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

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

What 2 hospitals in Nevada 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 $73,020 Hospital list price billed
Average payment $22,413 Medicare + patient + other payers
Medicare paid $19,781 Average per stay
Volume 32 Medicare hospital stays

Hospitals in Nevada billed an average of $73,020 for kidney and ureter procedures for non-neoplasm with major complications, about 3.3 times the average total payment of $22,413. That payment is 12% 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 $22,413Billed $73,020

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

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Renown Regional Medical CenterReno 18 $67,134 $23,046 $19,363
Saint Mary's Regional Medical CenterReno 14 $80,587 $21,600 $20,318
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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 Nevada?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659) at 2 hospitals in Nevada was billed at $73,020 on average, while the average total payment was $22,413, of which Medicare paid $19,781. 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 Nevada, 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.