Kidney and ureter procedures for non-neoplasm with major complications in Texas
What 13 hospitals in Texas 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.
Average charge
$163,163
Hospital list price billed
Average payment
$22,687
Medicare + patient + other payers
Medicare paid
$19,288
Average per stay
State rank
#12 of 29
1 = lowest average payment
Hospitals in Texas billed an average of $163,163 for kidney and ureter procedures for non-neoplasm with major complications, about 7.2 times the average total payment of $22,687. That payment is 11% 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 $22,687Billed $163,163
About 14¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: kidney and ureter procedures for non-neoplasm with major complications
Every Texas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| UT Southwestern University HospitalDallas | 26 | $99,762 | $24,920 | $16,921 |
| Methodist HospitalSan Antonio | 24 | $295,790 | $28,118 | $23,546 |
| Scott & White Memorial HospitalTemple | 20 | $123,160 | $28,040 | $23,019 |
| East Texas Medical CenterTyler | 20 | $185,018 | $20,158 | $19,150 |
| Methodist Hospital,TheHouston | 19 | $128,783 | $22,558 | $19,150 |
| Trinity Mother Frances SystTyler | 17 | $157,705 | $17,011 | $16,060 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 14 | $134,126 | $21,034 | $19,126 |
| Bsa HospitalAmarillo | 14 | $100,479 | $16,569 | $15,405 |
| Baylor University Medical CenterDallas | 13 | $89,482 | $23,803 | $20,052 |
| Mem Hermann Southwest HospHouston | 12 | $133,252 | $24,951 | $20,298 |
| Hendrick Health SystemAbilene | 12 | $157,170 | $19,784 | $18,528 |
| Las Palmas Medical CenterEl Paso | 11 | $363,341 | $22,497 | $19,899 |
| Medical Center of PlanoPlano | 11 | $167,263 | $18,879 | $17,655 |
Lowest and highest payments in Texas
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
| Bsa HospitalAmarillo, TX | $16,569 |
|---|---|
| Trinity Mother Frances SystTyler, TX | $17,011 |
| Medical Center of PlanoPlano, TX | $18,879 |
| Hendrick Health SystemAbilene, TX | $19,784 |
| East Texas Medical CenterTyler, TX | $20,158 |
Highest
| Methodist HospitalSan Antonio, TX | $28,118 |
|---|---|
| Scott & White Memorial HospitalTemple, TX | $28,040 |
| Mem Hermann Southwest HospHouston, TX | $24,951 |
| UT Southwestern University HospitalDallas, TX | $24,920 |
| Baylor University Medical CenterDallas, TX | $23,803 |
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 Texas?
In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659) at 13 hospitals in Texas was billed at $163,163 on average, while the average total payment was $22,687, of which Medicare paid $19,288. 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 Texas, average charges were 7.2 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.