Kidney and ureter procedures for neoplasm without complications
What 79 hospitals in the U.S. charged and were paid for a Medicare hospital stay for kidney and ureter procedures for neoplasm without complications (DRG 658), from 2024 Medicare claims.
Average charge
$83,773
Hospital list price billed
Average payment
$16,154
Medicare + patient + other payers
Medicare paid
$11,165
Average per stay
Volume
1,248
Medicare hospital stays
Hospitals in the U.S. billed an average of $83,773 for kidney and ureter procedures for neoplasm without complications, about 5.2 times the average total payment of $16,154.
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 $16,154Billed $83,773
About 19¢ 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
| Usmd Hospital at Arlington L PArlington, TX | $10,532 |
|---|---|
| Adventhealth OrlandoOrlando, FL | $13,746 |
| Cleveland Clinic - Main CampusCleveland, OH | $14,665 |
| University of Washington Medical CtrSeattle, WA | $15,151 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $15,677 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $16,543 |
| Duke University Medical CenterDurham, NC | $16,768 |
| UT Southwestern University HospitalDallas, TX | $16,825 |
| O U Medical CenterOklahoma City, OK | $17,495 |
| Vanderbilt University HospitalNashville, TN | $17,598 |
Highest
| Mount Sinai HospitalNew York, NY | $26,210 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $24,472 |
| The Johns Hopkins HospitalBaltimore, MD | $19,668 |
| Hospital of the Univ of PaPhiladelphia, PA | $18,736 |
| Vanderbilt University HospitalNashville, TN | $17,598 |
| O U Medical CenterOklahoma City, OK | $17,495 |
| UT Southwestern University HospitalDallas, TX | $16,825 |
| Duke University Medical CenterDurham, NC | $16,768 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $16,543 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $15,677 |
Kidney and ureter procedures for neoplasm without 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 | 2 | $149,352 | $14,603 | $10,835 – $19,241 |
| California | 3 | $105,707 | $21,709 | $15,414 – $24,838 |
| Delaware | 1 | $45,507 | $13,165 | – |
| Florida | 6 | $141,692 | $13,887 | $11,579 – $16,794 |
| Georgia | 2 | $54,319 | $13,617 | $11,658 – $15,877 |
| Illinois | 2 | $121,398 | $23,990 | $15,915 – $31,444 |
| Indiana | 1 | $80,917 | $14,552 | – |
| Iowa | 1 | $80,306 | $13,917 | – |
| Kansas | 2 | $50,169 | $12,021 | $9,201 – $15,594 |
| Kentucky | 1 | $85,409 | $9,634 | – |
| Louisiana | 1 | $72,934 | $10,582 | – |
| Maryland | 2 | $29,856 | $27,017 | $19,668 – $41,190 |
| Massachusetts | 2 | $29,444 | $16,782 | $15,515 – $18,164 |
| Michigan | 3 | $69,855 | $15,788 | $13,061 – $17,930 |
| Minnesota | 1 | $69,115 | $30,223 | – |
| Mississippi | 1 | $42,255 | $9,896 | – |
| Missouri | 3 | $56,090 | $13,009 | $10,572 – $16,187 |
| Nebraska | 1 | $52,211 | $14,043 | – |
| New Jersey | 1 | $125,226 | $22,310 | – |
| New York | 6 | $96,749 | $21,344 | $16,968 – $26,210 |
| North Carolina | 7 | $71,815 | $15,511 | $12,568 – $17,922 |
| Ohio | 1 | $68,409 | $14,665 | – |
| Oklahoma | 3 | $85,224 | $14,131 | $9,578 – $17,495 |
| Pennsylvania | 3 | $111,849 | $15,837 | $12,919 – $18,736 |
| Rhode Island | 1 | $31,679 | $16,712 | – |
| South Carolina | 3 | $83,289 | $14,796 | $10,720 – $19,428 |
| South Dakota | 1 | $63,780 | $11,685 | – |
| Tennessee | 3 | $71,855 | $15,397 | $12,543 – $17,598 |
| Texas | 4 | $70,053 | $12,628 | $10,532 – $16,825 |
| Utah | 1 | $33,639 | $15,677 | – |
| Virginia | 2 | $188,096 | $12,216 | $12,021 – $12,381 |
| Washington | 3 | $77,352 | $16,524 | $15,151 – $18,825 |
| West Virginia | 2 | $80,381 | $19,045 | $11,068 – $26,357 |
| Wisconsin | 2 | $57,779 | $14,285 | $11,423 – $18,028 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Vanderbilt University HospitalNashville, TN | 32 | $97,819 | $17,598 |
| University of Washington Medical CtrSeattle, WA | 28 | $66,667 | $15,151 |
| The Johns Hopkins HospitalBaltimore, MD | 27 | $22,410 | $19,668 |
| Adventhealth OrlandoOrlando, FL | 25 | $169,937 | $13,746 |
| O U Medical CenterOklahoma City, OK | 25 | $115,429 | $17,495 |
| Usmd Hospital at Arlington L PArlington, TX | 25 | $55,433 | $10,532 |
| UCSF Medical CenterSan Francisco, CA | 24 | $104,936 | $24,472 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 24 | $110,138 | $16,543 |
| Cleveland Clinic - Main CampusCleveland, OH | 23 | $68,409 | $14,665 |
| Duke University Medical CenterDurham, NC | 22 | $48,489 | $16,768 |
| Hospital of the Univ of PaPhiladelphia, PA | 22 | $104,404 | $18,736 |
| Mount Sinai HospitalNew York, NY | 21 | $56,478 | $26,210 |
| UT Southwestern University HospitalDallas, TX | 20 | $55,285 | $16,825 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | 20 | $33,639 | $15,677 |
| Baptist Medical CenterJacksonville, FL | 19 | $99,411 | $13,899 |
Questions
How much does kidney and ureter procedures for neoplasm without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for kidney and ureter procedures for neoplasm without complications (DRG 658) at 79 hospitals in the U.S. was billed at $83,773 on average, while the average total payment was $16,154, of which Medicare paid $11,165. 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 without complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($21,709), New York ($21,344), Washington ($16,524) and lowest in Texas ($12,628), Missouri ($13,009), Florida ($13,887).
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 5.2 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.