facebook tracking Kidney and ureter procedures for non-neoplasm with major complications cost in Arizona: 3 hospitals compared (DRG 659)

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

What 3 hospitals in Arizona 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 $98,996 Hospital list price billed
Average payment $26,582 Medicare + patient + other payers
Medicare paid $20,620 Average per stay
State rank #21 of 29 1 = lowest average payment

Hospitals in Arizona billed an average of $98,996 for kidney and ureter procedures for non-neoplasm with major complications, about 3.7 times the average total payment of $26,582. That payment is 5% above 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 $26,582Billed $98,996

About 27¢ was paid for every $1 hospitals in Arizona billed for this stay.

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Mayo Clinic HospitalPhoenix 16 $109,234 $36,269 $26,646
Scottsdale Healthcare-Shea Medical CenterScottsdale 11 $113,744 $17,633 $16,568
Banner del E Webb Medical CenterSun City West 11 $69,356 $21,443 $15,907
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Lowest and highest payments in Arizona

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

Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ$17,633
Banner del E Webb Medical CenterSun City West, AZ$21,443
Mayo Clinic HospitalPhoenix, AZ$36,269

Highest

Mayo Clinic HospitalPhoenix, AZ$36,269
Banner del E Webb Medical CenterSun City West, AZ$21,443
Scottsdale Healthcare-Shea Medical CenterScottsdale, AZ$17,633

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 Arizona?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659) at 3 hospitals in Arizona was billed at $98,996 on average, while the average total payment was $26,582, of which Medicare paid $20,620. 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 Arizona, average charges were 3.7 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.