Kidney and ureter procedures for non-neoplasm with major complications in West Virginia
What 2 hospitals in West Virginia 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
$95,712
Hospital list price billed
Average payment
$23,082
Medicare + patient + other payers
Medicare paid
$17,115
Average per stay
Volume
42
Medicare hospital stays
Hospitals in West Virginia billed an average of $95,712 for kidney and ureter procedures for non-neoplasm with major complications, about 4.1 times the average total payment of $23,082. That payment is 9% 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 $23,082Billed $95,712
About 24¢ was paid for every $1 hospitals in West Virginia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in West Virginia:
West Virginia hospitals: kidney and ureter procedures for non-neoplasm with major complications
Every West Virginia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Charleston Area Medical CenterCharleston | 22 | $117,538 | $23,225 | $18,302 |
| West Virginia University HospitalsMorgantown | 20 | $71,705 | $22,925 | $15,810 |
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 West Virginia?
In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659) at 2 hospitals in West Virginia was billed at $95,712 on average, while the average total payment was $23,082, of which Medicare paid $17,115. 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 West Virginia, average charges were 4.1 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.