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

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

What 3 hospitals in Connecticut 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 $109,253 Hospital list price billed
Average payment $29,745 Medicare + patient + other payers
Medicare paid $26,417 Average per stay
State rank #27 of 29 1 = lowest average payment

Hospitals in Connecticut billed an average of $109,253 for kidney and ureter procedures for non-neoplasm with major complications, about 3.7 times the average total payment of $29,745. That payment is 17% 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 $29,745Billed $109,253

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

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Hartford HospitalHartford 18 $113,884 $28,448 $25,285
Yale-New Haven HospitalNew Haven 13 $142,782 $38,536 $32,950
William W Backus HospitalNorwich 12 $65,981 $22,168 $21,037
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Lowest and highest payments in Connecticut

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

William W Backus HospitalNorwich, CT$22,168
Hartford HospitalHartford, CT$28,448
Yale-New Haven HospitalNew Haven, CT$38,536

Highest

Yale-New Haven HospitalNew Haven, CT$38,536
Hartford HospitalHartford, CT$28,448
William W Backus HospitalNorwich, CT$22,168

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 Connecticut?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659) at 3 hospitals in Connecticut was billed at $109,253 on average, while the average total payment was $29,745, of which Medicare paid $26,417. 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 Connecticut, 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.