facebook tracking Kidney and ureter procedures for neoplasm with complications cost in Maryland: 2 hospitals compared (DRG 657)

Kidney and ureter procedures for neoplasm with complications in Maryland

What 2 hospitals in Maryland 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 $34,680 Hospital list price billed
Average payment $31,132 Medicare + patient + other payers
Medicare paid $29,266 Average per stay
Volume 37 Medicare hospital stays

Hospitals in Maryland billed an average of $34,680 for kidney and ureter procedures for neoplasm with complications, about 1.1 times the average total payment of $31,132. That payment is 52% 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 $31,132Billed $34,680

About 90¢ was paid for every $1 hospitals in Maryland billed for this stay.

Maryland hospitals: kidney and ureter procedures for neoplasm with complications

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

Hospital Stays Avg charge Avg payment Medicare paid
The Johns Hopkins HospitalBaltimore 25 $29,538 $26,025 $23,981
University of Maryland Medical CenterBaltimore 12 $45,390 $41,772 $40,276
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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 Maryland?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for neoplasm with complications (DRG 657) at 2 hospitals in Maryland was billed at $34,680 on average, while the average total payment was $31,132, of which Medicare paid $29,266. 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 Maryland, average charges were 1.1 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.