Kidney and ureter procedures for neoplasm with complications
What 123 hospitals in the U.S. charged and were paid for a Medicare hospital stay for kidney and ureter procedures for neoplasm with complications (DRG 657), from 2024 Medicare claims.
Average charge
$103,695
Hospital list price billed
Average payment
$20,488
Medicare + patient + other payers
Medicare paid
$15,146
Average per stay
Volume
2,505
Medicare hospital stays
Hospitals in the U.S. billed an average of $103,695 for kidney and ureter procedures for neoplasm with complications, about 5.1 times the average total payment of $20,488.
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 $20,488Billed $103,695
About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| The Nebraska Methodist HospitalOmaha, NE | $13,462 |
|---|---|
| Hillcrest Medical CenterTulsa, OK | $14,290 |
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | $14,342 |
| Adventhealth OrlandoOrlando, FL | $15,729 |
| UT Southwestern University HospitalDallas, TX | $16,046 |
| Bethesda Memorial HospitalBoynton Beach, FL | $16,166 |
| Lexington Medical CenterWest Columbia, SC | $16,248 |
| Lehigh Valley HospitalAllentown, PA | $17,062 |
| University of Kansas HospitalKansas City, KS | $17,310 |
| University of Iowa Hospital & ClinicsIowa City, IA | $17,629 |
Highest
| New York-Presbyterian HospitalNew York, NY | $34,269 |
|---|---|
| The University of Chicago Medical CenterChicago, IL | $32,566 |
| UCSF Medical CenterSan Francisco, CA | $30,864 |
| Stanford HospitalPalo Alto, CA | $29,131 |
| USC University HospitalLos Angeles, CA | $27,549 |
| University HospitalStony Brook, NY | $26,554 |
| The Johns Hopkins HospitalBaltimore, MD | $26,025 |
| Mayo Clinic HospitalPhoenix, AZ | $25,611 |
| Mayo ClinicJacksonville, FL | $25,240 |
| NYU Hospitals CenterNew York, NY | $25,012 |
Kidney and ureter procedures for neoplasm with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 1 | $116,682 | $17,816 | – |
| Arizona | 2 | $107,131 | $22,201 | $13,336 – $25,611 |
| Arkansas | 1 | $61,096 | $13,430 | – |
| California | 7 | $185,924 | $27,113 | $17,596 – $30,864 |
| Colorado | 1 | $123,958 | $19,249 | – |
| Connecticut | 1 | $65,426 | $28,040 | – |
| Florida | 9 | $142,813 | $19,298 | $13,962 – $27,685 |
| Georgia | 2 | $79,019 | $18,045 | $14,679 – $20,064 |
| Illinois | 7 | $103,289 | $20,659 | $13,434 – $32,566 |
| Indiana | 4 | $97,637 | $17,014 | $13,978 – $19,369 |
| Iowa | 1 | $92,376 | $17,629 | – |
| Kansas | 2 | $75,713 | $15,522 | $11,420 – $17,310 |
| Kentucky | 1 | $78,184 | $18,430 | – |
| Louisiana | 1 | $88,412 | $15,240 | – |
| Maine | 1 | $69,949 | $24,361 | – |
| Maryland | 2 | $34,680 | $31,132 | $26,025 – $41,772 |
| Massachusetts | 6 | $72,972 | $22,334 | $15,041 – $29,073 |
| Michigan | 5 | $70,714 | $20,254 | $16,577 – $26,340 |
| Minnesota | 2 | $77,666 | $23,531 | $17,651 – $24,809 |
| Missouri | 4 | $72,038 | $18,285 | $11,986 – $22,017 |
| Nebraska | 2 | $53,364 | $13,987 | $13,462 – $14,658 |
| New Hampshire | 1 | $108,974 | $21,145 | – |
| New Jersey | 3 | $100,271 | $19,703 | $18,683 – $20,294 |
| New Mexico | 1 | $45,458 | $14,276 | – |
| New York | 7 | $131,829 | $26,745 | $21,861 – $34,269 |
| North Carolina | 6 | $76,785 | $19,611 | $15,457 – $21,828 |
| North Dakota | 1 | $60,086 | $14,174 | – |
| Ohio | 3 | $89,452 | $18,782 | $14,066 – $19,667 |
| Oklahoma | 4 | $123,174 | $16,829 | $12,730 – $23,270 |
| Oregon | 2 | $72,565 | $21,907 | $21,130 – $22,814 |
| Pennsylvania | 9 | $140,573 | $19,640 | $15,884 – $22,609 |
| Rhode Island | 1 | $50,095 | $23,322 | – |
| South Carolina | 3 | $99,770 | $17,367 | $16,248 – $19,471 |
| South Dakota | 2 | $67,292 | $16,629 | $14,342 – $20,059 |
| Tennessee | 3 | $86,977 | $17,493 | $11,507 – $19,779 |
| Texas | 6 | $90,798 | $15,654 | $13,516 – $18,805 |
| Utah | 1 | $39,851 | $20,126 | – |
| Virginia | 2 | $79,401 | $21,501 | $16,713 – $23,973 |
| Washington | 2 | $87,864 | $20,230 | $18,300 – $20,938 |
| Wisconsin | 2 | $92,548 | $19,414 | $18,285 – $20,133 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 69 | $81,860 | $24,809 |
| Adventhealth OrlandoOrlando, FL | 64 | $164,988 | $15,729 |
| USC University HospitalLos Angeles, CA | 59 | $143,124 | $27,549 |
| Mayo ClinicJacksonville, FL | 54 | $89,766 | $25,240 |
| Cleveland Clinic - Main CampusCleveland, OH | 53 | $90,686 | $19,667 |
| Clarian Health PartnersIndianapolis, IN | 42 | $100,002 | $19,369 |
| New York-Presbyterian HospitalNew York, NY | 42 | $126,520 | $34,269 |
| Vanderbilt University HospitalNashville, TN | 40 | $109,739 | $19,779 |
| UT Southwestern University HospitalDallas, TX | 40 | $62,839 | $16,046 |
| Mayo Clinic HospitalPhoenix, AZ | 39 | $95,086 | $25,611 |
| Stanford HospitalPalo Alto, CA | 39 | $278,992 | $29,131 |
| University of Kansas HospitalKansas City, KS | 39 | $97,513 | $17,310 |
| Massachusetts General HospitalBoston, MA | 39 | $99,049 | $22,434 |
| Univ of Michigan HospitalsAnn Arbor, MI | 39 | $83,511 | $20,920 |
| University of Iowa Hospital & ClinicsIowa City, IA | 37 | $92,376 | $17,629 |
Questions
How much does kidney and ureter procedures for neoplasm with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for kidney and ureter procedures for neoplasm with complications (DRG 657) at 123 hospitals in the U.S. was billed at $103,695 on average, while the average total payment was $20,488, of which Medicare paid $15,146. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for kidney and ureter procedures for neoplasm with complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($27,113), New York ($26,745), Massachusetts ($22,334) and lowest in Texas ($15,654), Oklahoma ($16,829), Indiana ($17,014).
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 the U.S., average charges were 5.1 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.