Kidney and ureter procedures for non-neoplasm with major complications
What 258 hospitals in the U.S. charged and were paid for a Medicare hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659), from 2024 Medicare claims.
Average charge
$126,206
Hospital list price billed
Average payment
$25,369
Medicare + patient + other payers
Medicare paid
$21,075
Average per stay
Volume
4,378
Medicare hospital stays
Hospitals in the U.S. billed an average of $126,206 for kidney and ureter procedures for non-neoplasm with major complications, about 5.0 times the average total payment of $25,369.
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 $25,369Billed $126,206
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:
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
| St Bernards Medical CenterJonesboro, AR | $16,093 |
|---|---|
| Memorial Healthcare System, INCChattanooga, TN | $17,207 |
| William Beaumont Hospital-TroyTroy, MI | $17,576 |
| Norton Healthcare PavilionLouisville, KY | $18,541 |
| Florida Hospital ZephyrhillsZephyrhills, FL | $18,856 |
| Saint Francis Hospital, INCTulsa, OK | $18,872 |
| Baptist Medical CenterJacksonville, FL | $19,134 |
| Parkview HospitalFort Wayne, IN | $19,181 |
| Sarasota Memorial HospitalSarasota, FL | $19,205 |
| Lexington Medical CenterWest Columbia, SC | $19,252 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $70,833 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $63,167 |
| University of California San Diego Medical CenterSan Diego, CA | $55,838 |
| University HospitalStony Brook, NY | $48,288 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $47,454 |
| NYU Hospitals CenterNew York, NY | $46,710 |
| Medical College of Virginia HospitalsRichmond, VA | $44,127 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $39,755 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $39,005 |
| Barnes Jewish HospitalSt Louis, MO | $37,244 |
Kidney and ureter procedures for non-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 |
|---|---|---|---|---|
| Alabama | 2 | $65,931 | $20,265 | $20,227 – $20,305 |
| Alaska | 1 | $170,394 | $25,229 | – |
| Arizona | 3 | $98,996 | $26,582 | $17,633 – $36,269 |
| Arkansas | 7 | $69,351 | $17,944 | $16,093 – $23,296 |
| California | 9 | $292,217 | $45,914 | $24,648 – $88,086 |
| Colorado | 1 | $251,800 | $31,169 | – |
| Connecticut | 3 | $109,253 | $29,745 | $22,168 – $38,536 |
| Delaware | 2 | $96,041 | $26,588 | $21,242 – $29,796 |
| Florida | 24 | $147,524 | $21,400 | $15,581 – $35,122 |
| Georgia | 5 | $126,881 | $27,052 | $19,205 – $34,691 |
| Illinois | 19 | $118,699 | $24,581 | $16,542 – $44,945 |
| Indiana | 8 | $81,753 | $21,574 | $18,521 – $32,356 |
| Iowa | 3 | $88,448 | $20,938 | $16,191 – $22,959 |
| Kansas | 3 | $170,401 | $21,759 | $15,792 – $25,303 |
| Kentucky | 4 | $75,298 | $18,447 | $16,500 – $22,343 |
| Louisiana | 5 | $80,039 | $19,267 | $16,696 – $23,155 |
| Maryland | 2 | $25,588 | $23,562 | $20,181 – $27,789 |
| Massachusetts | 11 | $84,659 | $29,347 | $18,424 – $46,130 |
| Michigan | 8 | $70,443 | $21,062 | $17,576 – $24,645 |
| Minnesota | 7 | $80,835 | $27,103 | $19,063 – $39,005 |
| Mississippi | 4 | $69,813 | $18,983 | $16,232 – $25,106 |
| Missouri | 8 | $93,126 | $24,600 | $16,884 – $37,244 |
| Nebraska | 2 | $84,474 | $21,962 | $18,585 – $24,157 |
| Nevada | 2 | $73,020 | $22,413 | $21,600 – $23,046 |
| New Hampshire | 1 | $179,656 | $46,577 | – |
| New Jersey | 12 | $168,166 | $25,586 | $19,242 – $37,451 |
| New Mexico | 1 | $67,331 | $20,425 | – |
| New York | 14 | $198,544 | $36,121 | $20,202 – $48,288 |
| North Carolina | 8 | $102,174 | $27,180 | $16,561 – $39,755 |
| North Dakota | 2 | $53,104 | $18,750 | $18,749 – $18,751 |
| Ohio | 12 | $115,101 | $22,648 | $13,468 – $30,815 |
| Oklahoma | 7 | $109,928 | $20,554 | $16,976 – $31,151 |
| Pennsylvania | 15 | $165,989 | $27,155 | $18,936 – $70,833 |
| South Carolina | 3 | $103,873 | $25,316 | $19,252 – $36,146 |
| South Dakota | 2 | $101,845 | $21,302 | $21,023 – $21,408 |
| Tennessee | 5 | $90,009 | $22,741 | $16,182 – $32,121 |
| Texas | 13 | $163,163 | $22,687 | $16,569 – $28,118 |
| Virginia | 11 | $92,592 | $23,543 | $15,383 – $44,127 |
| Washington | 3 | $101,269 | $26,261 | $22,398 – $31,273 |
| West Virginia | 2 | $95,712 | $23,082 | $22,925 – $23,225 |
| Wisconsin | 4 | $88,083 | $25,522 | $18,634 – $32,565 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 55 | $174,409 | $22,062 |
| Lehigh Valley HospitalAllentown, PA | 45 | $125,708 | $20,986 |
| New York-Presbyterian HospitalNew York, NY | 44 | $198,339 | $35,958 |
| Norton Healthcare PavilionLouisville, KY | 38 | $83,175 | $18,541 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 36 | $92,362 | $39,005 |
| Barnes Jewish HospitalSt Louis, MO | 34 | $129,764 | $37,244 |
| NYU Hospitals CenterNew York, NY | 34 | $316,434 | $46,710 |
| Saint Barnabas Medical CenterLivingston, NJ | 32 | $205,909 | $31,688 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 31 | $546,082 | $47,454 |
| Jefferson Stratford HospitalCherry Hill, NJ | 31 | $131,138 | $22,168 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | 30 | $74,764 | $21,918 |
| Baptist Medical CenterJacksonville, FL | 29 | $138,172 | $19,134 |
| University of Kansas HospitalKansas City, KS | 29 | $164,876 | $25,303 |
| Massachusetts General HospitalBoston, MA | 29 | $148,852 | $32,639 |
| University HospitalStony Brook, NY | 29 | $302,246 | $48,288 |
Questions
How much does kidney and ureter procedures for non-neoplasm with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659) at 258 hospitals in the U.S. was billed at $126,206 on average, while the average total payment was $25,369, of which Medicare paid $21,075. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for kidney and ureter procedures for non-neoplasm with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($45,914), New York ($36,121), Connecticut ($29,745) and lowest in Arkansas ($17,944), Kentucky ($18,447), Mississippi ($18,983).
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.