facebook tracking Kidney and ureter procedures for non-neoplasm without complications cost in California: 4 hospitals compared (DRG 661)

Kidney and ureter procedures for non-neoplasm without complications in California

What 4 hospitals in California charged and were paid for a Medicare hospital stay for kidney and ureter procedures for non-neoplasm without complications (DRG 661), from 2024 Medicare claims.

DRG 661 Inpatient 2024 Medicare data
Average charge $116,368 Hospital list price billed
Average payment $12,324 Medicare + patient + other payers
Medicare paid $8,934 Average per stay
State rank #25 of 25 1 = lowest average payment

Hospitals in California billed an average of $116,368 for kidney and ureter procedures for non-neoplasm without complications, about 9.4 times the average total payment of $12,324. That payment is 27% above the U.S. average of $9,672.

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 $12,324Billed $116,368

About 11¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: kidney and ureter procedures for non-neoplasm without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Enloe Medical CenterChico 25 $104,395 $12,892 $7,501
Marinhealth Medical CenterGreenbrae 12 $137,886 $11,986 $10,762
Verdugo Hills HospitalGlendale 11 $88,974 $11,411 $8,259
Santa Rosa Memorial HospitalSanta Rosa 11 $147,500 $12,312 $10,872
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Lowest and highest payments in California

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

Verdugo Hills HospitalGlendale, CA$11,411
Marinhealth Medical CenterGreenbrae, CA$11,986
Santa Rosa Memorial HospitalSanta Rosa, CA$12,312
Enloe Medical CenterChico, CA$12,892

Highest

Enloe Medical CenterChico, CA$12,892
Santa Rosa Memorial HospitalSanta Rosa, CA$12,312
Marinhealth Medical CenterGreenbrae, CA$11,986
Verdugo Hills HospitalGlendale, CA$11,411

Kidney and ureter procedures for non-neoplasm without complications in other states

Questions

How much does kidney and ureter procedures for non-neoplasm without complications cost in California?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm without complications (DRG 661) at 4 hospitals in California was billed at $116,368 on average, while the average total payment was $12,324, of which Medicare paid $8,934. 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 California, average charges were 9.4 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.