facebook tracking Kidney and ureter procedures for non-neoplasm with major complications cost in Alabama: 2 hospitals compared (DRG 659)

Kidney and ureter procedures for non-neoplasm with major complications in Alabama

What 2 hospitals in Alabama 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.

DRG 659 Inpatient 2024 Medicare data
Average charge $65,931 Hospital list price billed
Average payment $20,265 Medicare + patient + other payers
Medicare paid $17,183 Average per stay
Volume 33 Medicare hospital stays

Hospitals in Alabama billed an average of $65,931 for kidney and ureter procedures for non-neoplasm with major complications, about 3.3 times the average total payment of $20,265. That payment is 20% below the U.S. average 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 $20,265Billed $65,931

About 31¢ was paid for every $1 hospitals in Alabama billed for this stay.

Alabama hospitals: kidney and ureter procedures for non-neoplasm with major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
D C H Regional Medical CenterTuscaloosa 17 $52,014 $20,227 $17,192
Mobile InfirmaryMobile 16 $80,718 $20,305 $17,174
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Kidney and ureter procedures for non-neoplasm with major complications in other states

Questions

How much does kidney and ureter procedures for non-neoplasm with major complications cost in Alabama?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659) at 2 hospitals in Alabama was billed at $65,931 on average, while the average total payment was $20,265, of which Medicare paid $17,183. 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 Alabama, average charges were 3.3 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.