facebook tracking Kidney and ureter procedures for non-neoplasm with major complications cost in Indiana: 8 hospitals compared (DRG 659)

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

What 8 hospitals in Indiana 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 $81,753 Hospital list price billed
Average payment $21,574 Medicare + patient + other payers
Medicare paid $18,098 Average per stay
State rank #9 of 29 1 = lowest average payment

Hospitals in Indiana billed an average of $81,753 for kidney and ureter procedures for non-neoplasm with major complications, about 3.8 times the average total payment of $21,574. That payment is 15% 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 $21,574Billed $81,753

About 26¢ was paid for every $1 hospitals in Indiana billed for this stay.

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Parkview HospitalFort Wayne 21 $65,331 $19,181 $16,969
Clarian Health PartnersIndianapolis 19 $168,241 $32,356 $22,774
Franciscan Health IndianapolisIndianapolis 19 $60,046 $19,697 $16,263
Deaconess Hospital INCEvansville 18 $64,782 $18,833 $15,894
Reid Hosp & Hlth Care ServicesRichmond 15 $72,738 $22,038 $20,682
Community HospitalMunster 15 $63,029 $19,924 $15,775
Franciscan St Anthony Health - Crown PointCrown Point 14 $64,014 $18,521 $17,496
Saint Joseph Reg Medical CtrSouth Bend 11 $89,383 $20,755 $19,370
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Lowest and highest payments in Indiana

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

Franciscan St Anthony Health - Crown PointCrown Point, IN$18,521
Deaconess Hospital INCEvansville, IN$18,833
Parkview HospitalFort Wayne, IN$19,181
Franciscan Health IndianapolisIndianapolis, IN$19,697
Community HospitalMunster, IN$19,924

Highest

Clarian Health PartnersIndianapolis, IN$32,356
Reid Hosp & Hlth Care ServicesRichmond, IN$22,038
Saint Joseph Reg Medical CtrSouth Bend, IN$20,755
Community HospitalMunster, IN$19,924
Franciscan Health IndianapolisIndianapolis, IN$19,697

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 Indiana?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659) at 8 hospitals in Indiana was billed at $81,753 on average, while the average total payment was $21,574, of which Medicare paid $18,098. 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 Indiana, average charges were 3.8 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.