facebook tracking Kidney and ureter procedures for neoplasm with complications cost in California: 7 hospitals compared (DRG 657)

Kidney and ureter procedures for neoplasm with complications in California

What 7 hospitals in California charged and were paid for a Medicare hospital stay for kidney and ureter procedures for neoplasm with complications (DRG 657), from 2024 Medicare claims.

DRG 657 Inpatient 2024 Medicare data
Average charge $185,924 Hospital list price billed
Average payment $27,113 Medicare + patient + other payers
Medicare paid $22,251 Average per stay
State rank #16 of 16 1 = lowest average payment

Hospitals in California billed an average of $185,924 for kidney and ureter procedures for neoplasm with complications, about 6.9 times the average total payment of $27,113. That payment is 32% above the U.S. average 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 $27,113Billed $185,924

About 15¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: kidney and ureter procedures for neoplasm with complications

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

Hospital Stays Avg charge Avg payment Medicare paid
USC University HospitalLos Angeles 59 $143,124 $27,549 $20,146
Stanford HospitalPalo Alto 39 $278,992 $29,131 $24,605
UCSF Medical CenterSan Francisco 25 $141,633 $30,864 $27,287
University of California San Diego Medical CenterSan Diego 19 $173,206 $27,637 $22,575
University of California Davis Medical CenterSacramento 15 $196,837 $26,083 $22,819
Santa Rosa Memorial HospitalSanta Rosa 13 $244,368 $21,083 $19,361
Enloe Medical CenterChico 12 $129,350 $17,596 $16,372
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Lowest and highest payments in California

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

UCSF Medical CenterSan Francisco, CA$30,864
Stanford HospitalPalo Alto, CA$29,131
University of California San Diego Medical CenterSan Diego, CA$27,637
USC University HospitalLos Angeles, CA$27,549
University of California Davis Medical CenterSacramento, CA$26,083

Kidney and ureter procedures for neoplasm with complications in other states

Questions

How much does kidney and ureter procedures for neoplasm with complications cost in California?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for neoplasm with complications (DRG 657) at 7 hospitals in California was billed at $185,924 on average, while the average total payment was $27,113, of which Medicare paid $22,251. 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 California, average charges were 6.9 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.