facebook tracking Bone diseases and arthropathies without major complications cost in Kansas: 2 hospitals compared (DRG 554)

Bone diseases and arthropathies without major complications in Kansas

What 2 hospitals in Kansas charged and were paid for a Medicare hospital stay for bone diseases and arthropathies without major complications (DRG 554), from 2024 Medicare claims.

DRG 554 Inpatient 2024 Medicare data
Average charge $42,293 Hospital list price billed
Average payment $7,535 Medicare + patient + other payers
Medicare paid $5,416 Average per stay
Volume 37 Medicare hospital stays

Hospitals in Kansas billed an average of $42,293 for bone diseases and arthropathies without major complications, about 5.6 times the average total payment of $7,535. That payment is 15% below the U.S. average of $8,815.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $7,535Billed $42,293

About 18¢ was paid for every $1 hospitals in Kansas billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Kansas:

Kansas hospitals: bone diseases and arthropathies without major complications

Every Kansas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
University of Kansas HospitalKansas City 25 $47,200 $8,275 $5,863
Stormont-Vail HealthcareTopeka 12 $32,069 $5,993 $4,485
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Questions

How much does bone diseases and arthropathies without major complications cost in Kansas?

In 2024 Medicare data, a hospital stay for bone diseases and arthropathies without major complications (DRG 554) at 2 hospitals in Kansas was billed at $42,293 on average, while the average total payment was $7,535, of which Medicare paid $5,416. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Kansas, average charges were 5.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.