facebook tracking Kidney and ureter procedures for neoplasm without complications cost in New York: 6 hospitals compared (DRG 658)

Kidney and ureter procedures for neoplasm without complications in New York

What 6 hospitals in New York charged and were paid for a Medicare hospital stay for kidney and ureter procedures for neoplasm without complications (DRG 658), from 2024 Medicare claims.

DRG 658 Inpatient 2024 Medicare data
Average charge $96,749 Hospital list price billed
Average payment $21,344 Medicare + patient + other payers
Medicare paid $14,460 Average per stay
State rank #11 of 12 1 = lowest average payment

Hospitals in New York billed an average of $96,749 for kidney and ureter procedures for neoplasm without complications, about 4.5 times the average total payment of $21,344. That payment is 32% above the U.S. average 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 $21,344Billed $96,749

About 22¢ was paid for every $1 hospitals in New York billed for this stay.

New York hospitals: kidney and ureter procedures for neoplasm without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Mount Sinai HospitalNew York 21 $56,478 $26,210 $12,813
New York-Presbyterian HospitalNew York 19 $89,031 $21,469 $15,490
NYU Hospitals CenterNew York 14 $178,584 $22,749 $15,699
Westchester Medical CenterValhalla 13 $95,013 $16,968 $15,214
University Hospital S U N Y Health Science CenterSyracuse 13 $80,528 $17,270 $13,425
University HospitalStony Brook 11 $104,029 $20,032 $14,582
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Lowest and highest payments in New York

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.

Lowest

Westchester Medical CenterValhalla, NY$16,968
University Hospital S U N Y Health Science CenterSyracuse, NY$17,270
University HospitalStony Brook, NY$20,032
New York-Presbyterian HospitalNew York, NY$21,469
NYU Hospitals CenterNew York, NY$22,749

Highest

Mount Sinai HospitalNew York, NY$26,210
NYU Hospitals CenterNew York, NY$22,749
New York-Presbyterian HospitalNew York, NY$21,469
University HospitalStony Brook, NY$20,032
University Hospital S U N Y Health Science CenterSyracuse, NY$17,270

Kidney and ureter procedures for neoplasm without complications in other states

Questions

How much does kidney and ureter procedures for neoplasm without complications cost in New York?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for neoplasm without complications (DRG 658) at 6 hospitals in New York was billed at $96,749 on average, while the average total payment was $21,344, of which Medicare paid $14,460. 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 New York, average charges were 4.5 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.