,882 $1,473 – $7,749
Healthcare Highways	23	$5,841 $2,069 – $14,612
Harvard Pilgrim	9	$7,029 $1,077 – $11,414
Cigna	317	$7,480 $2,226 – $24,241
AvMed	28	$8,253 $4,213 – $12,418
UPMC Health Plan	15	$10,640 $1,089 – $21,806

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

State	Median cash
Georgia	$1,658
New York	$1,770
Pennsylvania	$2,182
Arkansas	$3,401
Indiana	$3,642
Kentucky	$3,642

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Clinician	Specialty	Location	Medicare services
William Jarnagin, MD	General Surgery	New York, NY	34
Steven Abbate, MD	General Surgery	San Antonio, TX	24
Kenneth Meredith, M.D.	Surgical Oncology	Sarasota, FL	19
Timothy Schmitt, M.D.	General Surgery	Kansas City, KS	17
Major Lee, MD	General Surgery	Philadelphia, PA	17
Douglas Evans, M.D.	Surgical Oncology	Milwaukee, WI	16
Pedro Briceno, M.D.	General Surgery	Sarasota, FL	16
Richard Schulick, M.D., M.B.A.	Surgical Oncology	Aurora, CO	16
Michael D'angelica, MD	Surgical Oncology	New York, NY	15
Venu Pillarisetty, M.D.	Surgical Oncology	Seattle, WA	15
Jason Denbo, M.D.	General Surgery	Minneapolis, MN	15
Dhiresh Jeyarajah, M.D.	General Surgery	Richardson, TX	15

Browse doctors by specialty & city →

Does Medicare cover Whipple procedure (pancreas)?

Yes — Medicare generally covers Whipple procedure (pancreas). It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $2,871. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 884 US hospitals across 49 states, the typical (median) cash price is $6,033, versus a chargemaster (list) price around $9,547, a median insurer-negotiated rate of $3,981, a Medicare rate of about $2,871. Most cash prices fall between $1,597 and $10,040 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
Compare several nearby hospitals; prices for the same service can differ severalfold.
Request a written estimate and the billing code (CPT/DRG) before scheduling.
Use the Medicare benchmark above to judge whether a quote is reasonable.
If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Whipple procedure (pancreas) cost without insurance?

The median cash (self-pay) price across 884 US hospitals is $6,033. Most hospitals fall between $1,597 and $10,040. Prices vary widely between hospitals, so it pays to compare before you book.

Does Medicare cover Whipple procedure (pancreas)?

Yes — it is generally covered under Medicare Part A as an inpatient service (Medicare's benchmark payment is about $2,871). You pay the Part A hospital deductible for the benefit period, plus any Part B physician charges.

What does Medicare pay for Whipple procedure (pancreas)?

Medicare pays about $2,871. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.

Why do Whipple procedure (pancreas) prices vary between hospitals?

Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.

Is the cash price lower than using insurance?

Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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