Kidney and ureter procedures for neoplasm with major complications
What 23 hospitals in the U.S. charged and were paid for a Medicare hospital stay for kidney and ureter procedures for neoplasm with major complications (DRG 656), from 2024 Medicare claims.
Average charge
$213,675
Hospital list price billed
Average payment
$42,458
Medicare + patient + other payers
Medicare paid
$30,980
Average per stay
Volume
329
Medicare hospital stays
Hospitals in the U.S. billed an average of $213,675 for kidney and ureter procedures for neoplasm with major complications, about 5.0 times the average total payment of $42,458.
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 $42,458Billed $213,675
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:
Kidney and ureter procedures for neoplasm with major 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 |
|---|---|---|---|---|
| Arizona | 1 | $176,253 | $50,539 | – |
| California | 2 | $404,976 | $54,261 | $46,244 – $63,881 |
| Florida | 3 | $220,531 | $39,449 | $31,353 – $49,861 |
| Georgia | 1 | $108,222 | $27,727 | – |
| Iowa | 1 | $128,977 | $30,760 | – |
| Kansas | 1 | $228,277 | $35,043 | – |
| Massachusetts | 3 | $172,946 | $48,421 | $35,354 – $56,370 |
| Missouri | 1 | $143,555 | $35,437 | – |
| New York | 3 | $313,561 | $51,108 | $42,297 – $57,616 |
| North Carolina | 2 | $136,030 | $37,358 | $34,976 – $41,329 |
| Ohio | 1 | $112,923 | $35,086 | – |
| Pennsylvania | 1 | $228,941 | $29,541 | – |
| South Carolina | 1 | $142,239 | $37,248 | – |
| Tennessee | 1 | $165,016 | $43,604 | – |
| Texas | 1 | $129,030 | $41,041 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 23 | $228,636 | $35,174 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 20 | $147,660 | $34,976 |
| UT Southwestern University HospitalDallas, TX | 19 | $129,030 | $41,041 |
| USC University HospitalLos Angeles, CA | 18 | $215,373 | $46,244 |
| Mayo ClinicJacksonville, FL | 18 | $141,766 | $49,861 |
| New York-Presbyterian HospitalNew York, NY | 18 | $374,680 | $57,616 |
| University HospitalStony Brook, NY | 16 | $310,683 | $52,047 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 15 | $632,499 | $63,881 |
| NYU Hospitals CenterNew York, NY | 15 | $243,289 | $42,297 |
| Mayo Clinic HospitalPhoenix, AZ | 14 | $176,253 | $50,539 |
| Cleveland Clinic - Main CampusCleveland, OH | 14 | $112,923 | $35,086 |
| University of Iowa Hospital & ClinicsIowa City, IA | 13 | $128,977 | $30,760 |
| University of Kansas HospitalKansas City, KS | 12 | $228,277 | $35,043 |
| Brigham and Women's HosptialBoston, MA | 12 | $194,531 | $53,112 |
| Barnes Jewish HospitalSt Louis, MO | 12 | $143,555 | $35,437 |
Questions
How much does kidney and ureter procedures for neoplasm with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for kidney and ureter procedures for neoplasm with major complications (DRG 656) at 23 hospitals in the U.S. was billed at $213,675 on average, while the average total payment was $42,458, of which Medicare paid $30,980. 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 major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($51,108), Massachusetts ($48,421), Florida ($39,449) and lowest in Florida ($39,449), Massachusetts ($48,421), New York ($51,108).
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 5.0 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.